This is the first step in any fertility treatment. Infertility and its treatment are very stressful and demanding on the couple. Treatment in Jananam is preceded by a detailed history taking. Both partners must be present at the first visit. This helps us to establish a good rapport with the couple and make sure they are comfortable with us and that they understand treatment modalities.
History taking essentially means obtaining relevant details regarding the couple and this will include occupation, past medical and surgical history, menstrual history, past investigations and their results and personal details.
The history provided by the couple may provide essential clues to the cause of infertility or direct us to perform additional appropriate investigations.
To understand a bit more about the investigations we do and their importance, we have described how a normal conception occurs.
Every month an egg is released from the ovary. This egg is sucked into the fallopian tube and it travels along the tube towards the uterus. After intercourse, sperms are deposited in the upper part of the vagina. These sperms swim up through the cervix and uterus and into the fallopian tube. In the fallopian tube, the egg and sperm meet and form the embryo which is then transported by tubal movement into the uterus where it implants in the lining called the endometrium to grow into the baby.
From the above it is clear that we need to check the following:
- Whether your ovary is producing eggs- by blood tests done on the second day and the 21st day of your period to measure your hormone levels and by doing a scan on day 2 to check the number of growing follicles.
- A seminal fluid analysis – This is done to assess the sperm count or numbers, sperm movement otherwise called motility and the morphology or appearance of sperms.
- Tests to check whether the fallopian tubes are opened – called tubal patency tests. There are different types of tests which may be advised to check the tubes – a saline sonography, a hysterosalpingogram (HSG) or a laparoscopy.
- Tests to check whether the uterus is normal – by doing a scan or a procedure called hysteroscopy.
- The choice of tests to be done will be discussed with you by your clinician.