In order to avoid and reduce unnecessary trips to and from the hospital, we would like to inform you of the following precautions: 1. For the female infertility test, you should come to the hospital on the 2nd-5th day (fasting in the morning, preferably around 9 o’clock) of your menstrual cycle (the first day of your menstrual cycle) for the reproductive endocrine test. It is best to arrive at the hospital around nine o’clock in the morning) and ask the doctor to issue a request for blood test for sex hormone five or sex hormone six (specific doctors will arrange according to your condition). For the luteal function test, the blood should be drawn on the 21st-23rd day of menstruation (for those with regular menstrual cycle, about 30 days a cycle) or 5-7 days after ovulation (for those with irregular menstrual cycle, after ovulation is determined by ultrasound), it is recommended to draw blood before 9:00 am and take the result after 4:30 pm. 2. For tubal examination, 2-5 days after menstruation, no sexual intercourse, no vaginal inflammation after examination, tubal lavage or tubal angiography. PS: (1) Tubal lavage (through cervical cannula, pushing medicine to determine whether the fallopian tubes are open or not indirectly through pressure to determine whether there is resistance and the size of resistance, for patients with short infertility, no history of pelvic inflammatory disease, pelvic and abdominal surgery, no history of abortion, medicine and uterine operation). (2) Tubal imaging (currently divided into X-ray tubal imaging and B-ultrasound tubal imaging (strictly speaking, it can also be B-ultrasound tubal lavage), which are similar in principle, only with the help of different examination machines). It is usually performed with iodine oil or iodine water as the contrast agent (which can be visualized under X-ray), and the contrast agent is pushed through the cervical cannula and dynamically observed under X-ray in real time, which can determine whether one or both sides of the fallopian tubes are open and the site of obstruction, and provide a strong reference for subsequent treatment. However, because of the risk of radiation from X-rays, it is generally suitable for patients who have been infertile for a long time, have a history of ectopic pregnancy, pelvic inflammatory disease, pelvic and abdominal surgery, and have a history of abortion, medication, and uterine operation). It is a little less accurate than X-ray, but more accurate than tubal lavage. The advantage is that there is no radiation. 3. Ovulation monitoring, the time of ovulation is projected 14 days before the next menstrual period, vaginal ultrasound monitoring of ovulation starts 3-5 days before ovulation. For example, for patients with a menstrual cycle of 38-30 days, the ovulation period is usually the number of days of the menstrual cycle minus 14, which is about 14-16 days. To avoid early ovulation, you need to come to the hospital 2-3 days earlier, i.e. on the 11th-12th day from the day of your first menstruation. 4. Post-coital test and cervical mucus examination must be performed during ovulation, about 8 hours after sexual intercourse. Male side examination The male side examination is relatively simple, abstain from sex for 2-7 days before coming to the hospital (prohibit sexual intercourse, masturbation, dream emission and other seminal acts) and perform a routine semen examination. (Usually, the results of two routine semen examinations are needed to determine the condition) Infertility patients are different from other patients, especially women, and many of the examinations and treatment items are closely related to their menstrual cycle. You should come to the hospital on the second to fifth day of your menstrual cycle (the first day of your menstrual cycle) (in the morning on an empty stomach, preferably around nine o’clock) and ask the doctor to issue a blood test request form to check the five sex hormones or six sex hormones (the specific doctor will arrange this according to your condition). For the luteal function test, the blood should be drawn on the 21st-23rd day of menstruation (for those with regular menstrual cycle, about 30 days a cycle) or 5-7 days after ovulation (for those with irregular menstrual cycle, after ovulation is determined by ultrasound), it is recommended to draw blood before 9:00 am and take the result after 4:30 pm. 2. For tubal examination, 2-5 days after menstruation, no sexual intercourse, no vaginal inflammation after examination, tubal lavage or tubal angiography. PS: (1) Tubal lavage (through cervical cannula, pushing medicine to determine whether the fallopian tubes are open or not indirectly through pressure to determine whether there is resistance and the size of resistance, for patients with short infertility, no history of pelvic inflammatory disease, pelvic and abdominal surgery, no history of abortion, medicine and uterine operation). (2) Tubal imaging (currently divided into X-ray tubal imaging and B-ultrasound tubal imaging (strictly speaking, it can also be B-ultrasound tubal lavage), which are similar in principle, only with the help of different examination machines). It is usually performed with iodine oil or iodine water as the contrast agent (which can be visualized under X-ray), and the contrast agent is pushed through the cervical cannula and dynamically observed under X-ray in real time, which can determine whether one or both sides of the fallopian tubes are open and the site of obstruction, and provide a strong reference for subsequent treatment. However, because of the risk of radiation from X-rays, it is generally suitable for patients who have been infertile for a long time, have a history of ectopic pregnancy, pelvic inflammatory disease, pelvic and abdominal surgery, and have a history of abortion, medication, and uterine operation). It is a little less accurate than X-ray, but more accurate than tubal lavage. The advantage is that there is no radiation. 3. Ovulation monitoring, the time of ovulation is projected 14 days before the next menstrual period, vaginal ultrasound monitoring of ovulation starts 3-5 days before ovulation. For example, for patients with a menstrual cycle of 38-30 days, the ovulation period is usually the number of days of the menstrual cycle minus 14, which is about 14-16 days. To avoid early ovulation, you need to come to the hospital 2-3 days earlier, i.e. on the 11th-12th day from the day of your first menstruation. 4. Post-coital test and cervical mucus examination must be performed during ovulation, about 8 hours after intercourse. Male side examination The male side examination is relatively simple, abstain from sex for 2-7 days before coming to the hospital (no sexual intercourse, masturbation, dream emission and other sperm emission behaviors) and perform a routine semen examination. (The results of two routine semen examinations are usually needed to determine the condition)
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