The First Step - Trying Naturally
Trying Naturally for 6 months - the best tool to use is an ovulation kit https://www.youtube.com/watch?v=Ws2AzjKwTd0 to keep it simple, we recommend the use of Clearblue Easy Ovulation Kit with Pregnancy Test - 10ct at a cost of around $17. Purchasing it from Amazon by clicking the link will help to support our site. We tried the digital version but found that it was much trickier to deal with - in case you prefer that one, it is also shown below:
The Second Step - Do a Semen Analysis
You do not need a doctor's referral to get this done. Avoid ejaculation 24 - 72 hours before the test. You can show up without an appointment at NTMIC Sperm Lab , 5616 Warren Parkway #101-B, Frisco, Texas 75034 between 8.30am to 11am or 1pm to 4pm Mon - Thurs or 8.30am to 1pm Friday, cost is $110 (December 2019).
There's a short form to fill in and then they will give you a sample container and direct you to a small room with assistive materials and leave you to produce a sample that you will leave in the cupboard. On the form, make sure your address is correct, as that is where the results will be sent to you. If you have a fax number, you could get the results on the same day. This article Semen Analysis: Sperm Count Test and Procedure will help you to understand the preparation, procedure and result interpretation.
If all of the parameters are normal, then you would need to get a basic set of tests done for the fairer sex.
The Third Step - Blood Tests
These once again can be done without seeing a doctor. The tests that need to be done on Day 3 of Cycle (https://www.rmact.com/getting-started/fertility-testing/what-is-cycle-day-3)
Following the test links below will get you to the tests that you can then add to your cart. When you've checked out and paid, it will produce a requisition form that you will need to print out and take to the test center you chose while checking out. All you need is to take that form to the lab and they will draw your blood and you should see the results online in 1-3 days.
AMH (egg reserve) https://www.ultalabtests.com/Shop/Items/Item/Anti-Mullerian-Hormone-AMH-Female?q=Mg%3D%3D $85 (December 2019)
FSH https://www.ultalabtests.com/Shop/Items/Item/FSH-Follicle-Stimulating-Hormone?q=Mg%3D%3D $25 (December 2019)
LH https://www.ultalabtests.com/Shop/Items/Item/LH?q=Mg%3D%3D $25 (December 2019)
and Estradiol - https://www.ultalabtests.com/Shop/Items/Item/Estradiol?q=Mg%3D%3D $29 (December 2019)
Checking if Tubes are Blocked
Need an HSG to check this.
AFC -Anthral Follicle Count