Trouble Conceiving?

Dr. Aruna Ashok

Diagnosis / Tests for MOM to be
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
 
Blood investigations:
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)
 
Ultrasound:
To evaluate uterus, endometrium, and ovaries
 
Secondary Level:
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
Diagnostic laparoscopy
Diagnostic hysteroscopy
Trial cannulation
 
If Problem identified on an investigation
Operative Hysteroscopy (if needed)-
· Septal Resection,
· Myoma Resection,
· Polypectomy,
· Adhesion Removal
 
Operative Laparoscopy (If needed)-
· Cystectomy,
· Myomectomy,
· Adhesiolysis,
· Tubal Canalization,
· Endometriotic cystectomy
 
“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.
 
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