Many couples attending a specialist in assisted reproduction to have trouble getting pregnancy, usually after a year trying. However, there are some cases where it is recommended to see a specialist in a shorter period, either by age, genetic disorders, medical or surgical history, among other situations.
First Date Assisted Reproduction
On the first visit, it is carried out an initial study fulfilling the following protocol:
- Full interview to assess personal and family history, use of drugs or other substances that could condition gestation.
- Physical examination assesses the integrity of the reproductive system and secondary sexual characteristics.
- Transvaginal ultrasound: to study the internal morphology of the genital tract, including the endometrium and ovaries, and to rule out any malformation.
- Cervical-vaginal cytology to rule out cervical cancer (if not performed at the right time).
Fertility tests in Assisted Reproduction
After the first date, if it has not found any pathology that requires medical or surgical treatment, it uses a series of tests we call basic study of infertility:
- Seminogram: Assesses the quantity, motility and morphology of sperm. If the result suggests that the patient has some not very serious condition, you should consider re-do the test in a few weeks by the variability that can occur. If the result is doubtful, a recovery of motile sperm (REM) should be performed to study the option of resorting to artificial insemination or directly to in vitro fertilization.
- Determination of Follicle Stimulating Hormone (FSH) and estradiol: is performed on the third day of the cycle for predicting ovarian response to treatment.
- HSG: it is a radiological technique that involves inserting a contrast to analyze the tubal patency. This test is not required if the results of semen analysis is so anomalous that is used directly to in vitro fertilization.
- In the systematic analytical should be discarded infectious diseases, including hepatitis and HIV serology.
Depending on the assessment of the couple and the results of the basic study, it is considered the most appropriate technique for each case study orientating to the most appropriate option will be extended.