Which treatment are you willing to undergo?
Some agree to taking pills but most do not agree to injections. Others are willing to undergo insemination but not insemination outside the body (IVF). Yet others are willing to undergo anything except an egg and sperm donation. Moral principles and spiritual beliefs can have an important effect on choosing the right treatment method.
That is the reason why after analyzing the initial information, the physician will determine the schedule of examinations and subsequent treatment, which is then continuously updated based on the gathered information and changes in the treated couple’s position with regard to the treatment.
The actual gynecological examination is performed to (a) exclude congenital developmental defects, presence of inflammation, benign cervical tumors (myoms), polyps and (b) examine the condition of cervix and the character of the endometrium. Screening for causes of inflammatory diseases and oncological cytology are also often included in the procedure. An ultrasound examination is also performed.
The male patient is thoroughly examined via a sperm analysis. If any fundamental abnormalities are identified in the results or in the general health condition, a urological examination is recommended.
Blood tests to determine hormonal profile, blood type, Rh factor, sexually transmitted diseases and hepatitis testing, and possibly additional individualized blood tests, are an absolute necessity.
The couple can also be recommended some additional testing – genetic and immunologic tests, post – coital test (PCT), MAR test and other specialized tests.
Based on the actual results, imaging or endoscopic (hysteroscopy, laparoscopy) examinations can be performed, mainly to determine the fallopian tubes patency or to remove cysts, causes of endometriosis, polyps, myomas, uterine septum, etc.
The treatment plan is then updated based on the collected information.