Preliminary Tests
PRELIMINARY TESTS
All couples should undergo a number of basic tests.
For woman:
- Hormonal tests (day 2-5 FSH, E2, TSH, PRL). Women over 35 or women with low number of resting follicles at ultrasound should examine their AMH
- Gynecological ultrasound to exclude any uterine or ovarian pathology
- Hysterosalpingogram days 6-12 of the cycle
- Prenatal testing:
- General blood and urine tests
- Blood type - Rhesus
- Hemoglobin electrophoresis
- Sickle cell anaemia
- Hepatitis Β, C
- HIV I and II
- Syphilis
- Toxoplasma IgG IgM
- Rubella IgG IgM
- Vaginal cultures
- Cervical cultures
- Mycoplasma
- Chlamydia
For some women laparoscopy or hysteroscopy might be indicated depending of previous history and findings of the exams
- Trial of embryo transfer
(In some cases of narrow or cervical canal, dilatation of the cervix is recommended);
For man:
- Sperm diagram and sperm culture
- Prenatal testing:
- General blood tests
- Hemoglobin electrophoresis
- Sickle cell anaemia
- Blood type - Rhesus
- HIV I and II
- Hepatitis B, C
- Syphilis
In cases of non-obstructive azoospermia or severe oligoasthenospermia, where the concentration of spermatozoa is less than 5 million/ml, the man should do:
- Testing for chromosome Y microdeletions;
- Karyotype.
In cases of obstructive azoospermia Cystic fibrosis test shoud be done