Female Fertility Test in Indore - Yaami Fertility
After a year, if a couple has not successfully gotten pregnant, both spouses must undergo a thorough physical and medical evaluation. The purpose of fertility testing for women is to identify why they haven’t successfully gotten pregnant after more than twelve months of unprotected sexual activity.
Female Fertility tests assist us in determining the root of your fertility problems. Various problems in the ovaries, fallopian tubes, endocrine system, and uterus may trigger your pregnancy cycle. If you have infertility issues, make an appointment with us.
Follicular Monitoring Testing in Indore
This test shows the probable time for the egg to get released from the ovary (Ovulation). This is needed for women who try naturally, those who are planning IUI treatment and women planning for IVF ICSI or test tube baby treatment. It is performed using an internal scan (transvaginal ultrasound) to measure the growth rate of the follicle, which is a water-filled structure in the ovary which contains the egg.
This scan starts from day 2 of periods in women trying naturally or IUI and is then performed at regular intervals. It helps in knowing the good time to try naturally, do IUI, and take the eggs out for IVF or ICSI. The follicular growth may need some medications in women who are undergoing IUI. The IUI cost may vary from 10,000 INR to 30,000 INR or more. Giving tablets instead of injections for follicular growth can keep the IUI treatment cost.
Tubal Patency Test in Indore
- Tubal disease can account for 25-35 % of female factor infertility.
- A tubal patency test checks if the fallopian tubes are open.
- It can be done if the couple have a fair chance of pregnancy by natural sexual intercourse or by intra-uterine insemination ( IUI )
- The basic procedure in all types of tubal patency tests involves pushing a liquid into the uterocervical canal & checking if it is coming through fallopian tubes into the peritoneal cavity.
What are various methods of tubal patency test?
There are 3 main types of tubal patency tests-
- Hystero-salpingography (HSG): A radio-opaque dye is pushed into the uterine cavity & its flow is visualised using X-ray.
- SonoSalpingography (SSG): Here, medicated normal saline is pushed into the uterine cavity & its flow is visualised using ultrasonography.
- Laparoscopy with chromo-per-tubation: It is done under general anaesthesia. A liquid dye is pushed into the uterine cavity & its flow is directly seen by doing a laparoscopy.
The advantage of laparoscopy is that corrective surgery can be done during the same procedure.
When should we consider the tubal patency test?
- History of tubal ectopic pregnancy
- History of pelvic infections or pelvic inflammatory disease.
- History of pelvic or lower abdominal surgery.
- Endometriosis
What are the chances of pregnancy after the tubal patency test?
Pregnancy chances depend upon various complex factors like
- Age of woman
- Ovarian reserve
- Duration of infertility
- Whether the block is in the proximal (uterine end) or distal (ovarian end) part of the tube
- The quality of sperm
- Experience of a surgeon if any corrective surgery is planned.
Endometrial Receptive Array Test in Indore
What is ERA?
-ERA is an abbreviation for Endometrial ReceptivityArray or Analysis.
-This is a specialised genetic test on a tiny portion of the woman’s uterine lining to determine the most appropriate day to transfer an embryo during an IVF cycle.
Who can benefit from ERA?
Endometrial Receptivity Array test is done in couples with repeated implantation failure.
How is the ERA test done?
- Endometrial biopsy for ERA test can be done in the natural ovulation cycle or after giving hormonal treatment.
- After endometrial biopsy, the genetic material is extracted from the endometrial tissue.
- The extracted genetic material (RNA ) is tested for 236 genes normally expressed during the implantation window.
- The result of ERA is reported as pre-receptive or non-receptive
- The ERA test may sometimes be repeated when the report is pre or post-receptive.
- This guides us to decide the most suitable day for embryo transfer.
Is there any limitation of the ERA test?
- A normal ERA test (receptive) does not guarantee the delivery of a healthy baby.
- Pregnancy may fail to start & continue if there is embryo abnormality.
- ERA checks the receptivity of the endometrium during the physiological implantation window.
- Similarly, ERA cannot tell us about the condition of the uterus to carry pregnancy till healthy delivery.
Decreased Ovarian Reserve
Ovarian reserve is the number and quality of the remaining eggs in both ovaries at a given age.
Egg quality directly affects embryo development & the ‘take home baby ‘rate.
Ovarian Reserve Test ( ORT ) helps to determine the chances of natural conception as well as with treatment.
It is very important to identify women with low ovarian reserve so they can promptly make important decisions regarding their fertility.
The following are the risk factors for Decreased ovarian reserve :
- Family history of early menopause
- Ovarian surgery, especially for endometrioma.
- Surgical removal of part of ovary (for cystectomy) or removal of one whole ovary (Oophorectomy )
- Cancer survivors after pelvic surgery, chemotherapy or radiotherapy
- Smoking
- Ovarian inflammation -endometriosis & pelvic infection etc.
- Unexplained infertility
- Poor response in a previous IVF cycle
- Known cases of certain genetic conditions like Turner syndrome & mutation carriers like Fragile X /FMR1 /BRCA -1
The ovarian reserve should be tested under the following conditions:
- Planning fertility preservation
- Candidate for IVF
- Planning to delay pregnancy for personal reasons
Ovarian reserve can be determined with the Ovarian Reserve Test ( ORT ):
- USG for Antral Follicle Count (AFC scan) – Good for several eggs.
- Blood test for determination of anti-mullerian hormone ( AMH ) – Good for several eggs & quality to some extent.
- Blood test to assess the function of ‘Hypothalamic -Pituitary -Ovarian axis’ – Follicle Stimulating Hormone (FSH), Luteinising Hormone (LH) & Estradiol.
Caution while interpreting the result of ORT :
- None of the above tests can predict the chance of pregnancy with 100 % accuracy.
- The most crucial factor determining the chance of conception is the quality of the oocyte, which cannot be assessed precisely with any available test.
- A woman with good ovarian reserve may have difficulty having a healthy baby due to sperm quality or implantation issues.
- Women with low AMH & AFC also can conceive with the individualised treatment protocol.
- Women with low ovarian reserve should consult a fertility specialist to discuss their treatment choices.
Ultrasonography Test in Indore
Ultrasound imaging uses ultrasound waves to visualise the body’s internal organs.
Baseline Pelvic USG
1st visit to USG is done in detail to assess the following conditions which may affect fertility :
- Ovarian reserve
- PCOD
- Endometrioma in ovary
- Stage 3-4 endometriosis
- Any ovarian cysts
- Fibroid
- Adenomyosis
- Polyp
- Endometrial thickness
- Any abnormality in the shape or size of the uterus
- Hydrosalpinx
- Health of your pregnancy.
Antral Follicle Count Scan (AFC scan)
Ovarian reserve is checked by doing an Antral Follicle Count ( AFC) during the initial visit.
Antral Follicles are tiny 2-10 mm follicles, each containing 1 egg.
Follicular Monitoring Scan
Growth of the follicle, uterus lining thickness & ovulation timing are checked by doing follicular monitoring USG.
Oocyte retrieval and embryo transfer
Retrieval of oocytes ( eggs ) from ovaries & transfer of embryos into the uterus is done under ultrasound guidance.
USG-guided ovarian cyst aspiration
Cyst aspiration can be done as a care procedure to drain ovarian cysts.
We offer the following USG services using 2D & 3D techniques.
Use of ultrasound in men
For men, ultrasound is done in a few select cases to assess the following conditions:
- Varicocele
- Penile blood flow assessment, penile Doppler cases of erectile dysfunction
- Accessory male glands in a few cases if there is low sperm count or suspected infection
- The volume of testis in men with very low or nil sperm count.
Cost of Female Fertility Test in Indore
The cost of each test may depend on your particular situation as many factors affect the cost of a test, such as,
- Number of scans
- Number and kind of tests done to determine the exact cause
- Cost of anaesthesia
- Requirement of any particular medication for your case
Yaami Fertility and IVF Center in Indore uses modern technologies to determine the cause of your infertility, which lets them suggest an effective treatment. Choosing us enhances your chances towards getting pregnant as we have a highly experienced and qualified team of doctors with a success rate.
Frequently Asked Questions
Hormone levels and ovarian reserve, or the quantity of potential eggs still in a woman’s ovaries, are assessed through blood testing and ultrasound of pelvis.. Examining the pelvis. Minimally invasive techniques to look for structural causes of infertility, such as surgery and ultrasound imaging (sonogram).
If you are under 35, you have had regular sex without using birth control for 12 months. If you are over 35, you have done so for six months.
Each Yaami fertility hormone test has a 99% accuracy rate for hormone detection. However, it’s crucial to know what each fertility test is supposed to do and what information you’ll get from it because this will affect how accurate they are.
The following are typical imaging studies for female infertility: Ultrasound examination with which we can check the follicle number and can also forecast when ovulation will occur.
There will also be a comprehensive physical examination. Your breasts, thyroid, and hair growth will all be examined. A pelvic exam is a crucial component of female fertility testing, along with a pap smear is indicated. Your doctor may move forward with some preliminary tests after your initial appointment.
Hope this was helpful for basic understanding.
The aim of this discussion is to make anyone with curious mind to understand these condition better. It is not equivalent to detailed in person individualised consultation.
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If you want to understand your treatment options.
Yaami Fertility & IVF Center
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