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Prepare for a Procedure
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Preparing for a procedure can be a confusing and anxiety provoking experience. Our physicians and staff at the Johns Hopkins Fertility Center excel in the diagnosis and treatment of fertility issues, and want you to be comfortable with your treatment alternatives. To this end we have prepared a list of different procedures and the recommended preparations. Please call if you have any questions, as telephone numbers are listed next to each procedure.

Hysterosalpingogram (HSG)
Contact: 410-583-2751

An HSG is a radiographic evaluation of the uterine cavity and the fallopian tubes. An iodine contrast dye is used, except if you are allergic to iodine or shellfish (if so, we can pre-medicate you but you will need a prescription from your physician). The test is performed at the Johns Hopkins Outpatient Center, in the radiology department (601 N. Caroline Street, 4th Floor).

Preparation: The HSG may cause some discomfort, so you can take Ibuprofen 400 mg or Acetaminophen (Tylenol®) 500 mg a half hour before and one hour after the procedure. There are no dietary restrictions.

Endometrial Biopsy

The endometrial biopsy is taken 2-3 days before your expected menstrual period. The biopsy will be used to determine:

  • the presence of abnormal cells
  • the cause of abnormal menstrual bleeding
  • if your hormones (estrogen and progesterone) are causing the natural changes to the endometrium throughout the menstrual cycle. 

A tiny sample of the endometrium (inner lining of your uterus) is taken and is sent to the pathologist for examination. The test is done at the clinic office (10753 Falls Road, Suite 335).

Preparation: A urinary pregnancy test will be done before you undergo the biopsy. The biopsy will be cancelled if you are pregnant. You may experience slight discomfort, so you can take ibuprofen (Advil® or Motrin®) a half hour to an hour before the test. You may temporarily experience the feeling of menstrual cramping afterwards.

Please tell the physician if you have had a recent gynecological infection, and refrain from using vaginal sprays, powders or tampons 24 hours before the biopsy.

Post Coital Test

For some patients the doctors want to determine what happens to the sperm once they are inside the vagina. Sometimes patients who are taking Clomid® have a disruption to their cervical mucus. The physician will take a small sample of cervical mucus (painless) and analyze it under the microscope anywhere from six to twelve hours after you have intercourse. The doctor will be able to give you immediate results.

Preparation: Have intercourse the night before the post-coital test and avoid the use of lubricants.

Semen Analysis
Contact: 410-583-2714

The semen analysis enables the physician to know the sperm count, motility (activity), shape of the sperm (normal or abnormal), and volume.  You must have no more than 4 days’ interval of sexual abstinence before the procedure.  We also perform sperm cryopreservation services wherein the sperm is frozen for future use for our fertility patients. You need a doctor’s order for the test. We will also need a current HIV test result.

Sperm Cryopreservation for Cancer Patients
Contact: 410-583-2794

Our Hopkins family of patients who will undergo cancer treatment and who wish to preserve their fertility options can also have their sperm cryopreserved. Your oncology physician needs to call 410-583-2794 to make the necessary arrangements. We will need a current HIV test result. Please have your physician fax it to 410-583-2792.



To schedule the HSG, please call 410-583-2751 or email on Day 1 of your menstrual period. To schedule surgery with Dr. Garcia or Dr. Cross, please call 410-583-2751 or email on Day 1 of your menstrual period. To schedule surgery with Dr. Christianson or Dr. Zacur, please call 410-583-2750 or email on Day 1 of your menstrual period.

We need to know:

  • Your full name
  • Your physician’s name
  • Your date of birth
  • Your phone numbers (home, work, cell)
  • Day 1 of your period (red flow)
  • How many days you have a menstrual flow
  • The interval from one menstrual cycle to the next (i.e., 28, 30, 32, 60-90 days)
  • Allergies to anesthesia or medicines (hives, breathing problems, etc.)
  • Any prior reaction to anesthesia
  • Notable surgical history (prior gynecological surgery, organ transplant, colostomy, etc.)
  • Let us know of any health issues, such as diabetes, coronary problems.


Emergency Contact Numbers

After-hours, weekends or holidays 410-955-4331
(Ask to speak to the reproductive endocrinologist on-call.) 
Fertility Center Nurses410-847-3650 

Support Staff Phone Numbers For Non-Emergency Calls

Dr. GarciaMelony410-583-2753

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INFERTILITY SERVICES:  Infertility Testing    ][ : In Vitro Fertilization (IVF)    ][ Blastocyst Culture and Transfer][    Embryo and Sperm Cryopreservation    ][    Donor Eggs    ][    Intracytoplasmic Sperm Injection (ICSI)    ][    Intrauterine Insemination (IUI)    ][    Transmyometrial Embryo Transfer (Towako)    ][    Zygote Intrafallopian Transfer (ZIFT)    ][    Gestational Carrier -- Surrogacy Program

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