Fertility Study Sterility report for women

The preliminary study of women is necessary for any assisted reproduction treatment.

The tests that we perform on women in our assisted reproduction center depend on the age of the patient and the preliminary couple analysis; this is why they are not systematically required.

Since, in most cases, the reproduction problems require treatment on women, the woman factor evaluation is very important in the decision of the type of treatment that should be followed and its success.

The preliminary study of sterility for women consists of:

  • A complete gynecological report.
  • A transvaginal ultrasound (with or without color Doppler or 4D ultrasound), to study the uterine and ovary morphology.
  • Tubal study: by an injection of contrast (Hysterosalpingogram) or physiological serum (Sonohysterography), we can view the endometrial cavity and the tubal permeability. This test is performed during the 1st phase of the cycle.
  • Hormonal analysis: during the 1st phase of the cycle (FSH, LH, PRL and Œstradiol) and the 2nd phase of the cycle (Progesterone).
  • Thyroidal axis evaluation.
  • Blood analysis: serology (hepatitis B, hepatitis C, HIV and syphilis). Blood group and Rh factor.

Other complementary fertility studies (prescribed by the specialist):

  • Karyotope on peripheral blood.
  • AC Lupus and AC Anticardiolipilin.
  • Blood glucose curve.
  • Hysteroscopy: prescribed during possible alterations of the uterine cavity (polyp, submucosal, etc.)
  • Laparoscopy: prescribed in possible tubal, adherence or endometriosis pathology cases.
  • Evaluation of the androgenic hormonal block in case of Polycystic Ovaries.

Due to their controversial utility, a certain number of tests are not systematically carried out (post-coïtal test, endometrial biopsy or basic temperature).

Last Update: 05/09/2014
References:
National Collaborating Centre for Women ́sandChil- dren Health. Fertility: assessment and treatment for people with fertility problems. Clinical Guideline. London: RCOG Press, 2004.
– Crosignani PG, Rubin BL. Optimal use of infertility diagnostic tests and treatments. The ESHRE Capri Workshop Group. Hum Reprod 2000; 15: 723-32.
– Devroey et al. Approaches to improve the diagnosis and management of infertility. Hum Reprod Update 2009; 15; 391-408.