If you are a patient with infertility, you should first visit the clinic where your doctor will take a medical history and perform tests to determine the cause and type of infertility.
Temperature fluctuations can reflect whether ovulation is occurring and the function of the corpus luteum after ovulation. The method of measurement and precautions are as follows.
Shake the thermometer to below 35°C the night before taking the temperature.
When you wake up in the morning, put the thermometer under your armpit and measure for five minutes, do not talk or move around before and during the measurement, and do not drink hot or cold water to avoid affecting the temperature results.
Insist on daily measurement and recording for at least 3 months.
Ensure that you sleep for at least 4 hours.
Indicate any discomfort or illness on the form.
Indicate the menstrual period (x) and the day of intercourse (0) separately.
Ultrasonography.
It is mainly used to understand the uterus, ovaries and the pelvic cavity. We usually use transvaginal ultrasound without the need to hold urine.
Hysterosalpingogram.
It is used to find out if the fallopian tubes are open. The appropriate time is 3-7 days after menstruation. Before the hysterosalpingogram, a white belt examination should be performed, if there is any abnormality, it should not be done. We usually perform ultrasound tubal imaging first, and if necessary, hysterosalpingography under X-ray.
Vaginal discharge examination.
To understand about vaginitis and the pathogens of vaginal infection, you are advised not to douche your vagina on your own as this may affect the test results. In addition, prolonged douching can disrupt the normal vaginal flora and reduce the chances of natural pregnancy.
Cervical smear.
To find out if there is any infection in the cervix and other pathological changes.
Post-coital test.
To find out the survival of sperm in the cervical mucus after intercourse. Couples should have intercourse at around 11 pm on the date ordered by the physician and come to the clinic before 9 am the next day for the test, stating the exact time of intercourse at the time of the test. To avoid affecting the test results, sexual intercourse should be avoided for two days prior to the test.
Diagnostic curettage.
To find out about the endometrium of the uterus. This test should be performed within 24 hours of menstruation or as prescribed by your doctor. If you are out of town and it is too late to come to our hospital, the endometrium can be taken at the local hospital and the specimen soaked in formalin solution and sent to our hospital for examination.
Trial transfer.
If IVF is expected, a trial transplant is also required before entering the IVF cycle, and if the trial transplant is particularly difficult, IVF technology treatment is not appropriate.
Basal endocrine.
Understand the endocrine baseline. The test needs to be performed on the second and third day of menstruation.
Basic tests for the male partner are
Semen examination.
The best time is 3-7 days after semen emission. Semen examination specimens should be collected within the department by masturbation method. If it is difficult to collect semen within the department, semen can be collected near the hospital and sent to the examination room within half an hour with insulation and the time of semen collection. Take care to collect all the semen when collecting sperm. If sperm is retrieved through intercourse, condom use is prohibited and care should be taken not to lose semen in the vagina. Due to the fluctuation of semen parameters, semen tests need to be performed at least 2-3 times in a month.
Examination items in the semen testing laboratory.
Routine semen examination, sperm morphology examination, leukocyte peroxidase examination, sperm surface antibody examination, and sperm nuclear staining examination. The above examinations allow a systematic evaluation of sperm fertilization function.
Testicular biopsy procedure.
The presence of spermatozoa and spermatogenic cells in the testes of patients with azoospermia can be entered into an in-depth investigation, which can provide a more comprehensive diagnostic conclusion to infertility patients.
Semen cryopreservation and semen test processing
In order to prevent interruption of treatment after entering the cycle due to the male partner’s travel or difficulties in sperm retrieval, and in order to accumulate sperm for patients with poor semen quality, semen cryopreservation is recommended before entering the cycle.
Some semen has significant changes in sperm parameters after treatment during IUI or IVF, and in order to understand the expected effect of semen treatment, trial treatment of semen before entering the cycle is recommended.
After completion of the test, if conditions are suitable, guided intercourse may be tried first. During this period, the woman should come to the department for ultrasound follicle monitoring on the prescribed date as prescribed by the doctor.