Infertility eliciting history

 

Examine:--Nutrition, Anaemia, active Kochs, Overweight, obesity, heart, liver, spleen, Lungs,

Examine:--Nutrition, Anaemia, active Kochs, Overweight, obesity, heart, liver, spleen, Lungs,

List of investigations of female partner when she come for treatment?-

 Sion Test: Sonography particularly at the middle part of menstrual cycle – will yield much information’s- uterus-any abnormality, tumours, endometrial development as per day of cycle, any ovarian cysts etc. Size of follicle upcoming egg will help. SIS: - Sono Salpingography: - to demonstrate uterine cavity and tubal patency; SIS or saline salpingography is a better diagnostic help then traditional HSG. SIS or saline salpingography is a better diagnostic help then traditional HSG.

 

Screening for reproductive tract infections:-- Syphilis, Chlamydia,:- Kochs, Hepatitis serology, HIV, Gonorrhoea,

 

Serum progesterone on day 21 of menstrual cycle .or Urinary LH kit.

Asymptomatic- next step after two years of marriage will be Hystero-salpingography-to test the patency of fallopian tubes. HSG: - Tubal patency.

 

Post coital Tests: - If more than 7 motile sperms are seen in high power microscopy 12 hrs after coitus then one can presume that the seminal parameters are near normal and she is possibly normal- couple gets convinced that all is possibly well and no major abnormality is there.

Symptomatic--Overweight, irregular periods, Acne, family history of DM, Stressful life, Employed ladies: - investigate hormones particularly thyroid, Prolactin, day 3 or day 4 of cycle LH, Metabolic Parameters:  Serum PP insulin, PP Sugar.

Laparoscopy. It diagnoses the endometriosis and tubal diseases. Lateral end of fallopian tube must be in very close approximation of ovaries so that ovum is sucked inside the fimbrial end of fallopian tube by negative pressure and not that ovum escapes, and the rolls over to tube. So, a good tubo-peritoneal relationship is essential. Free movement of tube without any pelvic adhesion is an essential part for conception. List of investigations of female partner when she come for treatment?-

 Sonography particularly at the middle part of menstrual cycle – will yield much information’s- uterus-any abnormality, tumours, endometrial development as per day of cycle, any ovarian cysts etc. Size of follicle upcoming egg will help.

Serum progesterone on day 21 of menstrual cycle .or Urinary LH kit.

Asymptomatic- next step after two years of marriage will be Hystero-salpingography-to test the patency of fallopian tubes.

Symptomatic-  Overweight, irregular periods, Acne, family history of DM, Stressful life Serum progesterone on day 21 of menstrual  cycle .or Urinary LH kit.

Asymptomatic- next step after two years of marriage will be Hystero-salpingography-to trust the patency of fallopian tubes.

Symtomatic-Overwight, irregular periods, Acne, family history of DM, Stressful life, Employed ladies:- investigate hormones particularly thyroid, Prolactin, day 3 or day r4f cycle LH, Serum PP insulin, PP Sugar

 

 

 Q12. What are the usual treatments that are offered in case of female subfertility?

General:- Obesity-Weight reduction, Lifestyle changes-Yoga, relaxation exercises, morning walk, going to cinema .Theatre/ club with husband, Enjoying holidays (week end); Endorphins will help so also serotonin and allied hormones will help. The level of bad hormones like cortisol, adrenaline, nor adrenaline will, hopefully become less so

 To avail fertile days.  How frequent the intercourse be suggested?- Once in 2-3 days during the period span of 10-20 days-of 28-30 day of cycle. But long abstinence is bad as it will produce bad quality and dead sperm. Abstinence is one of the common causes of IUI/ IVF failure. All myths regarding the intercourse should be counselled-posture, position, timing, washing, douching etc.