Mandatory examination

 

EXAMINATION BRFORE IVF CYCLE

 

Before the start of the treatment it’s necessary to undergo the initial consultation during which specialists will decide the volume of the examination and will select the treatment method and you’ll be able to discuss with the doctor all questions of your interest.

 

Please bear in mind that the examination is conducted in your interest. A series of examinations has a mandatory character allowing to detect the latent pathology and serious complications for the health.

Necessary exams and analyses        

 

For women	Expiration dates
Complete blood count	3 months
Urine analyses	3 months
Blood typing, RH typing	once
Blood Biochemical (Total Protein, Total Bilirubin, Urea,  Creatinine, Glucose, Total Cholesterol, ALT, AST)	6 months
Haemostasis analyses.D-dimer, Homocysteine	3 months
Hormone level determination during 3-5 days of menstrual cycle,  FSH, LH, TTG, 17-hydroxyprogesterone, Anti-Mullerian Hormone	6 months
Syphilis, HIV, Hepatitis B, C	3 months
Roseola Ig's	once
ToxoplasmaIgG, IgM	6 months
Bacterial colonization of the uterine cervix and Antibiotic susceptibility testing	3 months
Urogenital smear	3 months
Cytological analysis	1 year
PCR detection (vaginal discharge) of HPV type I,II , Herpes symplex. Cytomegalovirus, Mycoplasma, Ureoplasma, Chlamydia	6 months
Thyroid ultrasound	1 year
Gynecologic ultrasound	6 months
Breast ultrasound	1 year
Abdominal ultrasound	1 year
CA-125	Before IVF
Inference of physician	1 year

 

 

For men	Expiration dates
Spermogramme, МАR-test, Kruger morphology	3 months
Syphilis, HIV, Hepatitis B, C	3 months
Bacterial colonization of the ejaculate and antibiotic susceptibility testing	3 months

 

In case of the lack of above-mentioned test results the treatment with the IVF method is impossible.

 

EXAMINATION BASED ON INDICATIONS

 

A series of examinations allow to clarify the reasons of infertility, to develop individual approach to your treatment and to increase the probability of pregnancy. The volume of these examinations is defined by the doctor individually.

 

Wife:

• Blood test to check the level of testosterone, DGEA-sulfate,  17-OP and TPO anti-bodies (on the 2nd-3rd day of the cycle)
• Blood test to check the level of progesterone and estradiol (on the 20th-23rd day of the cycle)
• Check of infections in the cervical channel through PCR method (ureaplasmosis, micoplasmosis, herpes, cytomegalovirus)
• Check of IgM, IgG anti-bodies against toxoplasm,  German measles, I and II type of herpes and cytomegalovirus
• Hysterosalpinography
• Hysteroscopy, endometrium biopsy
• Consultation by endocrinologist in case of a pathology of thyroid glands (ultrasound examination)
• Consultation mammologist in case of a pathology in mammal glands (ultrasound examination)
• Colposcopy
• Medical-genetic consultancy, definition of wife’s kariotype
• Immunogram, interferon status
• Definition of coincidences of antigens of the main complex of tissular compatibility with the HLA system (II class)
• Definition of anti-sperm antibodies

 

Husband:

 

• Examination of antibodies against spermatozoa (MAP-test) and spermatozoa morphology
• Check of infections in the urethra with the PCR method (chlamydiosis, ureaplasmosi, micoplasmosis, derpes, cytomegalovirus)
• Medical-genetic consultancy, definition of husband’s kariotype