Hormonal & Serological assays

Infertility diagnostics is a set of methods that allow you to identify the reasons for the absence of a desired pregnancy. If during the year of sexual life without contraception, a woman does not get pregnant or has a miscarriage, it is necessary to identify the cause, since it can pose a health hazard.

If you are looking for a place to get tested, we invite you to the “GIRIMON” clinic. We use modern methods of infertility diagnosis (and treatment) to get a complete picture of the patient’s reproductive health.

Experienced doctors of our center can conduct a high-quality examination for infertility. Failures of the reproductive system are often the result of other disorders. The reasons for the inability to conceive lie in different areas of medicine:

pathology of the endocrine glands (endocrinology);
internal psychological causes of infertility (psychology);
infectious diseases of the sexual system (gynecology and urology).

A number of biochemical and clinical studies are needed in the infertility study to identify abnormalities.

Male infertility is detected in 30-50% of couples who apply for examination. In order to identify the causes, inspection, laboratory and hardware diagnostics are performed. We recommend consulting an andrologist, urologist, or medical geneticist.

Female infertility can have many causes.

Before starting treatment, it is necessary to identify the main factor that caused the violation of fertility.

To do this, you need to be examined.

Some tests for female infertility are basic and recommended for everyone, while others are prescribed by reproductologists on an individual basis.

Hormone tests

To assess the reproductive function of the body, the gynecologist-reproductologist will need the results of your hormone tests.

The list of necessary tests is determined by the doctor individually for each patient. Sometimes it is necessary to determine not only the concentration of sex hormones in the blood, but also the thyroid and adrenal cortex hormones. They also affect a woman’s fertility.

Giving blood to sex hormones, you should remember that you need to do it on an empty stomach, on a certain day of the menstrual cycle:

prolactin, AMG, LH, FSH – for 2-3 days;
17-OP and testosterone – for 8-10 days;
progesterone and estradiol – for 19-21 days.

Thyroid hormone

Changes in the concentration of thyroid hormones in the blood can have a negative impact on the growth of follicles and ovulation. Hypothyroidism is one of the possible causes of infertility.

Take a blood test for thyroid hormones, preferably on an empty stomach, in the morning. To take a blood test for thyroid hormones is preferably fasting, in the morning. It is better to postpone it to another day, if the day before a woman experienced severe stress.

Hormones of the adrenal cortex

The adrenal cortex produces glucocorticoids, as well as some sex hormones. Changes in their concentration in the blood can have a negative effect on ovulation, the production of cervical mucus, and the development of follicles. On the eve of testing, you should give up Smoking, alcohol, and fatty foods.

Tests for infections

Infection is a common cause of infertility. Inflammatory processes that develop in the genitals often occur in a subclinical form.

As a result, the woman does not suspect about the pathological process, there are no symptoms, and it is possible to determine the infection only with the help of targeted diagnostics.

Usually, the inflammatory process causes obstruction of the fallopian tubes, so that the sperm cannot penetrate to the egg.

Tests for infections involve the delivery of a smear from the genital tract, as well as venous blood. The same tests a woman should take not only because of infertility, but also before a planned pregnancy.

Biochemical blood test

The cause of infertility in women is not always a pathology of the reproductive system.

The inability to conceive a child may be due to a disease of other organs and systems, so the patient is often recommended to do a biochemical blood test.

Serum levels of cholesterol, glucose, urea, creatinine, bilirubin, liver transaminases, albumin, potassium, and sodium are determined.

Complete Blood count

In any medical facility, regardless of the reason that prompted You to seek medical help, You will be asked to pass a clinical blood test.

It involves determining the concentration of blood elements in the blood, hemoglobin, and the rate of precipitation of red blood cells.

With the help of a clinical blood test, you can detect an inflammatory process in the body. In addition, during clinical analysis, doctors determine whether a woman has anemia, which is a contraindication for many medical manipulations and surgical interventions.

Coagulogram

Checking the blood clotting system is another test that is prescribed for women with infertility. Laboratory doctors determine prothrombin and thrombin time, prothrombin index, antithrombin III, plasminogen, fibrinogen.

Karyotype analysis

A karyotype is a human chromosome set. This genetic study is recommended for all patients with infertility: both men and women.

It allows you to identify numerical and structural changes in chromosomes that lead to delays in sexual development, amenorrhea (lack of menstruation), miscarriage, and severe abnormalities in the spermogram in men.

Results are used in the selection of infertility treatments.