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Endocrine Laboratory

Shady Grove Fertility’s highly compliant Endocrine Laboratory has received accreditation and distinction by the several accrediting organizations including the Joint Commission, the Clinical Laboratory Improvement Amendments (CLIA) Act, and the College of American Pathologists (CAP).

Given the time-sensitive nature of reproductive medicine and infertility treatment in particular, our highly specialized and reliable Endocrine Lab staff use the most advanced automated systems to process thousands of blood samples every single day. The results of blood testing in our lab assist in:

  • Diagnosing reproductive issues
  • Monitoring your response to ovarian stimulation medications while in cycle whether it be during basic treatments or in vitro fertilization (IVF)
  • Identifying the optimal time for retrieval of your eggs during an IVF cycle
  • Confirming a pregnancy by processing a beta blood test
  • Ongoing research in reproductive biology

Daily quality controls and calibrations are top priorities in our Endocrine Laboratory to produce the most precise and efficient results.

Morning Monitoring

As a patient who is cycling through treatment, (sometimes daily) morning monitoring allows your physician to precisely track the progress of your cycle during the ovarian stimulation phase and adjust medication dosages as needed. Monitoring appointments typically last 15 to 20 minutes, and consist of an ultrasound and bloodwork:

  • The transvaginal ultrasound measures the growth of the egg-containing follicles and the thickness of the uterine lining, both of which should be increasing throughout the stimulation phase.
  • A blood sample makes it possible to measure the level of estradiol, or estrogen—another indicator of the growth and maturation of the eggs. Estradiol levels will rise as the follicles grow.

In the afternoon of a monitoring appointment, you can expect a phone call from your nurse with updates including any changes in medication dosing and coordination of your next monitoring appointment. This is also an opportunity to speak directly with your nurse and ask any questions regarding infertility treatment.

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