

It’s a structured evaluation of hormone patterns, ovarian reserve, ovulation timing, uterine health, tubal patency, and sperm factors—so we can identify what’s helping, what’s getting in the way, and what to do next. At Hanabusa IVF, testing isn’t a checkbox. We use it to create a clear, personalized path forward—especially for patients with complex histories or time-sensitive concerns

We go beyond basic screening to understand patterns over time—so your plan is built on clarity, not assumptions.
We connect labs + ultrasound + history to understand patterns, not isolated numbers.
Clear evaluation of AMH/FSH/AFC with appropriate context—especially for DOR/POI and fertility after 40.
We assess for polyps, fibroids, inflammation, or cavity issues that can impact implantation and loss.
We treat sperm testing as essential, not optional, and guide next-step solutions.
You leave with a plan—what to do now, what to monitor, and when to escalate (IUI, IVF, Mini IVF, FET, or complex-care strategy).

What you do: Meet your care team and share your timeline + goals.
What we review:
Cycle patterns (regular/irregular, symptoms, timing)
Prior pregnancies, losses, or treatments
Medical/surgical history + medications/supplements
Lifestyle factors that can impact hormones and outcomes
What we learn: What testing you actually need (and what you don’t)
What you do: Bloodwork (often timed early in your cycle).
What we check (as indicated):
Ovarian reserve markers + key reproductive hormones
Thyroid and other hormone disruptors
Targeted labs based on your history (PCOS patterns, recurrent loss, etc.)
What we learn: Egg supply signals, hormone patterns, and hidden factors that can delay progress.
What you do: Transvaginal ultrasound (often early in the cycle).
What we assess:
Antral follicle count (AFC)
Ovarian appearance (cysts, endometrioma patterns, PCOS features)
Uterine structure + lining (fibroids, polyps, cavity concerns)
What we learn: How your ovaries look in real time and whether anything structural needs a closer look.
What you do: Track your cycle (and add labs if timing is unclear).
How we confirm (as needed):
OPKs / cycle tracking
Progesterone and/or timed hormone labs
What we learn: Whether you’re ovulating, when it’s happening, and if timing support could improve your chances.
What you do: One of these tests based on your situation:
HSG (checks if fallopian tubes are open)
Saline ultrasound / sonohysterogram (looks for polyps/fibroids inside the cavity)
Hysteroscopy (direct visualization—can often treat certain findings)
What we learn: Whether the pathway is clear for pregnancy and whether anything should be treated before moving forward.
What you do: Semen testing (recommended early—male factor is common).
What we review: Count, motility, morphology + next-step recommendations if abnormal.
What we learn: Whether timed intercourse, IUI, IVF, or ICSI is the most efficient next step.
What you get: A clear, prioritized plan based on your results—no guesswork.
Your roadmap includes:
Your top fertility factors (what matters most first)
Treatment options matched to your goals, comfort, and timing
A step-by-step sequence (what to do now vs later)
Clear decision points (when we pivot, and why)

You’re trying to conceive and want a clear starting plan
You’re over 35 or concerned about ovarian reserve
Your cycles are irregular or ovulation timing is unclear
You’ve had miscarriages or implantation concerns
You’ve tried IUI/IVF elsewhere without clear answers
You’re considering egg freezing or future family building
You already have a complete, recent fertility workup and only need a treatment start (we can review your records and advise)
You have an urgent timeline and are ready to proceed directly into a higher-level treatment after a focused safety baseline

Which labs are needed (basic vs. expanded hormonal or metabolic testing)
Imaging needs (ultrasound, HSG, saline ultrasound, hysteroscopy)
Male testing requirements (semen analysis, advanced sperm testing if indicated)
Whether prior records can replace repeat testing
Complexity of history and time required for records review
Often included: consult + targeted evaluation plan
Often separate: labs, imaging procedures, outside facility fees, specialized testing

Testing isn’t a “success rate” treatment—but it directly impacts success by helping you choose the most effective next step. A strong diagnosis can shorten time to pregnancy by reducing trial-and-error and ensuring the plan fits the underlying cause(s).
Age and ovarian reserve markers
Ovulation consistency and hormone patterns
Uterine cavity health and lining factors
Tubal patency
Sperm parameters
How quickly the plan is matched to the findings

Stimulation typically lasts ~8–12 days, with monitoring visits during that window
Ultrasound/lab monitoring (frequency depends on your response)
Often injections; your plan may change based on how you respond
Outpatient procedure with same-day discharge and short recovery
Fertilization and embryo development updates over several days
Transfer timing is personalized (fresh in select cases or freeze + FET)
If you’ve been trying for 12 months (under 35) or 6 months (35+), or sooner if cycles are irregular, there’s known endometriosis/PCOS, or you have concerns about ovarian reserve.
Most evaluations include hormone labs, ultrasound with AFC, ovulation assessment, semen analysis, and uterine/tubal testing as indicated (HSG or saline ultrasound).
Often yes. Regular cycles don’t always confirm ovulation quality, ovarian reserve, tubal patency, uterine factors, or sperm health.
AMH is a hormone associated with ovarian reserve (egg supply). It helps guide treatment planning, but it doesn’t measure egg quality on its own.
FSH is a hormone involved in follicle recruitment. Elevated FSH can indicate reduced ovarian reserve and may affect treatment strategy.
An HSG is an X-ray test that checks whether fallopian tubes are open and reviews uterine shape. Some patients experience cramping, and we’ll guide you on comfort options.
Male factor is common and often treatable. Including sperm testing early prevents delays and ensures the right treatment path.
Yes. We can review prior labs and imaging, confirm what’s still relevant, and only repeat what’s necessary for safety and decision-making.
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You’re a fit for Traditional Fertility Care if any of these statements resonate with you:
You’re just getting started
You want clear first steps
You’ve explored clinics, but still feel at the beginning
You need fertility testing
Your labs look reassuring
Your situation feels straightforward
You have fewer complicating factors
You’re considering IUI
You’re new to IVF
You’re planning an FET
You’re considering PGT
If anything, complex becomes evident, we smoothly upgrade your pathway.
You’re a fit for Complex Care if any of these statements resonate with you:
Low AMH/AFC or DOR concerns
You have Diminished Ovarian Reserve (DOR)
You have POI or high FSH concerns
You’re considering Ovarian Rejuvenation (PRP)
Age 40+ or time feels limited
Prior IVF didn’t respond as hoped
Low egg numbers / embryo growth issues
Unsuccessful embryo transfers
Recurrent pregnancy loss (2+ losses)
Male factor needs ICSI or TESE
You’ve been told your case is complex
If your case is complex from the start, we build the right strategy from day one.