Causes of infertility – male factors -30%, female factors 30%, combined 30%,unexplained – 10%
Basic investigation of Male |
Investigation |
Purpose
|
Semen analysis |
Know the total sperm count, motility, normality of sperms and other parameters. |
Hormonal analysis by blood test: FSH, LH, Testosterone and Prolactin. |
Know the cause of Azoospermia.
|
Scrotal Ultrasound |
Distinguish varicocele from other testicular lesions |
Semen C&S |
To rule out infection. |
Chromosomal analysis |
In cases involving severely defective spermatogenesis genetic counseling and testing is offered. |
Counseling |
About investigation result and future treatment. |
Note: Semen taken after 2-7 days of sexual abstinence. Semen
ejaculated by masturbation in special container at home, hotel or
hospital. |
Basic investigation of Female |
Investigation |
Purpose
|
Hormonal evaluation |
Baseline levels of FSH, LH on day -2 or day 3- of the menstrual cycle is estimated which predicts the ovarian reserve .Other hormones like TSH and Prolactin are also estimated. Inhibin & Anti mullerian hormone gives additional information. |
Baseline Ultra Sound Scanning |
To assess the uterus and ovaries –to rule out fibroids, cysts, to assess the number of available follicles, and ovarian volume and accessibility of the ovaries during ovum pick up.
|
Hysterosalpingogram |
Assess the uterine cavity and tubal patency |
Hysterolaparoscopy |
Indicated in some cases |
|
|
Trial ET |
Anticipate and rectify any difficulty during actual embryo transfer.
|
Counseling |
To explain the procedure, complications, success rates and to clear any doubts of patients. |
One menstrual cycle (one month): From Day2 (D2) of the menses for one month is needed for observing/ checking the varying structural, functional and hormonal changes in uterus and ovary. For IVF treatment, next / another menstrual cycle is selected. |