How Does A Urologist Test For Infertility Dr Miller Okc (2025)

Dr. William Miller, MD is a board-certified urologist in Oklahoma City, OK, specializing in male infertility and other reproductive endocrinology problems. He offers comprehensive care for patients struggling with these conditions, including bladder or prostate cancers, kidney stones, and other urinary tract issues. Miller completed a residency at University OK Health Science Center and is affiliated with INTEGRIS Baptist Medical Center.

To appropriately treat a case of male fertility, Dr. Miller must first diagnose the source of the problem by checking the patient’s sperm. Diagnosing male factor infertility involves a complete medical history and physical examination, including examining the genitals. The test is usually done by having the partner collect a masturbated sample after abstaining from intercourse for 3-7 days. The sample is ejaculated into a uterus.

Miller is board certified in Urology and accepts multiple insurance plans, including Medicare and other insurance plans. He has been in practice for over 20 years and performs diagnostic testing to pinpoint the cause of the condition. He also performs vasectomies, which prevent males from impregnating women.

Miller is affiliated with medical facilities such as INTEGRIS Health Baptist Medical Center and INTEGRIS. His primary care physician can perform a simple test to determine if you have this common disease.

In addition to his urology expertise, Miller is board certified in Urology and accepts multiple insurance plans. He is also a licensed urologist in Oklahoma City, OK, and is affiliated with Southern Methodist University, B. A. in Chemistry, University School of Medicine, M. D., University Hospital, Oklahoma City (Surgery), and INTEGRIS Baptist Medical Center.

What Are Red Flags In Urology?

Red flags in urology warrant urgent assessment and referral, especially in cases of chronic urinary retention, which may manifest as nighttime enuresis, overflow incontinence, or a painless, palpable bladder. These symptoms may indicate an overactive bladder or other serious conditions requiring renal function evaluation. Key red flags include:

1. Blood in Urine (Hematuria): This alarming symptom can signal various conditions, including kidney stones and infections.
2. Changes in Urination Patterns: Notable increases or difficulties in urination, such as painful or abnormal urinary flow, should prompt immediate consultation with a urologist.
3. Prostate Concerns: A hard prostate or changes observed on digital rectal examination should lead to cancer pathway referrals for suspected prostate cancer.

Other critical symptoms include unexplained appetite loss, persistent lower back or abdominal pain, and recurrent urinary issues. Patients should be aware that delaying treatment due to hesitance can lead to severe health consequences. Recognizing these symptoms is vital for timely diagnosis and intervention in urological health. If you experience any concerning symptoms, don’t hesitate; see a urologist promptly for comprehensive evaluation and management.

What Are The Odds Of Getting Pregnant With Unexplained Infertility?

Patients with unexplained infertility experience a fecundity rate of 2 to 4 per menstrual cycle, compared to 20 to 25 for normally fertile couples. However, pregnancy is feasible even with this diagnosis. Research from the National Institute of Health (NIH) indicates that 92% of couples undergoing fertility treatments, such as assisted reproductive technology (ART), ultimately have a child. ART encompasses procedures like intrauterine insemination (IUI) and in vitro fertilization (IVF).

Despite apparent challenges, over 10% of couples facing unexplained infertility eventually conceive, often succeeding through lifestyle changes, timing intercourse, or using fertility drugs. The chances of natural conception rise significantly within a year following an unexplained infertility diagnosis, particularly with no detected abnormalities. However, the likelihood diminishes with increased duration of infertility. IVF, which boasts the highest success rates for unexplained infertility, can also help identify underlying issues during the process.

Although spontaneous pregnancy rates drop after five years of infertility, studies suggest that up to 43% of individuals may conceive without treatment over time. Ultimately, a significant number of couples can achieve pregnancy despite an unexplained diagnosis, highlighting the complexity and variability of fertility challenges.

How Does A Urologist Examine You?

If you're a man, your urologist may perform a rectal exam; if you're a woman, a pelvic exam may be necessary. You’ll undergo various tests including urinalysis, blood tests, and semen samples, where you provide samples for analysis. During the initial visit, the urologist conducts a physical examination focused on the genitourinary system and may order additional blood work or imaging tests such as a CT scan or ultrasound to evaluate your organs more closely.

A digital rectal exam (DRE) will likely be performed to assess the prostate. Many men find these appointments uncomfortable, but routine urology exams are essential for diagnosing and treating issues related to urination and sexual health.

Understanding what to expect at a urologist visit can alleviate concerns. Urologists specialize in urinary tract disorders for both genders, addressing a range of health issues from urinary problems to erectile dysfunction. Preparing for a urology exam, regardless of whether it’s your first time or not, can help make the process smoother. Blood tests and examinations are important for identifying potential health problems. Overall, these assessments play a vital role in maintaining men's health and treating conditions effectively.

How Is A Fertility Test Done In Females?

To test female fertility, various methods can be employed. Blood samples can be analyzed for progesterone to ascertain ovulation, recommended based on menstrual regularity. Irregular cycles may lead to hormone tests measuring gonadotrophins, which stimulate egg production. Typical fertility tests include cervical screening (Pap smear), ovulation assessments, ultrasounds, hormone blood tests, and hysterosalpingograms (HSG).

Blood tests can identify hormonal imbalances affecting egg production, notably measuring follicle-stimulating hormone (FSH) levels. Diagnosing fertility issues starts with a thorough consultation with a fertility physician, discussing medical history and lifestyle factors.

Home fertility tests are also available to assess hormone levels and track sperm health. Understanding fertility problems aids targeted treatment for couples wishing to conceive. Ground-level fertility tests provide a snapshot of overall reproductive health, typically involving blood tests for hormone levels and ovarian reserve evaluation. Additional tests assess structural issues, such as blocked fallopian tubes or uterine abnormalities.

Comprehensive diagnostics often combine blood tests, pelvic examinations, ultrasounds, and in some cases, surgical evaluations. Specific tests like endometrial biopsies and transvaginal ultrasounds provide insights into uterine and ovarian health. HSG uses X-rays to visualize the uterus and check for fallopian tube blockages. Overall, identifying infertility causes allows for tailored interventions to enhance the likelihood of conception.

What Tests Confirm Infertility?

Infertility testing encompasses various methods for both women and men. For women, common tests include ovulation testing, thyroid function tests, hysterosalpingography (HSG), and ovarian reserve assessments, which analyze hormone levels to confirm ovulation and reproductive health. Blood tests evaluate hormones like follicle-stimulating hormone (FSH) and progesterone, while imaging tests such as ultrasounds help visualize reproductive organs. Men’s fertility assessments primarily involve semen analysis to evaluate sperm count and motility, as well as hormone level checks through blood tests.

Both genders can utilize home fertility screening kits to gain insight into hormone levels. Overall, infertility workup begins with a physical exam and blood tests, aiming to pinpoint underlying causes through laboratory and imaging examinations. Laparoscopy and sonohysterograms are also employed to investigate reproductive anatomy.

Unexplained infertility may occur when tests do not reveal a definitive cause, leading to various treatment options, including fertility medications. It’s important for individuals struggling to conceive to consult specialists who provide clarity on testing choices and processes. Understanding common diagnostic tests can facilitate appropriate interventions for couples facing fertility challenges.

Does Urologist Test For Pregnancy?

Urinalysis is a crucial test for examining urine specimens, used primarily to diagnose conditions such as urinary tract infections, kidney disease, kidney stones, diabetes, and pregnancy. The process begins with a consultation with a urologist, who performs a physical exam and discusses medical history, including past surgeries, medications, exercise habits, and substance use. For men dealing with infertility, it’s beneficial to consult a urologist specialized in fertility, typically trained for an additional one to two years.

Semen analysis assesses sperm health, and if sperm counts are normal, further diagnostic tests are recommended for the female partner. Male infertility is characterized by health issues that reduce the likelihood of conception. Blood tests may be advised to evaluate hormone levels critical for sexual health. Urologists handle various conditions affecting the urinary tract and reproductive system in patients of all ages. They may employ imaging tests, like ultrasounds, for further diagnostics.

During a first appointment, expect thorough examinations, including urinalysis, which can verify pregnancy or diagnose other health issues. Urinalysis checks for pregnancy hormones and can also serve as a routine check-up in various medical contexts, being an integral part of health assessments before surgery or while monitoring existing conditions.

How Does A Urologist Test For Infertility?

Semen analysis is a crucial step in diagnosing male infertility, conducted by urologists at NYU Langone. The evaluation includes examining semen volume, sperm count, shape, and motility. Infertility often stems from multiple causes, necessitating a comprehensive approach involving both partners. Men are advised to consult a urologist, particularly one specialized in male fertility, who has undergone additional training following standard urology education.

The evaluation process begins with a detailed medical history and physical examination, focusing on identifying any abnormalities. Essential tests include semen analysis, hormone level testing, and possibly genetic testing. A urologist will assess sperm characteristics in a lab, where trained experts measure sperm count and analyze their movement and shape.

The initial evaluation is critical for diagnosing male infertility, which can stem from genetic issues, trauma, or diseases. Urologists are equipped to provide thorough assessments beyond at-home test measures. If necessary, further endocrine or imaging studies may be ordered based on initial findings. Overall, a solid understanding of male reproductive health and advanced evaluation techniques offers hope for men facing fertility challenges. If you and your partner are struggling to conceive, seeking a professional evaluation is a vital step towards identifying potential fertility issues and exploring treatment options.

How Will A Doctor Confirm Pregnancy?

Your doctor can confirm pregnancy with a blood test as soon as 11 to 14 days post-ovulation, involving a blood draw sent to a laboratory. Common pregnancy diagnostic methods include home pregnancy tests that detect the hormone hCG in urine. It's recommended to take a home test 5-10 days after a missed period. For pregnancy confirmation, the first prenatal appointment, usually scheduled 6 to 12 weeks after a missed period, is vital. Even if a home test is positive, your doctor will likely repeat both urine and blood tests to verify hCG levels. This visit also assesses your general health and identifies any risk factors.

Home tests provide a quick indication of pregnancy, but an ultrasound is the definitive method to confirm. If positive, contact your doctor promptly to schedule an appointment for further testing. A blood test can confirm pregnancy about 10 days following ovulation, while home tests are effective about two weeks after. Additionally, a pelvic exam may help confirm pregnancy by checking for physical changes in the cervix and uterus.

A pregnancy test checks for the hormone hCG produced by the placenta, and doctors may perform both urine and blood tests during the appointment. They may also conduct an ultrasound if concerns arise. Early signs of pregnancy include a missed period or implantation bleeding. It’s advisable to reach out to your GP or midwife when you suspect pregnancy, ideally before 8 weeks.

What Happens At A Female Urology Exam?

The female urology exam involves placing a catheter in the urethra, bladder, and rectum to measure pressures in these areas. As the bladder is filled with fluid to simulate filling with urine, a cystoscopy may be recommended if urinary tract issues are suspected. Urologists, who treat both men and women of any age, often address conditions like urinary tract infections (UTIs), incontinence, overactive bladder, pelvic organ prolapse, kidney stones, and cancers.

During a first visit, patients can expect a pelvic exam along with questions about symptoms. Medical professionals utilize standardized questionnaires, ultrasound, urine testing, and physical exams to ensure a thorough evaluation. Those with urinary incontinence may undergo a cough stress test to assess urine loss, while testing for low sex drive often involves hormone level assessments.

Urologists are accustomed to examining patients' genitals, so feelings of embarrassment can be alleviated. A comprehensive genital exam is paramount to identifying potential medical abnormalities. Women should inform their healthcare provider about their symptoms for an effective diagnosis and treatment plan. Initial exams might also include urinalysis, imaging studies, and other diagnostics. Ultimately, addressing urological issues is important for overall health, and there are various treatment pathways available depending on individual needs and conditions.

What Is Required For A Fertility Test?

Blood tests and semen analysis are crucial components of infertility assessments for couples trying to conceive after one year of unsuccessful attempts. The process usually begins with a physical exam and blood tests to evaluate levels of female and male hormones, including follicle-stimulating hormone (FSH), thyroid hormones, prolactin, as well as tests for HIV and hepatitis. High FSH levels may indicate reduced ovarian function. Home fertility tests are available that provide information on hormone levels and sperm health.

Comprehensive assessments are essential, encompassing medical and physical evaluations for both partners. Women undergo tests like blood hormone checks, pelvic exams, and assessments of ovarian reserve, while men typically have sperm analysis. Before initiating assisted reproduction, key pre-IVF tests can inform couples about their fertility status and help guide the conception journey. Blood tests to check for progesterone are vital to confirm ovulation.

It is recommended to conduct fertility tests after six months of unsuccessful attempts to expedite diagnosis and treatment. Hydration is important before blood tests to assist with easier blood draw. Overall, these evaluations provide valuable insights into reproductive health and potential infertility causes, aiding in effective planning for conception.