1. Health

What tests need to be done before starting fertility treatment?

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Before starting a fertility treatment, it is crucial for both partners to undergo a series of tests. This helps them, and doctors understand the underlying causes of infertility and develop a tailored treatment plan. These tests help fertility specialists identify specific issues, develop appropriate strategies, and increase the chances of successful conception.

So, here is a list of them for your understanding:

  1. Medical & reproductive history

A detailed medical and reproductive history is the initial step in understanding the couple's fertility challenges. This includes discussions about menstrual history, previous pregnancies, medical conditions, surgeries, medications, lifestyle factors, and any known fertility issues or cancer treatments in the family. All of these are usually conducted at the best IVF centre in Bangalore or any major city.

  1. Physical examination

A thorough physical examination is conducted for both partners to identify any visible signs of reproductive abnormalities or health issues that might affect fertility. The examination may involve evaluating the reproductive organs and identifying any potential concerns.

  1. Blood tests

Blood tests are vital in assessing hormonal levels and overall health. Common blood tests conducted at an IVF clinic in Bangalore or elsewhere include:

  • Hormonal Levels: – Follicle-stimulating hormone (FSH) – Luteinising hormone (LH) – Estradiol – Anti-Mullerian hormone (AMH) – Thyroid-stimulating hormone (TSH)
  • Infectious Disease Screening: – HIV – Hepatitis B and C – Syphilis – Rubella
  • Genetic Testing: – Karyotyping to identify chromosomal abnormalities

 

  1. Semen analysis

For male partners, a semen analysis is crucial to assess sperm count, sperm motility, and sperm morphology. This test provides valuable information about the male's reproductive health and helps determine the appropriate course of treatment at the IVF hospital in Bangalore.

  1. Transvaginal ultrasound

A transvaginal ultrasound allows visualisation of the ovaries, uterus, and fallopian tubes. It helps identify structural abnormalities, ovarian follicle count, and the thickness of the uterine lining.

  1. Hysterosalpingography (HSG)

HSG is a specialised X-ray procedure where a contrast dye is injected into the uterus to evaluate the shape of the uterine cavity and the patency of the fallopian tubes. This test helps detect any blockages or structural abnormalities.

  1. Sonohysterogram (SHG)/ Saline Infusion Sonography (SIS)

SHG involves injecting saline into the uterus and using ultrasound to assess the uterine cavity's structure. It can identify abnormalities like polyps, fibroids, or adhesions that may affect fertility.

  1. Endometrial biopsy

An endometrial biopsy may be performed to analyse the uterine lining for abnormalities, infections, or other factors hindering embryo implantation.

  1. Ovulation tracking

Monitoring ovulation using basal body temperature charting, ovulation predictor kits, or serial ultrasounds is essential. It helps pinpoint the most fertile days for timed intercourse or assisted reproductive treatments.

  1. Sperm DNA fragmentation testing:

In some cases, assessing sperm DNA fragmentation can provide additional insights into male fertility issues, helping to tailor treatment accordingly.

Conclusion

Before initiating fertility treatment, you may not have to undergo all of the enlisted tests. Depending on your medical history and preliminary discussion with your specialist, they may recommend specific essential tests to evaluate and confirm the couple's reproductive health. Seeking guidance from a fertility specialist and undergoing the recommended tests are important steps in your fertility treatment journey.

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