What tests should infertility do-gynecological examination
1, general examination:
In the examination of female infertility, doctors will first ask about medical history, including: age, menstrual history, marriage and childbearing history, past medical history, surgical history, pregnancy history and so on. There will also be general physical examination and gynecological examination, so it is recommended to avoid menstrual period for the first time. In addition, family history, exposure to radiation and poisons, tobacco and alcohol hobbies, etc.
2. Examination of infertility:
B-ultrasound monitoring ovulation: For women with regular menstruation, B-ultrasound monitoring ovulation is generally started around 1 1 ~ 12 days of menstrual cramps to understand the basic situation and reserve of ovaries. Ovulation monitoring is generally done 3 ~ 4 times a cycle.
Tubal patency examination: Tubal patency examination should be carried out from clean menstruation to ovulation. To understand the patency of fallopian tubes and see if there are hydrosalpinx and uterine cavity lesions. Strict contraception is needed in the month of tubal examination, and vaginal secretions need to be checked before operation to eliminate genital tract inflammation.
Blood test: the five sex hormones should be carried out on the second to third day of menstrual cramps. For women with ovulation disorder, six sex hormones, including progesterone, should be checked to rule out some special diseases.
Hysteroscopy: For patients with indications, uterine cavity is abnormal, such as intrauterine adhesion, submucosal myoma, endometrial polyp, uterine malformation, etc. It can be checked and excluded, and hysteroscopy can also be used for tubal intubation and drainage to help evaluate the patency of fallopian tubes.
Laparoscopy: For infertility patients such as tubal infertility, endometriosis and ovarian cyst, it is recommended to adopt laparoscopy for diagnosis and operation. We can understand the patency of fallopian tubes, make clear the location, nature and degree of lesions, and reflect the possible reasons of non-pregnancy more objectively.
What check should infertility do-the man checks the man.
The first test is semen routine. Because men's semen examination is simple, convenient, non-invasive and low-cost, infertility examination should first check men. If the male semen test is normal, we can find the reason from the woman.
What tests should infertility do-other first tests?
Chromosome examination: this examination should be done for couples with repeated abortion, primary ovarian insufficiency, male primary azoospermia, family hereditary diseases or poor birth history.
Related examination of recurrent abortion: the loss of three or more fetuses before 28 weeks of pregnancy is called recurrent abortion, and it is recommended that both husband and wife have chromosome examination; Screening of villus chromosome aneuploidy in aborted embryos. If genetic problems are ruled out, we can carry out targeted examinations such as endocrine and metabolic system, autoimmune system, reproductive tract malformation and prethrombotic state.
Systematic examination of infertility should be reasonable, simple, economical and as non-invasive as possible. The cause of infertility should be ruled out step by step according to the logic of diagnosis, and the cause of infertility cannot be absolutely explained only by the specious test results of 1 ~ 2.
IVF technology is one of the most accurate and reliable methods to treat infertility, but it is estimated that many people don't know which patients "Thai IVF" can help, so today Bian Xiao will help you list the patients who are suitable for IVF.
Let's first find out which patients can get help through IVF:
1, endometriosis
2. The man and/or woman contains anti-sperm antibodies.
3. Pelvic tuberculosis
4, the number of sperm is small, the activity is poor, the ejaculation is abnormal or azoospermia.
5, ovarian failure or no uterus
6. Obstruction caused by tubal obstruction or inflammation.
7, tubal factors lead to infertility.
8. Bilateral fallopian tubes were removed due to ectopic pregnancy.
9. After tubal ligation
10, unexplained infertility
Tips for traveling during pregnancy: In order to have a baby dream early, do it when you should, and use a "test tube" when you should. Don't go to many hospitals for treatment because you don't know, but you find that you spent a lot of money, but there is no result, which delayed the best treatment opportunity.