Try to keep track of the length of your menstrual cycles for several months beforehand. 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 can often be detected via ultrasound, as well as abnormalities of the shape of the uterus and ovarian cysts. In some cases, endometriosis can also be detected.
Many doctors order a second ultrasound two or three days after the first.
Other tests tests that should be conducted on the day of LH surge include LH, FSH, Estradiol and Progesterone. 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. If a uterine abnormality is suspected after the HSG, your doctor may opt for this procedure, performed with a thin telescope mounted with a fiber optic light, called a hysteroscope.