FERTILITY CHECKUP
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The first step of infertility treatment is evaluation on fertility function both of husband and wife to clarify and determine the suitable treatment. At the beginning, transvaginal ultrasound scan on female and semen analysis on male are performed as a mandatory.
Semen analysis
Semen Analysis is a basic but important examination in the assessment of infertility treatment. The test evaluates the quality of sperm follow the standard of WHO by measuring volume, motility and shape of sperm. For accuracy, the patient should refrain from semen ejaculation for 3-5 days before having semen analysis.
Transvaginal Ultrasound Scan
Transvaginal ultrasound scan is performed in order to check the condition of uterus, ovary and growing follicles. Ultrasound scan can detect ovarian cysts, polycystic ovarian syndrome and abnormality of uterus causing a negative impact to pregnancy.
Ultrasound scan can be performed on 2nd-3rd day of period to evaluate the antral follicle count (AFC)and on the middle of period to check the ovulation.
Fallopian tubes checking
Fallopian tube is important factor for natural fertilization. If the tube is blocked or abnormal it has negative effect on pregnancy. The fallopian tube can be examined by hysterosalpingography (HSG) and Femvue
- Hysterosalpingography: HSG is the procedure to test for blocked fallopian tubes, polyp, fibroids, adhesion or scar tissue in the uterus by introduce contrast dye into the uterus and observing by X-Ray.
- Femvue also known as Sono Hysterosalpingography (Sono HSG). The procedure is required saline & bubbles injection into the uterus while observing by ultrasound scan to make sure that the fallopian tubes are clear or blocked.
Hysteroscopy
A hysteroscopy is a procedure to examine abnormalities inside the uterus by using small camera diameter around 2-4 mm. insert through the vagina and cervix to check inside the uterus. This test is often performing to investigate in case of abnormalities found from ultrasound scan. The procedure helps physician to identify any abnormalities inside the uterine cavity which may cause of infertility. It’s also an important procedure in case of recurrent miscarriages.
