Infertility Work-UP
The main challenges of the process of treatment of infertility in a couple are with correct diagnosis and treatment of the female partner. The process of diagnosis and the complex structure of the reproductive system both make it tough for the doctors to correctly ascertain the underlying problem and start the correct treatment. However, we at Mayor's IVF have quality experts with years of experience who are adept with the diagnosis process and recognizing the condition at early stage. This also helps us in delivering best results in treating infertility. Some of the basic infertility workup that is generally required as the diagnostic and pre IVF process includes the following.
Many a time, many couples cannot achieve pregnancy even after performing regular unprotected intercourse for more than 12 months. In such a case, couples are considered infertile, and they must take the help of a fertility treatment doctor to determine the cause of infertility. They can help to guide the treatment options to achieve pregnancy. During the consultation the doctors ask the patients about menstrual history, pregnancy history, STDs, surgical treatment history, current medications, lifestyle, diet, health concerns, and the history of birth control.
How is infertility treated at Mayor's IVF?
This investigation is conducted on the samples collected between cycle days 1 to 5 and is to determine the levels of various hormones present in the body at that time. This test is also conducted in tandem with Trans-Vaginal ultrasound scans and various other tests including Thyriod function, prolactin level test and blood test to determine the level of FSH, AMH, LH and E2. Among the aforementioned tests, the relevance of Trans-Vaginal ultrasound scan lies in the fact that it is important to check the condition of the uterus and Ovaries. It is also greatly used for the counting of Antral Follicle. In the process, the structure of the uterus and problematic conditions, if any, such as abnormal pelvic growths, cramps, extra bleeding or lack of menstrual flow is determined and located. For some cases, the experts require viewing a better picture of the uterus and thus they conduct saline infusion sonography instead of Trans Vaginal ultrasound. Further, it also determines the fertility potential of the female by facilitating the process of AFC (Antral Follicle Count).
Infertility is the inability to conceive or get pregnant even after having unprotected intercourse for over a year. Infertility is common in females above 35 years old as the egg quality and quantity decline rapidly after this age. Females should seek infertility treatment as early as possible because the sooner the cause of infertility is diagnosed the higher the chances of future pregnancy will be. An early diagnosis will also help in providing the right treatment by the fertility expert which will improve the chances of a successful pregnancy.
Tests performed in females
If one cannot conceive after 12 months or more without success, they can consult with an expert fertility treatment doctor in Delhi at Mayor's IVF centre.
- Thyroid examination is performed to check for abnormalities, as abnormal levels can affect pregnancy and increase the risk of miscarriage.
- Examination of breast and pelvic area (unusual growth detection, sores, or infection).
- Hair distribution on the face and body, as the male hormone, can affect fertility.
- Pelvic ultrasound is performed to evaluate uterine and ovarian anatomy. It and a safe and painless treatment that helps diagnose uterine fibroids or ovarian cysts.
- Blood tests for FSH (follicle stimulating hormone) and estradiol levels are also checked for evaluating anti-Mullerian hormone.
- Hysterosalpingogram or dye test is also performed to check inside the uterine cavity and fallopian tubes. This test helps evaluate any blockage in the tube that interferes with conception. Infertility specialists perform all these tests.
- To determine any abnormality inside the uterus, a sonohysterogram or water ultrasound is performed to get a better view of pathology inside the uterus.
Tests performed in Males
1) Semen analysis of males is done to check for sperm count, sperm motility, and morphology of the sperm.
2) Suffering from infertility and facing trouble in conceiving. Consult today with an expert infertility specialist in Delhi at World Infertility & IVF Centre.