Before initiating an IVF cycle, it is critical for a patient to go for a preliminary investigation that will undertake his/her previous medical history and a number of tests commonly known as IVF pre-screening tests. Your doctor will determine which tests need to performed before initiating a cycle.
Ovarian Reserve Tests : The ovarian Reserve Test (ORT) involves a transvaginal scan and is performed between days 2 and 5 of the period. The most widely used tests are basal follicle stimulating hormone and anti-Mullerian hormone and antral follicle count. Your fertility specialist will give you a good estimate whether your ovarian reserve is ‘normal’ for your age.
Various blood tests are carried out depending on the couple’s situation. The blood tests that may need needed include day 3 follicle stimulating hormone (FSH), luteinizing hormone (LH), testosterone (T), thyroxin (T4), thyroid stimulating hormone (TSH), and possibly other tests.
An ultrasound scan checks the lining of the womb (endometrium) and diagnoses other conditions such as polycystic ovaries, endometriosis, ovarian cysts, the size of the ovaries, etc. A pelvic ultrasound also provides a ‘baseline’ report that can be used as a reference during the treatment cycle. A vaginal ultrasound is a simple and painless procedure. An empty bladder is required for this procedure.
A hysterosalpingogram or HSG is an x-ray procedure used to see whether the fallopian tubes are patent (open) and if the inside of the uterus (uterine cavity) is normal. The HSG test is a radiology procedure usually done in the radiology department of a hospital or outpatient radiology facility. The hysterosalpingogram is usually completed within 30 minutes.
Hysteroscopy is a minimally invasive surgical procedure for viewing the inside of the uterus. Performed in our centre, hysteroscopy is used to study the uterine cavity for polyps (benign growths), fibroids, adhesions and abnormal anatomy.
Semen Analysis : A semen analysis is done to a male partner as part of his initial consultation. It is recommended two to three day’s abstinence before producing the sample. Because of differing parameters between the fertility clinics, we suggest you to having an analysis performed at the Dr. Rita Bakshi’s clinic.