Tests

Fertility Tests

A couple with fertility problems who have been referred to the IVF clinic are requested to come to the clinic with all of their medical documentation, particularly regarding their fertility problems. in most cases, the couple will be asked to perform a number of additional tests based on their history and the problems they are experiencing. Below is a brief explanation of the different tests.

Hysterosalpingography (HSG)

An imaging of the uterus is a basic radiology tests used to investigate and assess the mechanical condition of the uterus and fallopian tubes. The test is performed in the second week of the cycle and the couple should abstain from intercourse from the first day of the woman's menstrual cycle until the day of the test. The procedure entails the injection of radio-opaque liquid contrast material containing iodine through a catheter into the cervical canal and thereafter to the uterine cavity. X-rays taken by a physician document the flow of the material in the uterus and fallopian tubes. The examination is often accompanied by slight pain. This test should not be performed on women allergic or sensitive to iodine.

Hydrosonography

A hydrosonography is an alternative test for imaging the uterus. This test allows normal imaging and visualization of the uterine cavity and the passage to the fallopian tubes. A doctor will inject water and sugar particles into the endometrial cavity while conducting simultaneous transvaginal ultrasound monitoring, without exposure to X-rays or iodine.

Hysteroscopy

This is a test that allows direct observation of the uterine cavity. The test is performed using a thin optical fiber connected to a light source inserted through the cervix.

Blood Tests

There are two types of blood tests: detection of infectious diseases and hormonal tests. The couple are tested for infectious diseases such as hepatitis, syphilis or AIDS, and genetic diseases such as Tay-Sachs. It is important to make sure that the woman has antibodies to Rubella/German Measles. The hormone are perfomed on the third day of the cycle and these test hormone levels in the blood, including FSH, LH, TSH and prolactin.

Semen Analysis (Spermogram)

This test is perfomed on the male partner during the initial evaluation. In cases of infertility due to lack of sperm, the karyotype (genetic makeup of the patient), missing chromosome Y, and cystic fibrosis will also be tested for. Additionally, we will also check the hormone levels of LH, FSH and testosterone and peform a testicular ultrasound.