Identifying the problem is the foremost important step. But all patients cannot be offered the same set of investigations. It is important to categorize according to the patient’s previous history, previous investigations done.
Investigations are done for both male partner and female partner
For MOM to be – Primary level
To assure the general health- CBC, RFT, GTT, HBA1C, LFT
To rule out infective conditions which can compromise the health of developing baby- HIV, HBsAg, HCV- Ab, Rubella IgG.
Hormonal evaluation of ovarian function- AMH, thyroid, prolactin levels which can influence the success rate and brain growth of fetus
Genetic evaluation- Karyotyping (if needed)
Immunological investigations – APLA screening (if needed)
To evaluate uterus, endometrium, and ovaries
When OI and Natural cycle fails for 3 to 4 cycles/ Married for more than 2 years and trying effectively then initially itself
Tube patency testing -Saline Sonography, HSG
Operative Hysteroscopy (if needed)
Operative Laparoscopy (If needed)
“For the Father to be”:
There is an equal contribution by male and female partners in fertility.
So evaluating the male partner should be done even if the female is having problems.