Common examination items for female infertility.
(1) Medical history: detailed inquiries about the age of marriage and health status, sexual life, the presence of contraceptive measures, specific methods and time; menstrual cycle, period, and the presence of dysmenorrhea. The past history should focus on the presence of inflammation and tuberculosis, especially tuberculosis of the reproductive system, and the treatment process; the presence of other endocrine diseases. In case of secondary infertility, the history of previous abortion, delivery, puerperal infection and treatment should be understood.
(2) Physical examination: pay attention to the presence of systemic diseases, such as tuberculosis, inflammation, tumors and deformities, and endocrine disorders, such as hirsutism, obesity, hair loss, weight, blood pressure and secondary sexual development.
(3) Gynecological examination: detailed examination of internal and external genital organs is required, paying attention to the presence of developmental abnormalities, deformities, inflammation, masses or tumors, etc.
(4) Examination to exclude systemic diseases: blood and urine routine, chest X-ray, blood sedimentation; if thyroid, pituitary or adrenal gland diseases are suspected, relevant functional tests such as T3, T4, pterygoid x-ray, blood prolactin, urinary 17 ketones, urinary 17 hydroxyl and blood cortisol should be done accordingly.
(5) Ovarian function tests: commonly used are: basal body temperature measurement. Cervical mucus crystallography. Periodic smear of vaginal exfoliated cells. Diagnostic curettage or menstrual endometrial removal. Pituitary or ovarian hormone measurement.
(6) Tubal patency test: tubal lavage, hysterosalpingogram with iodine oil.
(7) Immune-related tests. Such as anti-sperm antibodies, endometrial antibodies, etc.
(8) Hysteroscopy: to find out the situation in the uterine cavity, such as the presence of uterine malformations, polyps, adhesions or submucosal fibroids, etc. Simple therapeutic procedures can also be performed under the hysteroscope. This examination can be performed in hospitals that have the conditions.
(9) Laparoscopy: This method can observe more directly whether there are adhesions in the abdominal cavity; the development of the uterus, ovaries and fallopian tubes. It can also be used for some simple surgical operations, such as laparoscopic tubal lavage and separation of pelvic adhesions. This can be done if necessary.
Common examination items for male infertility patients.
Microbiological examination related to male infertility: male urinary and reproductive system infections often lead to male infertility, and pathogenic microorganisms related to male urinary and reproductive system infections include bacteria, viruses, spirochetes, mycoplasma, chlamydia, etc. Commonly, gonococcus, papillomavirus, adenohypoplasma, chlamydia trachomatis, etc.
Genetic examination related to male infertility: normal male related chromosomes and genes are the basis for maintaining normal reproductive function, and abnormal chromosomes and genes can cause abnormal sexual differentiation and/or sperm production disorders, which can seriously affect reproductive function and may lead to male infertility. Therefore, it is very important to do chromosome and gene examination for existing sex differentiation abnormalities or other genetic defects in the body, azoospermia and severe oligospermia, family history of genetic diseases, and couples with habitual abortion.
3, semen routine examination: this is the most basic and important clinical indicator for determining male fertility, the parameters about semen are the first thing physicians need to know, male infertility patients should pay attention to: 3-5 days without room to go to the examination; it is best to use the masturbation method to take specimens; to ensure that all the semen is obtained; 1-2 times in 2 weeks to recheck.
4.Endocrine examination related to male infertility: reproductive endocrine dysfunction affects male sexual and reproductive function and is an important cause of male infertility. Endocrine examination is mainly related to the determination of sex hormones T, FSH, LH, PRL, E2 and various excitation tests, such as HCG stimulation test.
5. Seminal plasma biochemical examination: the analysis of the chemical composition of seminal plasma helps to understand the function of epididymis, prostate and seminal vesicle gland. When male infertility patients have low semen volume, azoospermia, oligospermia, unexplained decrease in sperm motility, congenital defects of accessory gonads and accessory gonadal diseases, etc., seminal plasma biochemical examination can be performed, commonly including fructose, carnitine, acid phosphatase, etc.
This is the first time that a person has been diagnosed with prostatitis.
Time of female infertility examination.
Under normal circumstances, if a woman undergoes a fertility test, and its best time is to be decided according to the specific test items performed by the woman, generally speaking, most of the tests are performed 3-7 days after menstruation, but there are a few exceptions, and these are not to be determined indiscriminately.
Cost of female infertility tests.
Generally speaking, because the number of examination items for each female patient and the charges of the items themselves are taken into account in many aspects, the cost of female infertility cannot be determined up to this point, ranging from several hundred to several thousand dollars, and women are advised to go to a regular hospital for consultation.