What are the tests indicated before the IVF treatment?

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• Diagnostic measures test done before the IVF
  treatment

Before the IVF process begins, both men and women
have to undergo various tests and diagnosis.
Tests done to diagnose infertility are generally
known as Pre-Screening Tests. Which method of IVF
is best suitable for you is determined by the
results of Pre-screening Tests.
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Diagnostic measures and tests indicated before
the IVF treatment?

• Results of the pre-screening test help doctors
  answer the following questions
• Is There A Presence Of Any Infections, Genetic
  Issues Or Autoimmune Diseases?
• Are You Ovulating?
• Are Your Fallopian Tubes Normal?
• Is The Uterus Ready For Implantation?
• Are The Sperm Count And Functions Normal Or Not?
• Once problems are identified, treatment will be
  planned as per your current situation. The
  recommended approach will be based upon your age,
  diagnosis, the period of infertility, and
  previous treatments.
• While every patient does not require to go
  through all the diagnostic tests. However, a
  thorough diagnostic evaluation is an ideal
  treatment plan to achieve the ultimate goal of
  pregnancy.

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What are the tests and diagnosis for a woman
before IVF Treatment?

• Usually, doctors recommend multiple tests before
  proceeding with the IVF process. These tests are
  recommended so that no complications may occur
  during the procedure and treatment can be done
  successfully. IVF tests are conducted after a
  thorough consultation with the doctor. During the
  consultation, IVF doctor will let you know your
  best options and tell you which method of IVF
  procedure is best suitable for you.
• General Screening Test Infectious and Genetic
• Infectious Screening
• If a patient is affected by any infectious
  viruses or organisms such as Chlamydia Antibody,
  Gonorrhoea, Hepatitis B, Hepatitis C, Syphilis
  Serology, HIV then they have to undergo an
  Infectious Screening test. This test is
  recommended for both the patient and her partner
  to avoid diseases from passing on to your baby.
• Pre-Pregnancy Screening
• Under Pre-Pregnancy Screening Test complete Blood
  Count, Blood Type Rh (Rhesus) Factor, Rubella
  Titer tests are performed. These tests are
  performed to protect the fetus from serious
  complications such as anemia and other possible
  heritable disorders.

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• Pituitary/Thyroid Screening
• Mostly women at the stage of childbearing age are
  commonly diagnosed with Hypothyroidism, which can
  contribute to infertility or can even cause
  miscarriage during pregnancy. Therefore, proper
  diagnosis is required to be done which includes
  tests like prolactin, TSH, free thyroxine hormone
  test.
• Genetic Screening
• This test is performed to diagnose some genetic
  diseases such as Tay Sachs, Cystic Fibrosis,
  Sickle Cell, etc.
• According to your medical history if you are
  diagnosed with Genetic Autoimmune Diseases or
  Medical Disease, then before initiating the IVF
  cycle physicians may advise you to take some
  other tests in order to avoid the heritable
  disorders to pass on.
• Pap Smear
• To diagnose Cervical cancer, other cervix
  problems or Sexually Transmitted diseases, this
  test is recommended. If you are diagnosed with
  any of these diseases then it may cause
  obstruction or complication in your pregnancy.
• Ovarian Function and Ovarian Reserve Screening
• About 30- 35 of female-related infertility is
  due to Ovarian Disorder. So, the basic purpose of
  the test is to diagnose whether you are ovulating
  or not.

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Following tests are performed under Ovarian
Reserve Screening

• Baseline Ultrasound
• Baseline Ultrasound is performed on the second,
  third or fourth day of the menstrual cycle. With
  this, you can get information about the size of
  the ovary, volume and number of follicles.
• Day 3 Blood Work
• Under Day 3 Blood Work, FSH, LH, E2 tests are
  performed. From these tests, the hormone level is
  diagnosed, such as follicle Stimulating hormones,
  luteinizing hormones and Oestradiol, at the
  beginning of the menstrual cycle. This helps the
  doctors to get to know about a womans Ovarian
  Reserve.
• Fallopian Tube Evaluation
• Usually, 30 of the female infertility cases are
  related to fallopian tube issues. Some of which
  are Tubal Blockage, scarring due to prior or
  undiagnosed Pelvic Infection, stomach infections
  such as Appendicitis, prior surgical history,
  previously occurred Ectopic Pregnancy or
  Endometriosis.
• Hysterosalpingography
• Hysterosalpingography is an X-ray examination in
  which an amount of dye is inserted through the
  uterus and fallopian tubes. It is done to find
  out whether the fallopian tubes are blocked or
  not.

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An evaluation may be performed according to your
specific situation, which includes the following
test

• Baseline Pelvic/Vaginal Ultrasound
• Pelvic Ultrasound is done on the second, third or
  fourth day of the menstrual cycle. This procedure
  gives information about the uterine cavity, such
  as the length and direction of the cavity.
• HSG (Hysterosalpingogram)
• Hysterosalpingogram can provide information about
  the structural defects of the uterine cavity.
• Sonohysterography/Sonohysterogram (Saline
  Sonography)
• In this treatment, a small amount of sterile
  fluid is poured inside the uterus for evaluating
  the uterine wall and inner uterine cavity
  thoroughly. This procedure provides information
  about abnormalities of the uterine wall and
  endometrial cavity.

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• Diagnostic Hysteroscopy
• A hysteroscopy test is recommended for those
  women who are undergoing IVF or who have doubts
  about Sonohysterography.
• Endometrial Biopsy
• Under certain circumstances, the test is
  performed to diagnose problems regarding
  undeveloped endometrium (known as luteal phase
  defect), or infection of the endometrial lining.
• IVF test rules out any problems with embryo such
  as abnormalities, infection, or disease, which
  could reduce the chances of a successful
  pregnancy and prevents miscarriage.

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