Description: Today we will be diving into lab values, and specifically what it means to have a complete fertility workup. I cover what it means when we say a fertility workup, what they test for and why, what is “normal” to empower yourself in a non-judgmental way so you and your support system can figure out a plan of corrective action. We also discuss a semen analysis and the total, whole picture of the markers you would be looking at there. This episode is a great way to dive in with understanding what tests should be done based on your age and how long you have been trying, along with who in your healthcare network would be able to help you run the tests.
Takeaways
[1:17] When we say a complete fertility workup, we also mean having a male workup — your partner — as well.
[7:14] The first step is a comprehensive wellness panel or CBC with add-ons. Second is the semen analysis and third is the complete fertility workup for a woman.
[11:06] Most often the tests will be blood tests, however, some will be urine, diagnostic, and imaging.
[11:39] I break down what a CBC, lipid and metabolic panels are, what they test for, and how to read the different markers.
[14:41] Hypoglycemia is a somewhat common culprit when looking at disruptions in reproduction. Thyroid health is extremely important as well. The TSH and T4 and T3 Uptake are the most looked-at markers in the panel.
[19:57] Vitamin D has a variety of effects on the body, including GI health, skin health, mood, and immunity.
[25:02] The semen analysis; you want to look at the whole picture of total motile sperm, and calculate it using volume, concentration, and motility.
[33:18] High levels of prolactin may affect the ability to ovulate and the regularity of a woman’s menstrual cycle.
[44:51] I explain the PCOS diet and why this way of eating may be beneficial.