How are the various tests performed before undergoing IVF? - PowerPoint PPT Presentation

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How are the various tests performed before undergoing IVF?

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What exactly is IVF? IVF is a frequently used type of assistive reproductive technology. It involves a combination of specific directed medications and complex medical procedures. First, medications help to boost the development of eggs. The doctor then extracts these developed eggs and they are fertilised with sperms in a laboratory environment. One or more fertilized embryos are then implanted into the uterus. Medications continue and the pregnancy is carefully observed to detect any complications. Many patients require more than one round of IVF for successful pregnancy. – PowerPoint PPT presentation

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Title: How are the various tests performed before undergoing IVF?


1
How are the various tests performed before
undergoing IVF?
www.drpriyananda.com
2
What exactly is IVF? IVF is a frequently used
type of assistive reproductive technology. It
involves a combination of specific directed
medications and complex medical procedures.
First, medications help to boost the development
of eggs. The doctor then extracts these developed
eggs and they are fertilised with sperms in a
laboratory environment. One or more fertilized
embryos are then implanted into the uterus.
Medications continue and the pregnancy is
carefully observed to detect any complications.
Many patients require more than one round of IVF
for successful pregnancy. If a patient wishes to
consider IVF as a possible solution for their
infertility, or for other personal reasons, it is
important to understand that it is a long, step
by step procedure which must be followed in order
to create the most risk-free environment with
highest chances of conception. The tests
undergone after the second step, the first being
a detailed consultation with a doctor, who is
likely to advise you on what he/she thinks are
your best steps forward. This first step is
important as once a doctor has knowledge about
your medical and genetic history, there may be
alternative tests that might be conducted. In
vitro fertilisation best suits people who have
the following issues
3
In vitro fertilization is a long and complex
procedure, the decision to undergo this procedure
is dependent on a number of factors. There are a
number of tests performed before undergoing IVF,
which will determine whether or not a woman is
eligible for IVF. These tests ensure that
problems such as miscarriage, abnormalities in
the embryo or any general infection or disease
that could affect the health and chances of
successful childbirth are ruled out to the
highest extent. These tests can be split into
several categories 1.     Ovarian reserve
testing This involves a few simple hormone blood
tests, which can give a doctor an idea of how
many eggs there are in a womans body, the
ovarian reserve. Three hormones specifically are
tested, FSH, AMH and Esrtradiol. AMH gives us an
idea of the number of eggs remaining, high levels
off FSH often means a reducing ovarian reserve,
which might affect the effectiveness of IVF.
4
2.     Tubal Patency test HyCoSy, also known as
Hysterosalpingo Contrast Sonography, this
procedure is unique, normal ultrasound or x ray
do not allow is to properly see and evaluate the
condition of the uterus and whether the fallopian
tubes are blocked or operational. HyCoSy is a
specialised ultrasound examination which gives us
a clear view of the fallopian tubes. A contrast
agent is inserted into the fallopian tubes which
allows the doctor to see. The result of this test
is finding out whether or not a womans fallopian
tubes are operational for an IVF . 3.     Semen
evaluation In the case where the sperm sample is
being provided, a sample is provided and sent to
a laboratory for testing. Shape, motility and
concentration of the sperm are some of the things
that are tested for. In the case where the male
is found to have infertility, ICSI or
Intracytoplasmic Sperm Injection, a process where
a single sperm is carefully inserted into each
egg using micro-manipulation tools, can be done.
5
4.     Other options include Digital High
magnification, wherein only the healthiest and
best sperm are chosen for insertion. 5.     Prola
ctin test Prolactin is a key hormone, vital in
the production of breast milk. Too much prolactin
in the body can prevent conception. The results
of this test can allow a doctor to decide on what
drug regiment might be best suited for each
woman. 6.     Screening for infectious diseases
Doctors might screen a patient for HIV, hepatitis
B, Chlamydia, Rubella and varicella. All of these
diseases could post a risk to a growing foetus
and could cause serious complications.
6
7.     An optional test that a doctor might
conduct, in order to increase your chances and
gain better knowledge about how your body works
is known as a mock embryo transfer. A Mock embryo
transfer appears as an option in the middle of
your IVF cycle. A mock embryo transfer allows the
doctor to identify the ideal route to use during
the actual procedure. It allows the doctor to
understand how the uterus might act during the
actual procedure. Based on the tests conducted,
doctors can find information on what the ideal
medications and regime the patient should follow,
some of these include 1.     Hormone related
medications FSH and LH, or a combination, is
sometimes injected to stimulate ovaries. This
encourages several eggs to grow at once. HCG is
taken after a period of around two weeks in order
to help the eggs mature. 2.     Premature
ovulation medications These will prevent the
body from producing the eggs too soon 3.    
Other medications include progesterone, in order
to promote the lining of the uterus to develop,
to prepare for implantation.
7
These are some important tests for IVF
treatment and will be a part of a process a
patient must undergo in order to find out if IVF
is the best treatment option for you. It is
important to discuss with a doctor what tests
need to be done before IVF and share your
complete medical history and family medical
history, which the doctor will likely inquire
about. Based on the findings there may be a
number of other tests that may be required. These
tests only ensure that you have the best possible
chances of having a successful IVF if you decide
that this procedure is right for you, it does not
guarantee that the IVF procedure will be
successful in your case. IVF still carry some
risks, regardless of whether the patient has
passed all the tests, some of the risks of IVF
include
8
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