This is the most important part of IVF/ICSI. If this is done correctly the chances of success increase markedly.
Pre IVF evaluation is done for both male & female partners.
For Female Partners.
- A transvaginal sonography is done to assess the ovarian reserve (how many follicles of 2-3 mm size on day 2/3 of cycle), endometrial thickness, subendometrial blood flow, to look for any other abnormalities that may be present like fibroid in the uterus, uterine septum uterine polyp adhesions.
- Hormonal tests like serum FSH, LH, TSH, Prolactin and AMH.
- Infectious disease tests like HBsAg, HCV, HIV
- A hysteroscopy if required
In most centers pre IVF hysteroscopy is a norm. But at Ankoor fertility clinic, we do not advise hysteroscopy as a routine to all IVF / ICSI patients. We do a thorough evaluation of the endometrium and it’s receptivity using Trans vaginal ultrasonographies (TVS) and Doppler studies. During these USGs we look for the endometrial thickness, echotexture, volume and blood flow. If there is any abnormality in these studies, only then a hysteroscopy is advised.
Fig . USG image of good uterine blood flow
Video of USG Doppler showing endometrial blood flow
- Weight and body fat percentage assessment
As per requirement, drugs are given to improve ovarian reserve, endometrial lining, endometrial blood flow etc.
Losing as much as 10% of body weight will improve the chances of success of our cycle.
For Male Partner:
A detailed semen analysis followed by other tests like sperm function tests, ultrasound of scrotum & andrology opinion if required.
Based on the above observations medications are given to improve semen quality.
One should proceed with IVF/ICSI only after all the factors are optimized giving us the maximum chances of pregnancy.
What are the steps of IVF?
- Starting IVF treatment can be an exciting experience.
- Usually, IVF treatment is pursued once other treatments have failed, following months of trying to get pregnant unsuccessfully. For most couples, it seems the end of the road.
- There are lots of myths related to IVF/ ICSI as sometimes the procedure is not understood correctly or has not been explained correctly.
- It has its own financial, social and most important emotional implications.
- But the fact is that IVF/ICSI is a very short procedure, relatively painless and not very demanding; but the fear of IVF/ICSI is more consuming.
- Let us understand the procedure correctly to allay the fears and anxiety and undergo the procedure with a more positive mindset. The actual procedure is over even before you realize it. It is not as stressful as it sounds like.