Fertility Assessment

Introduction

An infertility evaluation includes exams and tests to try to find the reason why you and your partner aren't yet pregnant. It is important to understand the overall well being of the couple, the status of eggs or ovaries, uterus, fallopian tubes and sperm test.

Why Fertility Assessment is Important

Detects underlying causes of infertility early
Helps tailor the most suitable fertility treatment plan
Reduces time to conception with accurate diagnosis
Provides reassurance and clarity to couples planning pregnancy

Comprehensive Fertility Testing

For Women: Female Fertility Testing

1. Hormone Testing

Blood tests check hormone levels that control egg growth and ovulation. This helps to see if eggs are being produced normally. (Hormones - FSH, LH, E2 and P4 LEVELS)

2. Ovarian Reserve Test

Special hormone tests, like Anti-Mullerian Hormone (AMH), shows the egg reserve or egg supply of your body.

3. Ultrasound Examination

A small ultrasound probe inserted into the vagina to see ovaries and uterus. Ultrasound looks for any abnormal growth in uterus or cyst in ovaries. This helps check the number of eggs, the condition of the uterus, and looks for any growths.

4. Fallopian Tube Check

Tests like an X-ray with dye (HSG) or injecting normal saline under USG guidance (SIS) to see if the tubes are open. To test if eggs and sperm can meet and fertilise.

5. Other Tests

Thyroid hormone test, Rubella IGG, prolactin levels, HbA1C.

Note: You might not require all of these tests and procedures. Some can be done based on symptoms, results of previous tests and treatment history.

For Men: Male Fertility Testing

1. Semen Analysis

Sample of semen is tested for number, shape and movement of sperms to assess male fertility.

2. Hormone Blood Tests

Sometimes blood tests are done to check hormones that affect sperm production.

3. Additional Tests

DFI (DNA fragmentation index) and Scrotal ultrasound and doppler study.

Advanced Tests

3D or High-Resolution Ultrasound

Detailed imaging of ovaries, uterus, and pelvic area to detect abnormalities like fibroids, cysts, or uterine malformations.

Genetic and Immunological Screening

Genetic, Immunological, and Microbiome Studies will be done to assess genetic conditions or immunity conditions affecting fertility.

Endometrial Tests (ERA/EMMA and ALICE)

To assess endometrial health and receptivity.

Hysteroscopy

A direct visual examination using a camera to look for polyps, adhesions, or other uterine abnormalities affecting the lining.

What to Expect During Fertility Assessment

First Visit

Initial History taking – Detailed gynecological, medical and lifestyle history
Physical examination in required cases
Tests Done – Blood tests, ultrasounds, and semen analysis
Ultrasound examination to check for abnormal growths in uterus or cysts in ovaries

Follow-up

Results Review – Explanation and discussion of the reports
Personalised treatment plan – Next steps (natural conception, IUI, IVF/ICSI, or other treatments)
Recommendations based on ultrasound findings and other test results

Who Should Consider Fertility Assessment?

Couples

Couples who have not gotten pregnant after 1 year of having regular sexual intercourse without using birth control or contraception.

Women

Women over 35 years of age, recommended to get tested after 6 months of trying
History of irregular or absent periods, severe period pain
Patients with PCOS, endometriosis, or previous pelvic surgeries
Previous abortions

Men

Men with ejaculatory dysfunction or low libido
Men with history of injury or medicines harmful to sperm or use of steroids

Life & Lifestyle – Recent Advances

Women wanting to delay pregnancy
Egg or sperm freezing
Those needing cancer treatment
History of genetic issues in family or previous pregnancies

Benefits of Fertility Assessment

Predicts root causes and increases the chance of a successful pregnancy
Early detection of reproductive issues including uterine abnormalities and ovarian cysts
Provides tailored treatment options
Reduces emotional stress through clarity of treatment
Saves a lot of time and money