The First Analyses

That analysis should do?

Here is a list of the clinical analyses that are requested most often when an infertile couple starts the process of diagnosis.

In both of the spouses (clinical analyses required for the realization of infertility treatments or Cryopreservation of gametes, in accordance with the determination of National Council of PMA):

-Blood group with Rh factor;

-CBC with platelets;

-Prothrombin time;

-aPTT;

-BC. Anti-Hiv1 and Anti-Hiv2;

-Bc. Anti-HCV;

-Ag. HBS;

-Bc. Anti-HBc;

-Bc. Anti-HBs;

-VDRL.

According to the travel history or exposure of users may be necessary the search of malaria, CMV or t. cruzi. Depending on the possibility of direct sexual contact with individuals from endemic regions, may be requested to review BC. Anti-HTLV I and Anti-HTLV II.

Other analyses and tests that help to diagnosis of the infertile couple

There is also a set of more specific analyses and used to evaluate parameters that relate more directly to the fertility of couples or which are important to the life of the woman:

The Woman:

-Pap smear (performed for cervical cancer);

-Pré-concecionais Analysis (used to assess if the woman is able to become pregnant and also to rule out potential disease or complications that may occur during pregnancy, says Justinshoes.net );

-Assessment of the State of immunity to rubella, toxoplasmosis and CMV – for example, an infection by the virus of rubella in the first three months of pregnancy is extremely dangerous to the fetus and can cause serious shortcomings;

-Hormonal Assays to 3rd or the 23rd day of the cycle (depending on the clinical evaluation of each woman)-are examinations that give information about the ovarian reserve, the ovulatory function and women’s hormonal balance, because many times infertility is due to the deregulation of hormones that directly or indirectly relate to the process of ovulation;

-Ultrasound: is one of the most important examinations does the woman and serves to observe the various parts of the female reproductive system. A good ultrasound provides extremely useful information about the fertility of the woman;

-Can also be applied for performing histerossalpingografia for evaluation of permeability of the horns;

-In some cases it is necessary to carry out also the Hysteroscopy. This is a diagnostic test that allows to observe directly the uterus and diagnose problems (fibroids, SEPTA, polyps, malformations) likely to interfere with the implantation of embryos or increase the risk of miscarriage.

The Man:

-Spermogram: to assess the concentration, motility and morphology of spermatozoa, among other parameters;

-Other sperm tests: test of DNA fragmentation of sperm, chromatin integrity assessment, test of hyaluronic acid, etc that mainly serve to help select the most appropriate reproduction Medicine for each case and evaluate which couples with the highest risk of complications.

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