Women's examination methods

Women's examination methods

A woman’s fertility disorder can be caused by many factors, such as endometriosis, a genetic disorder, adhesions in the fallopian tubes due to inflammation, or an immune response in which the woman’s body produces antibodies against her partner’s sperm.

In addition, there is a significant reduction in egg production from the age of 35, and after the age of 40, the woman’s ability to conceive is very limited. This age-related maturation disorder is one of the most common causes of female infertility.

During the examination, we will find out the cause of your infertility and suggest the most suitable treatment procedure.

SMALL PAN ULTRASONIC EXAMINATION

This basic examination determines the patency or obstruction of the fallopian tubes and shows the shape of the uterine cavity. It is an ultrasound of the uterus and ovaries with regard to the phase of the menstrual cycle and subsequent palpation gynecological examination. The examination assesses the size and shape of the uterus, the presence of muscle nodules (fibroids), the height and quality of the uterine lining. It also shows ovarian status, follicle growth, and the presence of cysts or endometriosis.

HORMONE LEVEL EXAMINATION

This test provides information about the condition of the ovaries and their ability to form mature eggs and gives possible responses to stimulant drugs. This is a blood test during the 1st – 3rd day of menstruation. Levels of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are examined. It is also possible to determine the level of Anti-Müllerian hormone (AMH), which informs about the supply of eggs. The standard part of the hormonal examination is also the determination of the level of prolactin (PRL) and thyroid hormone / TSH, fT4 /.

GENETIC EXAMINATION

It is a chromosome test that gives information about the genetic makeup of partners. Determination of karyotype (number of chromosomes) is performed in women after repeated miscarriages or in case of repeated IVF treatment failures. It is also advisable to perform examinations in couples where embryos do not develop normally.

IMMUNOLOGICAL EXAMINATION

Immunological examination detects the presence of antibodies against sperm, ova and embryos and antiphospholipid antibodies. Immunological examination is important for couples where a patient who has been repeatedly embryo transferred of high quality embryos and where treatment, despite very good conditions, is still unsuccessful. The patient should also undergo the examination with repeated failures of IUI treatment, when the partner’s repeated examination of the spermiogram is completely normal. Antibodies to sperm, trophoblast (placenta) and embryo envelope (zona pellucida) are tested. In indicated cases, a test of cellular immunity (NK cells) is performed.

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