Female diagnosis

Evaluation for infertility should be in systematic, expeditious and cost effective manner identifying all relevant factors. Generally the initial emphasis is on least invasive methods for detection of most common causes. No treatment should be initiated till the baseline tests are performed.



When to evaluate??


> No conception even after trying to conceive since one year


> Early evaluation (after 6 months of trying) is needed when,

   - Age over 35 years

   - Menstrual abnormalities

   - Known/ suspected uterine/ tubal disease

   - Partner sub-fertile





Female Factors for Infertility


> Diminished egg reserve


> PCOD


> Uterine factor


> Tubal factor


> Endometriosis


Female factors of Infertility





Evaluation of Ovarian Reserve


It’s a measure of “reproductive potential” that is the number and quality of remaining oocytes(eggs).



>Antral Follicle Count (AFC)

Follicles in both the ovaries are counted by trans-vaginal ultrasound.




Left Ovary
Right Ovary






>AMH (Anti-Mullerian Hormone)


It is cycle independent "qualitative" & "quantitative" marker of predicting ovarian reserve and response.



AMH







Other Hormonal Tests:


- FSH,LH (D2/3/4)

- Estradiol (D2/3/4)

- Thyroid function tests

- Prolactin







TVS


© 2018 The Origin International Fertility Center. All Rights Reserved.