A comprehensive evaluation of both partners before starting IVF treatment is a crucial step that directly impacts success rates. In our clinic, we conduct detailed examinations and testing to identify the underlying causes of infertility.
The primary goal is to assess the woman’s ovulatory function, the patency of the fallopian tubes, and male factor fertility in detail.
Pre-IVF Testing for Women
Evaluations in women play a key role in identifying anatomical or hormonal barriers to pregnancy. The process begins with a thorough physical and pelvic examination, providing initial insights into the uterus, ovaries, and other pelvic organs. If the patient has menstrual irregularities, painful periods, or a history of surgery, these findings guide the treatment plan.
To evaluate the uterine cavity and fallopian tubes, a hysterosalpingogram (HSG – uterine X-ray) is performed. This imaging reveals whether the tubes are blocked and identifies uterine anomalies. If polyps or submucosal fibroids are suspected, sonohysterography with ultrasound is used for further evaluation.
On day 2 or 3 of the menstrual cycle, blood hormone levels are measured to assess ovarian reserve. Estradiol (E2) and FSH (Follicle Stimulating Hormone) provide key insights, and in some cases, TSH (Thyroid Stimulating Hormone) and prolactin levels are also checked to evaluate hormonal balance and thyroid function.
To confirm whether ovulation has occurred, serum progesterone is measured about one week before menstruation. Ultrasound is used to monitor follicle development and determine the timing of ovulation. In rare cases where luteal phase deficiency is suspected, an endometrial biopsy may be performed to sample the uterine lining. In some special cases, hysteroscopy (a visual examination using a camera system) may be recommended for a detailed view of the uterine cavity.
If intra-abdominal adhesions or endometriosis are suspected, laparoscopy (a minimally invasive surgical technique using a small incision near the navel) may be performed. This procedure is not routine and is recommended only when necessary.
Pre-IVF Testing for Men
Evaluating male factors is essential for a holistic understanding of the couple’s fertility health. The first step is a semen analysis (spermiogram), performed after 2 to 5 days of sexual abstinence. This test assesses sperm count, motility, and morphology. Since semen parameters can vary, if the first test is abnormal, a repeat test is recommended after a few weeks.
In cases where no sperm cells are seen or the count is extremely low, hormone testing is performed. Blood levels of FSH (Follicle Stimulating Hormone), LH (Luteinizing Hormone), prolactin, and testosterone are measured to identify hormonal imbalances or conditions affecting sperm production.
The Importance of Personalized Treatment
Every couple’s reproductive health profile is unique. For this reason, our clinic develops individualized treatment plans instead of applying standard IVF protocols. Through detailed diagnostic processes, both female and male factors are identified, allowing us to tailor the approach and increase the likelihood of success.
