IVF Services

Infertility Diagnostic Services

Blossom Fertility and IVF Centre provides infertility diagnostic services and screenings utilizing the latest technology

Blossom Fertility and IVF Centre provides infertility diagnostic services and screenings utilizing the latest technology to address many causes of infertility. Our range of services ensures each patient benefits from a customized treatment plan that gives them the greatest possible chance of becoming a parent.

We offer the entire range of infertility diagnostic services, all under one roof for the infertile couple.

Normally, a complete medical history and a physical exam are the first steps in diagnosing a fertility problem.

Testing and Diagnosis of Female Infertility:

For a woman to be fertile, her ovaries must release healthy eggs. Her reproductive tract must allow an egg to pass into her fallopian tubes and allow the sperm to join the egg for fertilization. The fertilized egg must travel on to the uterus and implant in the lining. Tests for female infertility attempt to determine whether any of these processes are impaired.

To determine if the female partner has problems concerning ovulation, egg transport, fertilization or implantation, various tests may be administered based on the physician’s examination and analysis:

Ovulation testing: A blood test is performed to measure hormone levels to determine whether you're ovulating, if you have not had positive home ovulation tests.

Ovarian reserve testing: This testing helps determine the quality and quantity of the eggs available for ovulation. This approach often begins with hormone testing early in the menstrual cycle.

Other hormone testing: Other hormone tests check levels of ovulatory hormones, as well as thyroid and pituitary hormones that control reproductive processes.

Hysterosalpingogram (HSG): An x-ray of the uterine cavity and fallopian tubes using a radiographic dye to detect structural abnormalities of the uterine cavity, fallopian tubes, as well as tubal patency.

Diagnostic laparoscopy: A minimally invasive surgical procedure typically performed in an outpatient day surgery setting. It permits direct visual assessment of the uterus, fallopian tubes, ovaries, and lower pelvis. It is particularly useful in diagnosing endometriosis, tubal disorders or pelvic adhesions and generally is performed at the end of a work-up, but may be performed earlier if deemed appropriate by the patient’s history and referral diagnosis.

Hysteroscopy: Often done in conjunction with a laparoscopy to examine visually the interior of the uterine cavity for scar tissue, adhesions, polyps, tumours, and other abnormalities and to eliminate endometriosis.

Ultrasound: Performed seven to nine days after ovulation to reveal the thickness of the uterine lining (the endometrium) and its response to hormonal stimulation and as well as growth of the ovarian follicles can be monitored.

Endometrial biopsy: Used to determine if the endometrium, the lining of the uterus, has responded appropriately for implantation of the embryo. This is obtained as a tiny tissue sample from the endometrium.

Recurrent Pregnancy Loss: Recurrent pregnancy loss (RPL) is defined as 3 consecutive miscarriages occurring at less than 20 weeks of Gestation.Bad obstetric history profile – This includes the list of all tests require to find the cause in a women with multiple miscarriages.

Polycystic ovarian disease (Anovulation) profile –(PCOS): Is a very common reproductive disorder. Women with polycystic ovaries often need help conceiving. This profile includes all the tests to be done in women with anovulation.

Genetic testing: Genetic testing helps determine whether there's a genetic defect causing infertility.

Testing and Diagnosis of Male Infertility

For a man to be fertile, the testicles must produce enough healthy sperm, and the sperm must be ejaculated effectively into the woman's vagina and be able to travel to and fertilize the egg. Tests for male infertility attempt to determine whether any of these processes are impaired.

Male factor problems may be related to: Inadequate or abnormal sperm production and delivery - Anatomical problems - Previous testicular injuries - Hormonal imbalances

You may have a general physical exam. This includes an examination of your genitals. Specific fertility tests may include:

Sperm Testing and Male Infertility Tests - check for low sperm count, motility and morphology with semen analysis.check the sperm count, motility and morphology

Semen analysis: An abnormal sperm analysis is repeated first for verification. Typically, the male partner is referred to an urologist for evaluation. If the urologic evaluation is normal, results of the sperm count determine further treatment. For example, a total motile sperm in excess of 0.5 – 10 million would make intrauterine insemination an option. If the number is less than a 1 million, ICSI would be a better course of treatment.

Hormone testing: A blood test to determine the level of testosterone and other male hormones is common.

Transrectal and scrotal ultrasound: Ultrasound can help your doctor look for evidence of conditions such as retrograde ejaculation and ejaculatory duct obstruction.

Genetic testing: Genetic testing may be done to determine whether there's a genetic defect causing infertility.

Testicular biopsy: This test involves removing samples from the testicle with a needle. The results of the testicular biopsy will tell if sperm production is normal. If it is, your problem is likely caused by a blockage or another problem with sperm transport.

Other testing: In some cases, other blood or semen tests may be recommended to try to determine why the sperm may not be able to effectively fertilize the egg.

Anti Sperm antibodies: Anti-sperm antibodies are substances that attach to the surface of the sperm and may interfere with the ability of the sperm to move & penetrate the cervical mucus, or to fertilize an egg. They must be done when infertility is either unexplained, following an abnormal postcoital test, or when significant sperm coagulation is noted in the initial semen analysis. Our laboratory uses the immunobead technique to detect sperm antibodies. If they are detected, sperm washing in conjunction with IUI or IVF is considered.

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