Comprehensive Evaluation

By RRM Academy Reviewed by Dr. Naomi Whittaker, MD, Board-Certified OBGYN, MIGS, NFPMC, FCI Updated May 11, 2026

In RRM, comprehensive evaluation is a systematic diagnostic workup of both partners, designed to find the root cause of reproductive dysfunction rather than assign a descriptive label. Tools include detailed cycle charting (using the Creighton Model or other FABMs), cycle-timed hormonal blood draws (taken at biologically meaningful days post-ovulation, not arbitrary cycle days), transvaginal ultrasound series (including saline infusion sonohysterogram -- a fluid-enhanced ultrasound to assess uterine cavity), hysterosalpingogram (HSG -- an X-ray procedure to evaluate tubal openness), semen analysis with DNA fragmentation index, and targeted testing for endocrine, immune, clotting, or genetic factors. Diagnostic laparoscopy and hysteroscopy (camera-based visualization of the pelvis and uterine interior) are employed when indicated for definitive diagnosis of endometriosis, pelvic adhesions, chronic endometritis, and isthmoceles.¹

This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.