One way of fertiity treatemnt for poor seminal parameters or minimal endometriosis.

IUI planned for poor seminal parameters: The question is does all female partner warrant Ov induction?? Protocols of Ovulation Induction Methodology of Ovulation Induction. Part I.  At first look at her reports & listen to her menst history and then decide yourself whether she needs Ov induction or not?? Does she need induction of Ovulation? 

The following investigations  are  ,as a minimum should be done to consider whiter the woman planned for IUI will warrant Ovulation inductiin or she is having regular ovulation  or not For women who are regularly ovulating they may be excluded for Ov inducing agents  or may BE DIRECTLY PUT FOR iui?  What investigations  ??

Preliminary investigations -
LPD-.
Basal scan--
Basal hormone-.
Monitoring-
Trigger-.
PCT-
Trigger-.

Q . When to use Ov inducing agents in an IUI cycle? Routinely or selectively?? Limitations of OI agents & or IUI?  Only when there is 1) documented anovulation b) has documented luteal deficiency.

Q. How can one  limit the preliminary investigations based on symptoms and signs of the female partner to minimise the cost of therapy?

Ask her to carry out following selective tests as per symptoms. But if one can afford then it will be wise to order for all tests:-,But as a minimum PRL, TSH is mandatory for all cases .But if she is having  Irregular cycles/ Oligomenorrhoea. /anenorrhoea: then  one has to do Followimg  tests (though not all tests result are predictive of disease) -1) Fast Glucose/Insulin ratio 2) DHEASO4, 3) Fast Glucose/Insulin  ratio, FSH & LH;