Author : Dr. Mandavi Rai

Qualification: MBBS, M.S.OBGY, M.MAS, PGDS, Fellowship in Reproductive Medicine ( Singapore), Postgraduate Diploma in Reproductive Medicine and Sexual Health (UK)

Senior Fertility & IVF Specialist

Initial Tests and Evaluations Before Starting IVF: A Complete Guide by Dr. Mandavi Rai

In vitro fertilization (IVF) is a significant step for couples facing infertility challenges. Before embarking on this journey, undergoing initial tests and evaluations is crucial to ensure the best chances of success. In this blog, Dr. Mandavi Rai outlines the essential tests and evaluations necessary before starting IVF, helping you understand what to expect and why each step is important.

Understanding the Importance of Initial Tests

Initial tests and evaluations are designed to assess both partners’ reproductive health and identify any underlying issues that could affect the IVF process. These assessments help fertility specialists create a personalized treatment plan that maximizes your chances of achieving a successful pregnancy. 

Key Tests and Evaluations Before IVF

1. Comprehensive Medical History Review

The journey begins with a thorough review of your medical history and reproductive background. This includes discussing previous pregnancies, menstrual cycles, any known medical conditions, and lifestyle factors such as smoking or alcohol use.

What to Expect: Your fertility specialist will ask detailed questions to understand your overall health and any potential issues that may affect your fertility.

 

2. Hormonal Testing

Hormonal tests are vital in evaluating the function of the ovaries and the overall reproductive system. Key hormones assessed include:

  • Follicle-Stimulating Hormone (FSH): Indicates ovarian reserve and function.
  • Luteinizing Hormone (LH): Helps assess ovulation.
  • Estradiol: A form of estrogen that plays a role in the menstrual cycle.
  • Progesterone: Important for preparing the uterus for pregnancy.

What to Expect: Blood samples will be taken on specific days of your menstrual cycle to measure hormone levels accurately.

 

3. Ovarian Reserve Testing

Ovarian reserve testing helps determine the quantity and quality of eggs remaining in the ovaries. Common tests include:

  • Antral Follicle Count (AFC): An ultrasound is performed to count the number of follicles in the ovaries.
  • Anti-Müllerian Hormone (AMH) Test: A blood test that provides an estimate of the remaining egg supply.

What to Expect: An ultrasound will be conducted, and blood tests will be done to evaluate your ovarian reserve.

 

4. Semen Analysis

For couples, the male partner’s fertility is equally important. A semen analysis evaluates sperm count, motility (movement), morphology (shape), and overall sperm health.

What to Expect: A sample of semen will be collected (usually through masturbation) and analyzed in a laboratory.

 

5. Hysterosalpingography (HSG)

HSG is an X-ray procedure used to examine the uterus and fallopian tubes. It checks for blockages or abnormalities that could hinder conception.

What to Expect: A contrast dye is injected into the uterus through the cervix, and X-rays are taken to visualize the reproductive organs. This procedure can also help clear minor blockages.

 

6. Sonohysterography (SHG)

SHG, also known as saline infusion sonography, is performed to evaluate the uterine cavity for abnormalities such as fibroids, polyps, or scarring.

What to Expect:  A saline solution is injected into the uterus during a transvaginal ultrasound, allowing for a clearer view of the uterine lining.

 

7. Genetic Screening

Genetic screening may be recommended, especially for couples with a family history of genetic disorders or repeated pregnancy losses. Preimplantation genetic testing (PGT) can be performed on embryos during IVF to identify genetic abnormalities.

What to Expect: Blood tests can be conducted to assess carrier status for specific genetic conditions.

 

8. Infectious Disease Screening

To ensure the safety of both partners and the potential pregnancy, testing for infectious diseases such as HIV, hepatitis B, hepatitis C, and syphilis is essential.

What to Expect: Blood tests will be performed to screen for these infections.

Conclusion

Initial tests and evaluations before starting IVF are critical in creating a tailored treatment plan that addresses your unique fertility needs. By understanding the importance of these assessments, you can approach your IVF journey with confidence and clarity.

If you have any questions about the initial tests or would like to discuss your fertility options, please reach out for a consultation. Dr. Mandavi Rai is dedicated to providing compassionate care and guidance as you navigate your path to parenthood.

FAQ’s :

The tests typically include blood tests, ultrasound scans, semen analysis, and evaluations for hormonal levels and ovarian reserve.
These tests help identify potential issues, optimize treatment protocols, and improve the chances of IVF success.
The initial tests and evaluations can take anywhere from a few days to a couple of weeks, depending on individual circumstances and the availability of test results.
Most tests, such as blood tests and ultrasounds, are minimally invasive. Some procedures, like hysteroscopy, might involve mild discomfort but are generally well-tolerated.
If all test results are normal, you may proceed with IVF. However, if any issues are identified, they may need to be addressed before starting the process.
Yes, Motherhood IVF Hospital in Noida offers comprehensive pre-IVF evaluations under the guidance of specialists like Dr. Mandavi Rai.
Follow your doctor’s instructions, which may include fasting for blood tests or scheduling tests on specific days of your menstrual cycle.