Name of the Procedure:

Chorionic Gonadotropin Stimulation Panel; Estradiol Response

Summary

This procedure involves measuring the levels of estradiol—a type of estrogen—after stimulating the ovaries with chorionic gonadotropin. The test uses 3 pooled blood samples to provide a detailed assessment of the body's estradiol response.

Purpose

The Chorionic Gonadotropin Stimulation Panel is used to:

• Evaluate ovarian function.
• Diagnose conditions related to infertility or hormonal imbalances.
• Assess the body's response to fertility treatments.

Indications

This procedure is indicated for patients experiencing:

• Infertility.
• Irregular menstrual cycles.
• Suspected ovarian dysfunction.
• Monitoring during assisted reproductive treatments.

Preparation

• Patients may be instructed to fast before the procedure, depending on additional tests.
• Certain medications may need to be paused as advised by the healthcare provider.
• Baseline blood tests and a physical examination might be required.

Procedure Description

1. The patient is administered an injection of chorionic gonadotropin.
2. Over a specified period, 3 blood samples are drawn at different intervals.
3. These samples are pooled and tested for total estradiol levels using the 82670 code for each sample.
4. The results help determine the estradiol response following the stimulation.

Duration

The entire process, including waiting periods between blood draws, typically spans several hours to a full day.

Setting

The procedure is usually performed in an outpatient clinic or specialized fertility center.

Personnel

• A specialized nurse or phlebotomist will draw the blood samples.
• An endocrinologist or fertility specialist will interpret the results.
• Support staff for patient care and administration.

Risks and Complications

• Mild discomfort or bruising at the injection or blood draw sites.
• Rarely, allergic reactions to the injected hormone.
• Slight risk of infection at the needle insertion sites.

Benefits

• Provides valuable information on ovarian function.
• Helps tailor fertility treatments for better outcomes.
• May clarify the cause of hormonal imbalances.

Recovery

• Patients can resume normal activities immediately unless otherwise advised.
• Follow-up appointments may be scheduled to discuss results and next steps.
• Minimal to no recovery time needed.

Alternatives

• Basal hormone level testing without stimulation.
• Ultrasound assessment of ovarian reserve.
• Other hormone stimulation tests using different protocols.

Patient Experience

• Patients may experience slight discomfort from blood draws and the hormone injection.
• Pain can typically be managed with over-the-counter pain relievers if necessary.
• Overall, the procedure is well-tolerated and minimally invasive.