If not, bring your medical records with you. In most cases, you will be directed to use home ovulation test kits and call for an appointment on the day you detect a surge. If the lining is thin, it indicates a hormonal problem. Fibroid tumors and ovarian cysts can often be detected via ultrasound, as well as abnormalities of the shape of the uterus. In some cases, endometriosis can also be detected.
Many doctors order a second ultrasound two or three days after the first.
Prolactin and Progesterone should be tested seven days post LH surge. These levels are those used at the Chapel Hill Fertility Center laboratory, and have been excerpted from The Couple's Guide to Fertility by Berger, Goldstein and Fuerst, published by Doubleday. After the initial workup, many doctors continue with some of the following tests. Although most women report only minor cramping and short-term discomfort during this procedure, some women, especially those who DO have blockages, report intense pain. Speak to your doctor about taking a pain medication about 30 minutes prior to the actual procedure.