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Fertility Test

Fertility Tests Clinic in India

If you've tried unsuccessfully to get pregnant for a year or more through regular unprotected sex, it’s time to see your fertility doctor in Delhi, India. If you're a woman over 35, or if you think that either partner may have a fertility problem, then it is recommended to visit your fertility centre after six months of trying.

Fertility Test for Women/Females

After undergoing preliminary testing with your Family Doctor or referring gynecologist. Your fertility specialist will review your results and history before recommending a treatment plan. The female fertility testing also includes a thorough physical examination is also done. Areas such as your thyroid, breasts, and hair growth will be looked at. A pelvic exam is also an important part of evaluating fertility, along with a pap smear.

Before determining the best treatment plan for you, further investigations may be necessary and typically these can include:

  • Ovulation test
  • Ultrasound scans
  • Ovarian Reserve (AMH test)
  • Checking your Fallopian tubes and uterus
  • Diagnostic laparoscopy and hysteroscopy

Fertility test for Men/Male

A semen analysis is the most common procedure when it comes to male fertility testing and seeking to determine if there is a male infertility factor.

Other Male Fertility Testing

However, in some cases the additional laboratory and sperm analysis tests might be recommended including any of the following tests:

In some cases surgeries are recommended. In some cases the varicocele is surgically corrected, or an obstructed vas deferens gets repaired. Even the Prior vasectomies can be reversed. In cases where no sperm are present in the ejaculate, sperm can often be retrieved directly from the testicles or epididymis using sperm retrieval techniques.

  • Sperm agglutination : This is a laboratory test in which the clumping of sperm is examined as it prevents sperm from swimming through the cervical mucus.
  • Sperm penetration assay : It is also a laboratory test which is rarely used. It is done by utilizing hamster eggs to evaluate a sperm’s capability of penetrating the egg.
  • Hemizona assay : In this, a non-usable human egg is cut in half to see if the sperm are able to penetrate the outermost protective layer of the egg.
  • Acrosome reaction : It is done to check if the sperm heads are able to go through the chemical changes necessary to dissolve an egg’s tough outer shell.
  • Hypo-osmotic swelling : In this test, a special sugar and salt solution to evaluate the sperm’s tail and ability of the sperm to penetrate the egg. The tails of healthy sperm tend to swell in the solution in contrast with dead or abnormal sperm where the tails do not swell.
  • Testicular Biopsy : In this, a small piece of tissue is removed from the tubules in the testes to examine how well sperm are being produced.
  • Vasography : It is an x-ray exam which is used to determine if there is blockage or leakage of sperm in the vas deferens.
  • Ultrasonography : An exam used to locate damage or blockages in the male reproductive tract, including the prostate, seminal vesicles, and ejaculatory ducts.

ROUTINE INVESTIGATIONS

  • CBC
  • Bloodgroup Rh typing
  • Blood Sugar
  • PT, APTT
  • Urine RE
  • Urine for Culture & Sensitivity
  • VDRL
  • Hb SAg
  • HCV
  • HIV
  • LFT & RFT

SPECIAL TESTS

  • Serum Fasting Insulin
  • GTT with 75g of Glucose
  • HbA1C
  • Hb Electrophoresis
  • LAC
  • ACLA
  • TORCH IgG / ± IgM
  • ANA (Antisperm Antibodies)
  • S. Chlemydia Antibodies
  • Factor V
  • Protein C
  • Protein S
  • NK Cell Study
  • Karyo Typing of both Partners
  • Anti TPO Antibodies

FEMALE HORMONES

  • Serum T3, T4, TSH
  • Serum Prolactin
  • Serum FSH
  • Serum LH
  • Serum E2
  • Serum Progesterone [ P4 ]
  • Serum AMH

TESTS FOR MALE

  • CBC
  • Blood Group Rh typing
  • FBS
  • HbA1C
  • HbS Ag
  • HCV
  • HIV
  • VDRL
  • Semen Analysis
  • Semen For Culture & Sensitivity
  • Antisperm Antibodies
  • Sperm DNA fragmentation index
  • Serum Chlemydia Antibodies

HORMONES

  • FSH
  • LH
  • TSH
  • Prolactin
  • Testosterone

RADIOLOGY

  • D2 base line Scan (USG TVS)
  • TVS (Pelvic USG)
  • USG Whole Abdomen
  • USG TVS 3D with Color Doppler
  • Follicular Study
  • Endometrial Assessment
  • Day 8 HSG
  • Chest X-Ray PA view

ENDOMETRIAL ASPIRATION [DAY 1/2 ]

  • HPE KOCHS Culture Sensitivity