Traditional Care

Diagnosis & Testing

Fertility diagnosis and testing at Hanabusa IVF is the first step in building a plan that actually fits you.

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

What is fertility diagnosis and testing?

 A comprehensive evaluation that uses labs, imaging, and medical history to identify fertility factors and guide the most effective next steps.

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The Hanabusa Difference

The right treatment starts with the right diagnosis.

We go beyond basic screening to understand patterns over time—so your plan is built on clarity, not assumptions.

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Precision interpretation (not just results)

We connect labs + ultrasound + history to understand patterns, not isolated numbers.

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Ovarian reserve expertise

Clear evaluation of AMH/FSH/AFC with appropriate context—especially for DOR/POI and fertility after 40.

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Uterine-first clarity when needed

We assess for polyps, fibroids, inflammation, or cavity issues that can impact implantation and loss.

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Male factor is included—not overlooked

We treat sperm testing as essential, not optional, and guide next-step solutions.

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Actionable next steps

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).

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Your Fertility Diagnosis & Testing Journey

This evaluation is designed to reduce guesswork and help you move forward with confidence—whether you’re early in your journey or coming in after failed cycles.

Step 1 - Consult + history review
Step 2 - Baseline labs
Step 3 - Ultrasound evaluation
Step 4 - Ovulation assessment
Step 5 - Uterine + tubal evaluation
Step 6 - Semen analysis and male-factor review
Step 7 - Personalized plan + next-step roadmap

Accurate diagnosis prevents wasted cycles. When you understand the true drivers—ovulation, ovarian reserve, uterine factors, tubal issues, sperm factors—you can choose the right next step sooner and avoid repeating approaches that aren’t matched to your biology.

You may be a fit for fertility diagnosis & testing if

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You’re trying to conceive and want a clear starting plan

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You’re over 35 or concerned about ovarian reserve

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Your cycles are irregular or ovulation timing is unclear

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You’ve had miscarriages or implantation concerns

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You’ve tried IUI/IVF elsewhere without clear answers

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You’re considering egg freezing or future family building

You may prefer another path if

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You already have a complete, recent fertility workup and only need a treatment start (we can review your records and advise)

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You have an urgent timeline and are ready to proceed directly into a higher-level treatment after a focused safety baseline

What influences cost

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Which labs are needed (basic vs. expanded hormonal or metabolic testing)

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Imaging needs (ultrasound, HSG, saline ultrasound, hysteroscopy)

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Male testing requirements (semen analysis, advanced sperm testing if indicated)

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Whether prior records can replace repeat testing

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Complexity of history and time required for records review

Typically included vs. not included:

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Often included:  consult + targeted evaluation plan

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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).

What impacts outcomes after testing

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Age and ovarian reserve markers

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Ovulation consistency and hormone patterns

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Uterine cavity health and lining factors

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Tubal patency

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Sperm parameters

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How quickly the plan is matched to the findings

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Timeframe

Stimulation typically lasts ~8–12 days, with monitoring visits during that window

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Appointments

Ultrasound/lab monitoring (frequency depends on your response)

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Medications

Often injections; your plan may change based on how you respond

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Retrieval day

Outpatient procedure with same-day discharge and short recovery

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Lab updates

Fertilization and embryo development updates over several days

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Next step

Transfer timing is personalized (fresh in select cases or freeze + FET)

FAQs

When should I get fertility testing?
What tests are included in a fertility evaluation?
Do I need testing if my cycles are regular?
What is AMH and what does it tell me?
What is FSH and why is it important?
What is an HSG and does it hurt?
Why is semen analysis part of my evaluation?
Can you use my outside test results?

Testimonials

"After switching from another IVF doctor, I tried Hanabusa and I’m so grateful I did. Dr. Leblanc and the entire team made me feel at home, with clear communication—and they gave me my son."
Susana Flores
December 23, 2025
"I had a very positive experience. The doctors and nurses were professional, caring, and patient, explaining everything clearly and making me feel comfortable throughout the entire process."
Olivia Sun
November 27, 2025
"At 43, after two failed egg retrievals elsewhere, we switched to Hanabusa—and welcomed our miracle baby girl. Dr. Chang’s personalized approach and care made all the difference."
Lauren Garner
October 10, 2025
"After years of loss, our very first transfer at Hanabusa was a success. Dr. Leblanc identified the root cause quickly and combined expertise with true kindness. An incredible team."
Jamie Chavez
August 17, 2025
"Dr. Leblanc listened, supported my choices, and remained optimistic and pragmatic—even when research was unclear. Her guidance led to a successful first embryo transfer. Highly recommend."
Keri Sebourn
August 14, 2025
"After switching from another IVF doctor, I tried Hanabusa and I’m so grateful I did. Dr. Leblanc and the entire team made me feel at home, with clear communication—and they gave me my son."
Susana Flores
December 23, 2025
"I had a very positive experience. The doctors and nurses were professional, caring, and patient, explaining everything clearly and making me feel comfortable throughout the entire process."
Olivia Sun
November 27, 2025
"At 43, after two failed egg retrievals elsewhere, we switched to Hanabusa—and welcomed our miracle baby girl. Dr. Chang’s personalized approach and care made all the difference."
Lauren Garner
October 10, 2025
"After years of loss, our very first transfer at Hanabusa was a success. Dr. Leblanc identified the root cause quickly and combined expertise with true kindness. An incredible team."
Jamie Chavez
August 17, 2025
"Dr. Leblanc listened, supported my choices, and remained optimistic and pragmatic—even when research was unclear. Her guidance led to a successful first embryo transfer. Highly recommend."
Keri Sebourn
August 14, 2025

Find the Right Starting Point

Traditional Care or Complex Care
Not a label, just a way to match you with the right care team
based on where you are in your journey... Because “One Size Doesn’t Fit All.”

You’re a fit for Traditional Fertility Care if any of these statements resonate with you:

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You’re just getting started

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You want clear first steps

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You’ve explored clinics, but still feel at the beginning

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You need fertility testing

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Your labs look reassuring

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Your situation feels straightforward

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You have fewer complicating factors

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You’re considering IUI

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You’re new to IVF

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You’re planning an FET

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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:

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Low AMH/AFC or DOR concerns

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You have Diminished Ovarian Reserve (DOR)

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You have POI or high FSH concerns

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You’re considering Ovarian Rejuvenation (PRP)

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Age 40+ or time feels limited

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Prior IVF didn’t respond as hoped

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Low egg numbers / embryo growth issues

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Unsuccessful embryo transfers

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Recurrent pregnancy loss (2+ losses)

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Male factor needs ICSI or TESE

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You’ve been told your case is complex

If your case is complex from the start, we build the right strategy from day one.