Infertility Workup

👩‍⚕️ Female Infertility Workup

Women undergo several diagnostic tests to assess ovulation, egg quality, fallopian tubes, and uterine health.

• 1. Medical History & Physical Examination: Discussion about menstrual cycle, previous pregnancies, surgeries, and hormonal symptoms.
• 2. Ovulation Assessment: Tracking ovulation using hormone blood tests (LH, FSH, AMH, Progesterone), ultrasound follicle monitoring, and basal body temperature charting.
• 3. Hormonal Evaluation: Tests for thyroid (TSH), prolactin, insulin, and other hormones to detect PCOS or endocrine imbalance.
• 4. Ultrasound & Sonography: Pelvic ultrasound to check ovaries, uterus, endometrial thickness, and cysts.
• 5. Hysterosalpingography (HSG): An X-ray test to check if the fallopian tubes are open and uterus is normal.
• 6. Hysteroscopy: A minimally invasive procedure to examine the uterus for fibroids, polyps, or adhesions.
• 7. Laparoscopy: A keyhole procedure to inspect fallopian tubes, uterus, and ovaries directly and treat problems like endometriosis or blocked tubes.

🧔 Male Infertility Workup

About 40–50% of infertility cases involve male factors. Therefore, evaluating the male partner is equally important for a complete diagnosis.

• 1. Medical History & Lifestyle Review: Evaluates previous infections, surgeries, medications, smoking, alcohol use, and occupational exposure.
• 2. Physical Examination: Checks for varicocele, testicular size, or structural abnormalities.
• 3. Semen Analysis: A key test that measures sperm count, motility, morphology, and semen volume.
• 4. Hormone Tests: Testosterone, LH, FSH, and prolactin levels are measured to assess hormonal function.
• 5. Genetic & DNA Fragmentation Tests: Advanced tests like DFI (DNA Fragmentation Index) identify sperm DNA damage that can affect fertilization or embryo development.
• 6. Scrotal Ultrasound: To check for varicocele, hydrocele, or other structural issues.
• 7. Micro TESE / Testicular Biopsy: For men with very low or no sperm count, testicular tissue is examined to retrieve sperm directly.

🧬 Couple-Based Evaluation

At Phular IVF Hospital, infertility evaluation is done for both partners together. Sometimes, the issue may not be with one individual but with incompatibility between egg and sperm, immune reactions, or lifestyle factors.

• Combined Counseling: Emotional and psychological support during fertility assessment.
• Immunological Tests: Paternal Lymphocyte Immunization (PLI) for recurrent pregnancy loss or failed IVF.
• Genetic Counseling: For couples with inherited or chromosomal abnormalities.

🩸 Key Investigations at Phular IVF Hospital

• Semen Analysis
• Hormonal Profile (FSH, LH, AMH, TSH, Prolactin, Testosterone)
• Ultrasound Pelvis / Sonography
• Hysterosalpingography (HSG)
• Hysteroscopy / Laparoscopy
• DFI (DNA Fragmentation Index)
• Genetic & Immunological Tests

📅 When Should You Go for an Infertility Workup?

• Unable to conceive after 12 months of regular unprotected intercourse (or 6 months if age > 35)
• Irregular or absent menstrual cycles
• Recurrent miscarriages
• Known PCOS, endometriosis, or thyroid issues
• History of pelvic infection or surgery
• Low sperm count or erectile issues in male partner

🏥 Infertility Workup at Phular IVF Hospital, Muzaffarpur

At Phular IVF Hospital, we follow a scientific and compassionate approach to infertility evaluation. Our advanced laboratory facilities include:

• State-of-the-art IVF & Andrology Lab
• Ultrasound & Diagnostic Imaging Center
• Hormonal & Genetic Testing Facilities
• Experienced Fertility Specialists & Embryologists

With the right diagnosis, over 80% of infertility cases can be successfully treated with medications, IUI, IVF, or ICSI. Early evaluation is the first step toward parenthood.