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Common Diagnosis

The common tests which are required to make a diagnosis for any infertile couple include the following:

  1. Semen analysis for the male partner
  2. Transvaginal Ultrasound
  3. Hormone estimations ( Day2 Serum FSH / LH / Prolactin / TSH)
  4. Laparoscopy and Hysteroscopy5. Laparoscopy and HysteroscopyHysterosalpingography
  5. Screen for sexually transmitted disease



Once these tests have been done or the clinic has seen your previous records, you would be diagnosed to be having one of the following:

  1. Male factor infertility: Low sperm counts, poor sperm motility, too many abnormal sperms, zero sperm count (obstructive or non-obstructive azoospermia).
    Likely treatment recommendations: IUI followed by ICSI or therapeutic insemination with donor sperm
  2. Polycystic ovarian disease: ( Inadequate production of eggs).
    Likely treatment recommendations: Ovulation induction with clomiphene / Letrozole followed by injections of FSH / HMG, with planned intercourse, IUI or finally IVF / ICSI.
  3. Endometriosis:
    Likely treatment recommendations: Operative laparoscopy followed by administration of GnRHa depot for 2 - 3 months followed by IUI and finally IVF / ICSI
  4. Tubal factor infertility: unilateral or bilateral tubal block
    Likely treatment recommendations: Laparoscopic tubal cannulation / IVF. Here, doctor would recommend removal of hydrosalpinges (blocked and swollen fallopian tubes filled with infected water) by laparoscopy prior to IVF. This delinking is mandatory to enhance your success rate with IVF
  5. Unexplained infertility: where all investigations reveal normal results. This is the category which is likely to have gamete (egg and sperm) problems. Also, they have a 3- % incidence of fertilization failure at IVF, thus making ICSI the treatment of choice if 2 - 3 IUI attempts should fail.

 
     
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