Fertility evaluation includes thorough history taking including the sexual history of couple followed by the physical examination, then we recommend baseline Tests/Investigations of the couple. These tests help us to find the underlying reason for the delay in pregnancy. We begin with basic tests and then move to tests like diagnostic laparoscopy, only if the need arises.
Fertility evaluation for men
Tests for men is usually only Semen analysis. This analysis helps in determining the sperm count and the motility of sperm. A normal semen analysis usually rules out any male factor for infertility in 99% of the cases.
In patients where abnormalities are found, a further in-depth analysis is carried out like sperm morphology testing, vitality testing, Y chromosome deletion testing etc .
Fertility evaluation for women
For women, through tests, we try to identify whether the problem is in uterus, ovaries, fallopian tubes or hormones. The most common tests are baseline USG , HSG, follicular study and AMH . Only one menstrual cycle is enough to do all the tests and pinpoint the cause for infertility . Laparoscopy and hysteroscopy may also be needed in some patients .
We are rational and minimal in doing tests and do these stepwise so that the exact cause could be identified with minimum cost and inconvenience.