Examination of female infertility:
- When the patient comes to see the doctor for the first time the doctor performs gynecologic examination and sets up an individual schedule of the following examination.
- Ultrasonic examination of the organs of small pelvis. Ultrasonic examination provides estimating the size and structure of uterus and ovaries, and also helps to reveal many cases of pathology: myoma, polyps of uterus, anomalies of uterus development, pathology of endometrium, ovarian cysts, pathology of uterine tubes, endometriosis and another pathology of small pelvis.
- Laboratory analyses for revealing of different cases of pathology, that can harm mother’s and fetus’s health: full blood count, clinic and biochemical blood test, coagulation blood, full urine count. Blood testing for RW, HIV, hepatitis В и С, blood investigation for the level of hormones to exclude endocrine infertility. Smear testing.
- Examination for sexually transmitted infections ( method of PCR diagnostics, immunoferment analyses, etc.). Cytological examination from cervical canal of the uterus. Blood testing for TORCH-complex (the presence of antibodies to the virus of herpes febrilis and rubella, toxoplasma, cytomegalovirus).
- If indicated: blood testing for the presence of antisperm antibodies and antiphospholipid syndrome. At the repeated consultations the doctor obstetrician-gynecologist estimates the results of the examinations and if it is necessary prescribes examination of condition of the uterus and uterine tubes.
Examination of male infertility:
- Consultation of the urologist-andrologist.
- Testing for sexually transmitted infections (method of PCR diagnostics, immunoferment analyses, etc.). The doctor determines the number of positions and methods of examinations. Testing for blood group and Rhesus factor. Investigating of blood for RW, HIV, hepatitis В и С. Blood testing for the presence of antisperm antibodies (if indicated).
- Smermogram+ MAR-test.
- Poscoital test (Shuvarsky probe) — detection of the number of motile spermatozoon in the cervical mucus in 2,5-3 hours after the coition. Thus the partners’ immune compatibility is evaluated.