What are the tests before IVF-ICSI?
Every patient is evaluated before initiating any assisted reproduction method. This ensures her every chance of success and a healthy pregnancy. Good preconception health is as essential for pregnancy through IVF as it would be with natural conception. Chronic health issues like asthma, hypertension, and diabetes need to be monitored consistently prior to considering conception. The female should be at an optimal weight before planning any IVF cycle. Obesity significantly reduces the chances of IVF treatment and increases the likelihood of complications, including miscarriage and preterm birth.
Below are the Tests before IVF – ICSI
1. Blood Tests:
The female’s blood type should be confirmed before the start of an IVF cycle, and she should be screened for conditions that may affect her pregnancy.
A blood test is also required while documenting the female’s immunity to Rubella and Varicella (Chickenpox). In case immunity is absent, proper vaccination should be done.
Additionally, testing of HIV, Hepatitis B and C, and syphilis should be performed on the female as well as her partner.
2. Ovarian Reserve Testing:
As women age, their ability to conceive decreases, and the likelihood of experiencing a miscarriage increases.
Ovarian reserve refers to the reproductive capability of the ovaries, showing the quantity of available egg cells that have the potential to be fertilized.
Assessment of ovarian reserve can be conducted through blood tests or ultrasound imaging.
A diminished ovarian reserve suggests how well one might respond to ovarian stimulation, which involves the use of fertility medications to promote ovulation.
The ovarian reserve test is a reliable indicator of how one might respond to ovarian stimulation, though inaccurate results do not automatically rule out the possibility of achieving a live birth.
3. Anti-Mullerian Hormone Test (AMH):
AMH levels are kept steady during the menstrual cycle. They can be measured on any day of the cycle.
The AMH level of less than 1.3 indicates low response to ovarian stimulation.
Tests on Day 2-5 before IVF & ICSI
1. FSH and Estradiol:
FSH concentrations greater than 10 IU/L indicate a suboptimal ovarian response to the stimulation.
The estradiol values are clinically interpreted from FSH values.
The estradiol values must be lower than 60 to 80 pg/mL, and any further increase in estradiol level reduces the stimulation effect on the FSH concentration and indicates less ovarian reserve.
2. Ultrasound estimate of antral follicular count:
This test is employed to assess the quantity of follicles measuring between 2 to 10 mm in both ovaries. The presence of 5 to 7 follicles suggests a low antral follicle count, which is associated with a reduced response to ovarian stimulation.
3. Semen Analysis:
Semen analysis involves a microscopic examination of the shape, quantity, and motility of sperm. It is performed on freshly ejaculated semen in a laboratory setting. This analysis can be utilized to diagnose male factor infertility.
4. Examination of uterus:
The uterus is assessed prior to an IVF procedure using one of three techniques: hysteroscopy, hysterosalpingogram, or saline infusion sonohysterography. Before undergoing IVF, a trial transfer may be carried out to assess the length and orientation of the uterus. This can assist the physician in anticipating any issues with the embryo transfer.
Why Tender Palm IVF & Fertility Center for Tests Prior to IVF – ICSI in Lucknow, India?
Tender Palm IVF & Fertility Center offers comprehensive pre-IVF and ICSI testing in Lucknow, India to ensure successful outcomes. Our expert team conducts essential fertility evaluations like hormonal tests, ultrasounds, semen analysis, infectious screening, and genetic testing to identify any underlying issues before beginning treatment. We ensure accuracy, comfort, and personalized care at every step of your fertility journey.