Fertility Evaluation Pune
There are various fertility evaluation methods to diagnose and to choose the best Infertility treatment in Pune for a particular couple who wants to have a baby. At silverberries IVF treatment centre in Pune a physical examination and/or medical history are the first steps in diagnosing a fertility problem. Both the husband and wife need to be examined and evaluated. The couple might also need blood tests, semen specimens from the husband, and ultrasound exams or exploratory surgery for the wife.Remember: In your first visit to a fertility consultant, do remember to bring along any previous records and reports that you have. It helps the doctor understand your problem in depth and also helps avoid any repetition of tests.Diagnostic fertility tests for women
- Blood tests / urine tests
- Hormone tests
- Endometrial biopsy
- An ultrasound to look for fibroids and cysts in the uterus and ovaries
- Hysterosalpingogram (HSG)
An explanation of the fertility tests:
Laparoscopy is conducted if the doctor suspects ovarian or fallopian tube scarring or endometriosis. Two small incisions are made at the pubic bone and the navel, and carbon dioxide gas is injected into the abdomen to enlarge it. Then, a laparoscope that has a long tube with lenses and a fiberoptic light is inserted through one incision. A long probe is inserted through the other incision. This helps the doctor view the uterus, ovaries and fallopian tubes and to check for any scar tissue. In some cases, doctors cut away any scar tissue discovered during this operation.
This test checks the condition of the woman’s fallopian tubes by injecting a dye into the uterus. An X-ray is then taken to check whether the dye passes through the open ends of the fallopian tubes. If the dye emerges from the end of the tubes, they are not blocked. This test may also reveal other fertility problems, such as fibroid tumors, structural abnormalities and endometrial polyps. In some cases, the dye actually clears away blockages in the fallopian tubes, and restores the woman’s fertility. The dye is harmless and is absorbed by the woman’s body after going through the fallopian tubes. The test may be slightly uncomfortable, but is rarely painful.
Hysteroscopy is used to visually inspect the inside of your womb or uterus. This is done to determine whether the uterus is structurally normal and that there are no abnormalities within the uterine cavity, such as fibroids, polyps or adhesions. This investigation allows the doctor to check the openings to the fallopian tubes at the top of the uterine cavity on each side (i.e. the tubal ostia). A saline solution is used to expand the cavity to give a clearer picture. The findings are normally recorded on videotape, which can be viewed afterwards at follow-up consultations.
Diagnostic fertility tests for men
For men, a sperm test is conducted after examining the medical history. The patient is asked to ejaculate into a sterilised container, and the specimen is evaluated. The patient should not ejaculate for at least three days before he takes this test, because each ejaculation may reduce his sperm count.
- Semen examination: Several factors are checked in the semen including sperm count, movement, maturity and shape of the sperm (which reveals its quality), the amount of sperm produced (about one teaspoon is sufficient), acidity (the semen should be slightly acidic)
- Hormonal blood tests
- Imaging tests that check for swollen veins or reproductive system blockages
- A testicular biopsy: Bits of tissue taken from the testes is examined to see whether the cells that produce sperm are functioning properly
- Anti-sperm antibody tests: These tests show whether the woman’s cervical mucus rejects the man’s sperm. It also shows whether the man produces antibodies that reject his own sperm
The fertility tests conducted include: