Process of infertility treament

THE PROCESS

FIRST VISIT:

(It is desirable that the partners come together for the 1st visit) You will need to open a folder; come with results of investigations done in the past. You will be quizzed about the challenge you face with inability to conceive; you will be examined & basic gynae transvaginal scan will be performed. Your history, examination findings & results of investigations available will be discussed with you. You will be advised on outstanding investigations to do

BASIC INVESTIGATIONS

SEMEN TEST: Preliminary semen test is mandatory irrespective of number of wives the male partner has or recent pregnancy achieved through other wives. Male partner is required to present his semen after 2 days of abstinence & within 30-45 mins of collection into bottle supplied by the clinic. SEMEN TEST SHOULD BE DONE EARLY AS ITS OUTCOME MAY DETERMINE TESTS THAT WILL NOT BE NEEDED TO BE DONE BY FEMALE PARTNER

1. TUBAL PATENCY TEST: Can be achieved commonly by doing either Hysterosalpingography (HSG) or Laparoscopy.
2. TEST OF OVULATION: Commonly done via serial ultrasound scanning (follicular tracking) or with use of LH strip rarely
3. HORMONAL TESTS: (Especially in female partners aged ≥ 37years) you may be asked to come for blood test within Day 3 to Day 5 of your cycle to determine your ovarian reserve.

TREATMENT PLAN:

• CONTROLLED OVARIAN STIMULATION WITH TIMED INTERCOURSE.(COH +TI)
• CONTROLLED OVARIAN STIMULATION WITH INTRAUTERINE INSEMINATION WITH HUSBAND (OR DONOR) SEMEN (COH + IUI)
• IN-VITRO FERTILIZATION + EMBRYO TRANSFER (IVF +ET)
• INTRA-CYTOPLASMIC SPERM INJECTION (ICSI +ET )

OTHERS:

• MYOMECTOMY
• INTRAUTERINE ADHESIOLYSIS
• HORMONAL THERAPY
• HORMONAL TESTS: (Especially in female partners aged ≥ 37years) you may be asked to come for blood test within Day 3 to Day 5 of your cycle to determine your ovarian reserve.
• OPERATIVE LAPAROSCOPY
• OPERATIVE HYSTEROSCOPY