Utility of various hormonal tests for primary infertility in the ovulatory patient.

Table 1: Utility of various hormonal tests for primary infertility in the ovulatory patient.

UTILITY	TEST	INDICATION
HIGH Utility	Patient age	Remains the best predictor of success of pregnancy through natural conception or Assisted Reproductive Technologies
HIGH Utility	Anti-Mullerian Hormone	The most reliable screening test for poor ovarian response to ovarian stimulation
LOW Utility	Early follicular FSH with estradiol	A specific but not sensitive test of decreased ovarian reserve
	Urinary LH	Useful if couple has difficulty with timing or frequency of intercourse
	TSH	To rule out subclinical hypothyroidism
	Thyroid antibody testing: If TSH mildly elevated	To help determine whether or not to initiate treatment in patients with subclinical hypothyroidism
	Mid-luteal progesterone	Not necessary to confirm ovulation if the patient reports a history of regular and predictable menses
NO Utility	Prolactin
	Inhibin B
	Estradiol alone