FEMALE HORNOE ASSAY AND GENERAL TETS

• Thyroid assays
• Prolactin
• Virology and infection screening
• Rubella immunity check

B. AFC (ANTRAL FOLLICLE COUNT)

• Ultrasonographic assessment of the total number of antral follicles measuring 2–9 mm is a reliable determinant of ovarian reserve
• The total antral follicle count (t AFC) is made by counting the number of antral follicles measuring 2–10 mm in both ovaries and can be estimated using two- or three-dimensional ultrasound, normally around 4-5 on each side comprising of 8-10 in toto

C. SERUM FSH (FOLLICLE STIMULATING HORMONE)

• Day 2/day 3 FSH gives us a fair enough idea of the ovarian reserve and also the indicator of ageing ovaries

2. UTERUS

A. ULTRASONOGRAPHY (2D AND 3D)

• To detail the architecture of uterus
• To find out any evidences of fibroids, polyps, adenomyosis or structural defects

B. HSG

• To check for filling defects like Ashermans syndrome, presence of any fibroids in cavity, presence of septum or T-shaped uterus

C. Hysteroscopy

• To check the cavity of the uterus
• Diagnostic as well as therapeutic procedure where correction of
• Filling defects
• Fibroids
• Polyps
• Septum
• Biopsy of suspicious areas can be done at the same time

3. TUBE TESTING

• Gold standard
• Investigates Per-itubal status
• Adhesions and endometriosis
• Combined with Hysteroscopy allows better assessment

B. HSG

• Used over long duration
• Confirms patency
• No added advantage
• Satisfactory evaluation of the intrauterine structure

4. FEMALE HORMONE ASSAYS AND GENERAL TESTS

• Used over long duration
• Confirms patency
• No added advantage
• Satisfactory evaluation of the intrauterine structure

4. FEMALE HORMONE ASSAYS AND GENERAL TESTS

General hormone evaluation like

A. Thyroid profile to correct thyroid dysfunctions which may cause infertility also to control thyroid levels in hypothyroidism to prevent development of thyroid dysfunctions in pregnancies and babies later on

B. Prolactin levels
High prolactin levels have been linked to cause infertility by preventing ovulation and also casing implantation defects

C. Virology and infection screen
Routinely done pre-procedure to rule out any transmissible viral infections to the babies

D. Rubella Immunity check
By doing Rubella IgG to find out any immunity to rubella as the virus causes heart defects defects as well as hearing defects in babies if acquired during pregnancy. In case the women are not immunized, rubella vaccine is given and told to avoid pregnancy for a good 6-8 weeks and plan treatments post that

SEMEN ANALYSIS

• Sperm counts
• Motility
• Morphology

Which helps us to find out the exact cause of male infertility along with our lab parameters and hormone assays and scrotal doppler facilities helps us to come to the exact cause of male infertility and help us find out the precise treatment for the same We have an inhouse collection room with semen collection facilitators and vibrators which help erectile dysfunction males collect semen samples.