Patient evaluation

COUPLE INVESTIGATION

  1. Male Partner Investigations
  • Semen Analysis

We encourage male partners to produce semen for analysis on site in private rooms within the facility. Men who are uncomfortable doing so can do this within the comfort of their homes or near – by guest houses. Our embryologist will be at hand to process their samples provided they reach the hospital with an hour.

A normal result will suffice. Where abnormalities such as severe oligospermia or azoospermia are confirmed, appropriate hormonal assays will be carried out to ascertain the cause. When necessary, the services of very experienced urologists are readily available to evaluate the individual further.

  1. Female Partner Investigations
  • Evaluation of Reproductive Anatomy

We routinely use trans-vaginal ultrasound to exclude abnormalities of female anatomy and the ovaries such as uterine fibroids, endometrial polyps, adenomyosis, diminished ovarian reserve, polycystic ovaries, ovarian cysts and endometriomas.

  • Evaluation of Ovulatory Function

We have a very well equipped laboratory for reliable hormonal assays for evaluation of ovulatory function such as mid – luteal progesterone, serum Day 2 – 5 serum FSH, LH and estradiol or prolactin and thyroid function tests (TSH with free T4).

  • Evaluation of Tubal Patency

We use Saline Infusion Sonohysterosalpingography (SIS) or Hysterosalpingogram (HSG) to evaluate tubal patency in uncomplicated cases and laparoscopy to confirm suspected tubal abnormalities during SIS/HSG or for primary investigation of more complex cases e.g. when pelvic pathologies such as endometriosis or severe pelvic adhesions are suspected.

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