Infertility treatment requires a series of pre-diagnosis of the patient condition. This involves carrying out tests on the patient regarding their lifestyle and their physical condition. An appointment with the doctor will help know the medical history and the lifestyle discussion to help with further treatment or test for diagnosing the problem. This will help with preparation for IVF or In Vitro Fertilization to cure infertility.
Following are the tests that will be done:
The first appointment may involve a series of thyroid tests, breasts, hair growth analysis. A thorough pelvic exam is done for analyzing fertility including the pap smear test.
The evaluation of the tests is then done that will involve tests related to occurrence of ovulation to determine the function of ovaries and the uterine function.
Ovulation will involve the following types:
Ovulation testing- Using the ultrasound and blood tests ovulation is checked if it is occurring or not.
Ovarian function tests-These are done to check the functionality of hormones during ovulation cycle. It involves Day 3 FSH or measuring follicle stimulating hormone,Day 3 Estradiol or measuring estrogen, ultrasound and a series of blood test for checking the inhibit B levels.
Luteal Phase testing- This determines the level of progesterone.
Hormone tests that include the following:
Follicle Stimulating Hormone
Cervical mucus tests: A PCT or post coital test that helps determine the penetration of sperm that will be able to survive the cervical mucus. It also involves screening for bacteria.
Ultrasound tests: The lining of the uterus is checked and monitored for its thickness. The condition of uterus and the ovaries are diagnosed. It also helps in determining the release of egg.
Similarly, semen analysis too is done to determine the infertility causes of the partner. Additional, tests are done for fertility on both the partners as suggested by the doctor.
The following tests will be included:
Hysterosalpingogram (HSG): The fallopian tubes and uterus are checked with this x-ray. This helps determine what blockages are there or not.
Hysteroscopy: Through this process, abnormalities are tested and analyzed. The fertility specialist is able to check for scarring and growths in the uterus. This test takes pictures and these are used for the purpose of diagnosis.
3D Laparoscopy: This process helps check the abdomen of the women to help analyze the uterus, ovaries and fallopian tubes. All the abnormalities like endometriosis is checked, if any of it is found then it is removed through the process of laser if required. However, this test is only done when the woman is not pregnant.
Endometrial biopsy: This test helps in understanding the lining of uterus and its thickness that helps the specialist to know whether it is apt for fertilized egg that can be implanted and it would grow. This is essential, as it would then determine how soon the IVF would work on the patient.
Although the tests are important and a part of the pre-diagnosis for IVF, these are not the mandatory tests, it all depends on patient history and fertility specialists who determine what needs to be done. The recommendation of tests depends on patient history.