Скачать или смотреть Tests to asses female fertility - Dr. Rashmi Yogish

The most important test to asses female fertility are a basic pelvis scan, second a few blood tests, third is a radiological procedure called as hysterosalpingography to asses the fallopian tubes, and the fourth an operative procedure called as the hystero laparoscopy to assist the uterus the fallopian tubes and the entire pelvic anatomy. The basic pelvic scan is something to begin with an information regarding the uterus position, size endometrial pattern, intrauterine adhesions, fibroids. Antral follicular count is a very important aspect of the basic pelvic scan and it forms a very important aspect of basic pelvic scan that is done. The follicle per ovary shod be 4 to 5 per ovary. When the number of ovaries is less than 3 then it is called as reduced ovarian reserve. When the follicular numbers are more than 10 or 20, it is then that we call as ovary with polycystsic morphology. There are ovaries with count of more than 5 to 10 then it is considered as ovary with normal ovarian reserve. Blood tests like the Anti Mullerian Hormone or the Mullerain inhibiting Substance. The normal levels are between 2 to 4.5. When the level is less than 2 we know the level is falling. When it is less than 1 it is quite low. When it is of polycystic morphology, the AMH level is more than 6.5. Blood tests like follicle stimulating hormone, luteinising hormones are also done to asses female fertility. Usually women with low egg reserves with their egg reserves soaring high and beyond 40. Women with reduced ovarian reserve usually have their FSH levels beyond 10. The thyroid stimulating hormones the prolactin hormone tests are also done. If the ovarian reserves are less then AMH is less than 2. When the AMH levels is more than 6.5 there is an increased tendency for ovarian hyperstimulation. The other blood test are the thyroid stimulating hormones prolactin, fasting blood sugars, haemoglobin levels, these have to be in normal levels for pregnancy to happens. HSG injects a dye to see if the fallopian tubes are patent. The next is the hysterolaparoscopic procedure, to rule out intrauterine adhesions, polyps, fibroids, and to assess the lining of uterus. Laparoscopy is where the telescope is inserted to assess the patency of the uterus, the ovaries. The advantage of laparoscopy is where there is any evidence of endometriosis and pelvic infection. In this one can examine the uterus the endometrium, the tubes, ovaries pelvic peritoneum, presence of fibroids or any person of ovarian cysts can be tackled. If there is any evidence of endometriosis it is laparoscopy that can pick it up by blood tests or by scan. Coagulation of these spots can be done so as to ensure is progress further. Adhesions inside uterus can be removed and this is called as adhesiolysis. Hydrosalpinx is a condition where the tubes are filled with water, the water from fallopian tube can entire the uterus and can prevent embryo implantation. In such cases the fallopian tube is to be resected to prevent fluid for the fallopian tube to enter the uterus. This prevents embryo implantation from happening and this is the reason why the fallopian tube has to be resected and make sure this fluid from the fallopian the onset enter the uterus. In laparoscopy we can also asses if there are adhesions close to the liver. Hysterolapascopy has been a boon for assessing fertility factors and correcting them in the same sitting.