What Are The Various Tests Performed Before Undergoing IVF?

IVF is one of the most popular infertility treatments used for helping couples who are trying to conceive. The decision to undergo in vitro fertilization procedure depends on a variety of factors. A woman’s suitability for IVF is determined by a series of tests that are done before the procedure. 

These IVF tests are done so as to find out the reason for infertility so that, proper course of treatment can be decided and any additional treatment if required planned. These tests also ensure that the couple do not have any type of disease or infection which may impair the result.  

Different tests performed before IVF are as follows:

Semen Analysis

A sample of sperm will be taken and submitted to a facility for testing in order to perform a semen analysis. The morphology, motility, count, and concentration of the sperm can all be determined with a semen test. If the semen parameters are altered like low count, motility and/or the normal morphology is poor then, ICSI may be recommended by the doctor. ICSI is a cutting-edge technique that includes injecting sperm into the egg.

Ovarian Reserve Testing

It is a blood hormone test that enables the IVF specialist to determine the total number of eggs in ovaries that is her ovarian reserve. The hormones which are mostly tested are  FSH, AMH, and estradiol. The doctor usually performs these tests on the day 2 or 3 of the menstrual cycle. Out of these blood tests AMH or Anti mullerian hormone is the most reliable test used for estimation of ovarian reserve.

Infectious Diseases Screening

An IVF specialist frequently requests that couples or donors undergo viral markers screening when getting ready for pregnancy through assisted conception treatment. The specialist will perform tests to check for infectious disorders like HIV, Hepatitis B, Hepatitis C, Chlamydia, Rubella, etc. before moving on with IVF. This is due to the fact that the disorders can impact the fetus’ growth and cause complications in the future.

Uterine Cavity Examination

Abnormalities of the uterine cavity could contribute to subfertility or continuing implantation failure, among other things. Your fertility specialist would advise the uterine cavity assessment before the IVF procedure. The endometrial lining, ovaries and uterine cavity  are scanned using transvaginal ultrasound. Hysteroscopy may be required in cases of recurrent implantation failure, recurrent miscarriages or in patients where abnormality is detected by ultrasound. 

Prolactin and Thyroid Hormones

The primary hormone for generating breast milk is prolactin, and high levels of this hormone can have an impact on pregnancy. Thyroid hormones are helpful for various metabolic activities. Pregnancy might also be impacted by thyroid hormone levels that are higher or lower. This test helps the IVF specialist in selecting the appropriate medications to balance hormone levels.

Mock Embryo Transfer

The procedure of embryo transfer has to be smooth with minimal handling of cervix, as manipulations may lead to uterine contractions which have adverse effect on outcome of the procedure. Mock embryo transfer is done with the embryo transfer cannula to determine the direction of cervical canal and uterus. As a result, the specialist will take the necessary precautions if required to customize the actual procedure.

The tests listed above are important tests carried out to determine whether IVF is the best course of treatment for you. All these tests help to make sure that there is a higher chance of conceiving with IVF treatment.

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