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How to be examined with infertility Print E-mail
Written by Administrator   
Monday, 23 March 2009
The survey required for the VRT

Both partners are:
    Fluorography (shelf life 1 year)
    Blood tests for syphilis (DAC), AIDS, hepatitis B and C (shelf life of 3 months)
    Analysis of blood group and Rh factor
    Cytogenetic examination (karyotypes) (not performed for patients aged less than 35 years, with healthy children)
    Documents on the previous survey.
Wife:
    Complete blood count, clotting time, gemostaziogramma.
    Urinalysis
    Smear on the flora (bacterioscopy)
    Smear on onkotsitologiyu
   Colposcopy (with atypical cervical erosion program VRT There will be no need to pre-treatment of the cervix)
    Research on chlamydial antigen
    Determination of antibodies to chlamydiae in serum (for detection and treatment of chlamydial infection earlier), toxoplasmosis, cytomegalovirus, rubella (if not ill earlier).
    The study of hormones in the blood serum for 2-5 days of the menstrual cycle: FSH, LH, Prolactin. (Free testosterone, 17-OH progesterone, DHEA - on condition)
    Investigation of thyroid hormones: TSH, T4 free, antibodies to thyroperoxidase)
    Determination of sperm antibodies in the serum
     Ultrasound genitalia: 3-5 day cycle with the measurement of ovarian volume and evaluation folikulyarnogo stock and 23-24 day cycle to assess the usefulness of the endometrium and corpus luteum
    Thyroid ultrasound
    Ultrasound breast
    Hysterosalpingo (x-ray of the uterus and fallopian tubes)
    Hysteroscopy with endometrial histological study - from the readings (required for failure in previously conducted IVF),
    Consultations of experts: physician, endocrinologist, mammologist (oncologist), Genetics
Husband: spermogram, sperm morphology, MAR-test (infectious and hormonal screenings to testimony)How to be examined with infertility
A survey in the sterile marriage consists of a number of standardized diagnostic procedures developed by the World Health Organization. Carrying out all their might in a clinic doctor Paramonova.
The full test takes at least 2 - 3 months.
It is important to recognize couples that started the survey should not be interrupted in time, allowing a doctor promptly to establish the cause of infertility.
Of great importance is the age of spouses and «experience» of their sterile marriage. The sooner the treatment the spouse, the greater the chances for successful treatment. The competence of the doctor in the modern diagnosis and treatment of infertility in marriage - a key to success, so it is important to refer to specialists for infertility - Reproduction, working in the Center for Reproduction.
Their first visit to a specialist should be applied to both spouses, as well as half of couples are found reciprocal causes of infertility.
Male infertility is not less than the female, is the cause of childless marriage. Moreover, the high sexual potency husband still is not proof of its normal capacity to bear children.
Therefore, man, it is important to be examined at the same time with his wife. Moreover, it is simple, inexpensive, painless.
Men must be - a study of sperm - Spermogram, sperm morphology, MAR-test, testing for sexually transmitted infections, if necessary, other studies - a blood test on the male hormones, antibodies to its own sperm, an ultrasound examination.

A survey of women begins with a full gynecological examination, including colposcopy - inspection of the cervix under a special microscope, examination of mammary glands, examination for sexually transmitted infections, the consequences of which can lead to infertility.
Ultrasound genitalia (USG) is appointed after the gynecological examinations, it provides a unique opportunity to «see» the uterus, ovaries. When ultrasound doctor Reproduction can identify the causes of infertility such as polikistoz ovaries, endometriosis, polyps and tumors of the uterus.
As a frequent cause of female infertility is a violation of Fallopian tube patency, an important method of examination is hysterosalpingography-roentgenologic examination methods with the introduction of radio-opaque substance into the uterine cavity, allowing the photographs to see the uterus, uterine tubes. The clinic doctor Paramonova can make it painless, with the use of disposable instruments, with modern equipment - computer tomograph.
In order to assess the ripening egg and its withdrawal from the ovary using ovulation charting basal temperature for 2 - 3 menstrual cycles. To this end, the woman measures the temperature in the rectum 5-7 minutes morning and not getting up from the bed, preferably at the same time. Additionally, a doctor appointed by ultrasound genitalia on certain days of the cycle to monitor the process of follicle maturation and ovulation - ultrasound monitoring. A new method of monitoring ovulation test is Kliaplan. With the help of test strips for urine in the home, you can identify the presence or absence of ovulation. To study the function of the ovaries and other endocrine organs (thyroid, pituitary, adrenal) conducted a study of hormones in the blood. For more accurate survey of the uterus the doctor may be appointed hysteroscopy. When the survey is introduced into the uterine cavity thin optical instrument - metroscope equipped with a mini-video camera, through which the contents of the uterus was projected on a screen telemonitora. This procedure allows you to inspect the entire uterine cavity, to identify the disease, which is not always found in the normal examination and with ultrasonography.
  If after the above survey the cause of infertility is not clear, a laparoscopy - an examination of the internal organs through the abdominal wall puncture the optical tube - laparoscopy, lighter and equipped with a video camera. The doctor sees a clear, color, enlarged image of small pelvis on TV and gets the full information about their condition. The procedure is performed under anesthesia and is minimally traumatic. In identifying the causes of infertility, they are immediately removed - removed foci of endometriosis, adhesions cut, restored cross tubal ligation, ovarian cyst removed, fibromatoznye sites in the uterus.
To determine the compatibility of the spouses shall be appointed - a blood test for the antispermalnyh antibodies postkoitalny test or other special studies - Shuvarskogo sample, sample Kurtsproka - Miller.
  If, after a survey of spouses, including laparoscopy fails to identify the causes of infertility, this condition is regarded as unexplained infertility (it occurs up to 10% of infertility). If necessary, the clinic can consult the immunization technology, general practitioner, endocrinologist, mammology.
  Psychologist resolve conflict situations in the family, if any, or to look to the positive result.
Last Updated ( Saturday, 03 July 2010 )
 



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