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Infertility Tests

Fertility tests are tests that are performed to measure the fertility level of a husband or wife

What are fertility tests?

Fertility tests for women

Cervical smear test (pap smear) – if haven’t done one recently.

Hormonal assay

Blood test to detect ovulation. This is done by measuring progesterone in a blood sample taken seven days before the next period is due. Blood test during period (taken between days two – four) to check for hormone imbalances –measurement of FSH (follicle stimulating hormone, LH (luteinising hormone).

Ultrasound

An ultrasound scan to look at uterus and ovaries. Follicle tracking – a series of ultrasound scans to follow the development of a follicle to see if an egg is developing.

Hysterosalpingogram

Hysterosalpingogram – an x-ray to check fallopian tubes. A procedure in which a contrast media is injected through the cervix and at the same time x-ray is done for lower abdomen. This is to see wether the contrast media has spillage through the fallopian tube or not.

Laparoscopy & Hysteroscopy

Laparoscopy – an operation in which a dye is injected through the cervix as the pelvis is inspected via a telescope (laparoscope) with a tiny camera attached to check for tubal blockage.

Hysteroscopy – a telescope with a camera attached is used to view the uterus to check for conditions such as fibroids or polyps.

Semen for analysis – Fertility tests for men

Sperm test to check for abnormalities, sperm numbers and quality. The husband must be abstinence for at least 1 day but not more than 7 days.

Screening of patients

Before processing patient sperm, eggs or embryos for treatment and/or storage, the clinic must carry out a number of screening tests to assess the risk of contamination. The clinic will test patients for:

  • HIV 1 and 2: Anti-HIV – 1, 2
  • Hepatitis B: HBsAg/Anti-HBc
  • VDRL

Reference

  1. WHO laboratory manual for the examination and processing of human semen – fifth edition
  2. http://www.hfea.gov.uk/fertility-basics.html

 

Last Reviewed : 23 August 2019
Writer : Dr. Hj. Mohamed Hatta b. Mohamed Tarmizi
Accreditor : Dr. Haris Njoo Suharjono
Reviewer : Dr. Rafaie bin Amin

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