| What can you expect on your first visit to the infertility clinic? |
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| Investigations for the male |
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| Apart from necessary basic blood and urine examination, semen analysis will be done. |
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| Semen collection is best done by masturbation. Semen should be collected after 3-5 days of abstinence in a sterile container directly. The sample collected should reach the lab within 20-25 minutes. |
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Investigations for the female |
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Routine investigations such as CBC, FBS, urine routine, TSH,/ FSH / LH / Prolactin (Day 2 of the cycle), VDRC, Hepatitis B, HIV and Blood grouping and Rubella IgG levels will be done. |
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| The following tests could be done as per the doctor's requisition: |
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Serum FSH |
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Serum LH |
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Serum PRL |
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Serum TSH |
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The above tests are to be done on day 2 or 3 of the menstrual cycle. (First day of menses is counted as Day 1.) |
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| HSG (Hystero Salpingogram): This is a procedure where X-ray pictures of the uterus (Hystero) and fallopian tubes (Salpingo) are taken. A dye is injected into the uterus and pictures are taken to identify abnormalities in the uterine cavity and the tubes. An alternative method is Sonohystero Salpingogram where ultrasound is used instead of X-ray. |
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| Trans-vaginal Ultra Sonogram: This is done to know the abnormalities in the uterus, tubes and ovaries. This is best done around the 13th day of the cycle. Follicular tracking and monitoring of follicle development in patients who are undergoing treatment with ovulation induction drugs is also done through a trans-vaginal scan. |
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| Laproscopic Hysteroscopy: Visualization of the interior aspects of the uterus with an endoscope. This helps in: |
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Identification of pathology in the uterine cavity |
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Release of adhesions inside the uterus |
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Resection of fibroid/ polyp which protrudes into the uterine cavity |
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Cannulation of uterine end of tube if blocked |
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Resection of septum (uterine) |
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| Laproscopy: Direct visualization of the peritoneal cavity with an endoscope. This is useful for: |
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Visualization of the uterus, tubes, ovaries and structures adjacent to it |
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Performing the dye test to check tubal patency |
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Operative interventions if necessary |
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| All these investigations will be individualized as per the doctor's decision. |
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| You will see the doctor with the results of the investigations and depending upon the cause of infertility, treatment will be initiated. |