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Investigations :                               

IVF investigation IndiaQ. What is the first stage of the treatment?

Ans. The first Consultation. This involves a detailed case history of both partners, and a clinical examination. Depending on the findings, previous investigations and treatment done, we advise on the kind of further investigation and treatment required.

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The basic investigations needed for an infertile couple are:

  • Semen Analysis with Sperm Function Tests Hormone Assay’s
  • Wife (Day 2 FSH,LH, Prolactin, TSH, E2, ASA) (Day 21 Progestrone)
  • Husband FSH, ASA (on any day)
  • Antisperm Antibodies
  • Presence of antisperm antibodies in the seminal plasma and/or in cervical fluid prevents motility of sperms. Levels of ASA in female and male partners determine the procedure in the treatment of infertility.
  • If ASA is high in the wife, then the treatment is IVF or condom’s/oral steroids.
  • If ASA is high in the husband then the treatment is IVF-ICSI with oral steroids.
  • Screening for HIV, Hepatitis B, STD’s (husband and wife)
  • Torch (past history of spontaneous abortion)
  • Mucus Hostility Test- To check the receptivity of the cervical mucus to sperm at the time of ovulation.
  • Post Coital Test-After 6 hours of intercourse, samples of cervical mucus are examined to look for alive/ dead sperms.
  • Tubal Potency Test- To check the potency of the tubes.
  • Hysterosalpingography (H.S.G.)
  • Sonosalpingogaphy
  • Testicular Biopsy - In case of Azoospermia.

Q. What other diagnostic tests can be carried out?

india infertility diagnosisAns. Vaginal Sonography is a base line scan. An ultra sound scan is carried out to check Ovaries and the endometrial lining. In addition, fibroids in the uterus and cysts in the ovaries can be diagnosed. Laparoscopy is performed to inspect the uterus, tube and ovaries for the presence of adhesions. Other pelvic problems such as Hydrosalpinx, pelvic TB, Endometriosis and Fibroids can also be detected. Hysteroscopy is used to inspect the cavity of the uterus via cervix using a fine telescope called a hysteroscope. Hysteroscopy is in investigation to assess the condition of the endometrium before IVF.

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