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Infertility Evaluation And Management
What tests should be included in the initial infertility evaluation?
Assessment of ovarian reserve
Assessment of adequate ovulation
This can be done in myriad ways. About 25% of the cases in infertility is caused by an ovulation disorder. One type of ovulation problem, polycystic ovarian syndrome can be efficiently treated with medications.
Assessment of the Male partner:
It is also essential to assess the male partner for any semen or other abnormalities. A consult with the urologist is generally recommended with some important tests.
Depending on the particular couple's situation, a series of blood tests on either the female or the male may be performed. Blood tests that might be needed include day 3 follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), AMH, prolactin, testosterone (T), progesterone (P4), 17-hydroxyprogesterone (17-OHP), thyroxin (T4), thyroid stimulating hormone (TSH).
If there is a history of recurrent miscarriages (2 or more) a lupus anticoagulant (LAC) and anti-cardiolipin antibody (ACL) are often done with some additional tests.
Immunological testing has not been proven to have any value in infertility patients without a history of 2 or more miscarriages.
Testing for tubal patency and normalcy of the uterine cavity with a hysterosalpingogram
The hysterosalpingogram or HSG is done to assess the anatomy of the endometrial cavity of the uterus and the fallopian tubes. The HSG is generally performed between days 6 and 13 of the cycle - after bleeding and before ovulation.
After the initial phases of consultation and evaluation of the recommended diagnostics, Dr Preeti Tandon will assist you through the myriad fertility options available. Accordingly, then you maybe started on some other pertinent treatment options to ensure that you are on your way to a successful conception and easier initiation into pregnancy and child birth.