Infertility Testing & Interpreting Test Results

Infertility testing can be very different for different patient groups. For instance, if you have been trying to conceive for some time without success and have had no prior testing and/or investigation done, then the starting point will be the following:

For female partner:

- A sonogram will need to be performed on day 2 or day 3 of her menstrual period. This sonogram will be indicative of the number of antral follicle count (potential eggs for ovulation) and it will give your gynecologist a chance to observe if there are any problems such as cysts in the ovaries, or polyps/fibroids in the uterus/cervix that can possibly interfere with a successful pregnancy process.

- On the very same day, FSH, LH, Estradiol, Prolactin, TSH and AMH hormone tests will need to be administered to make an assessment of the ovarian function. Each of these hormones reflect a different aspect of your fertility. Our specialists at North Cyprus IVF will evaluate your test results and provide a comprehensive feedback on your test results.

For male partner:

- A semen analysis will need to be performed according to WHO 2010 Criteria, as explained in the "Causes of Male Infertility" section.

For couples who have had their initial testing and perhaps have been through a round of fertility treatment will need further investigation. Based on the problems or the lack of problems that may have been observed in initial testing, the following will be investigated:

- A hysterosalpingography for a thorough investigation into the tubes and the uterus

- Infectious disease screening for both partners including Toxoplasmosis, CMV and Chlamydia for the female partner. Sometimes a small infection can cause your body to reject embryo implantation and therefore prevent you from getting pregnant. A short cure of antibiotherapy can sometimes be a solution to a long-suffered infertility problem.

- A karyotype analysis for chromosome testing. If one of the partners suffers from an abnormal karyotype, a genetic problem may be transferred to the offspring. The nature and the severity of the problem will be indicative of what types of measures should be taken.

For couples with repeated IVF failures and/or repeated miscarriages, in addition to the tests mentioned above, female thrombophilia testing will be in order including the following:

MTHFR C677T

MTHFR A1298C

Factor II

Factor V Leiden

PAI 1

Thrombophilia defects can potentially cause blood clotting problems, where blood clots can get into the placental circulation and stop your baby's heart, therefore, resulting in a miscarriage. Thrombophilia defects have also been identified with implantation failures.

This is not a comprehensive list of infertility testing and we may ask for different tests depending on your unique history of infertility.

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