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    Examination of a married couple

    Examination of a married couple

    Nowadays, every married couple has problems with conception at one time or another of their reproductive age. If you have been trying to get pregnant for more than a year, you can be diagnosed with infertility. Such a diagnosis plunges patients into a state of stress and suffering. Examination of a married couple can help in times like these. Now in the arsenal of a doctor there are many modern methods of infertility treatment, microsurgical methods, drugs and in vitro fertilization. All this gives a high chance of pregnancy.

    The cause of infertility can be either a man or a woman. To find out the reasons for a married couple, you should contact a qualified gynecologist-reproductologist who specializes in infertility issues.

    At the doctor at Lada Clinic You are advised to provide the most detailed information about your health status, previous treatments and examinations, etc. A complete reproductive history of each partner will reveal the full extent of the problem. After contacting the doctor, you will have a series of examinations that require some emotional and physical effort, but this is the most reliable way to approach the long-awaited pregnancy. The scheduled examination may take from one to two months.

    The examination procedure and the use of assisted reproductive technologies are regulated by the Ministry of Health of Ukraine. The scope of examinations may vary and this is determined by the doctor individually, after the initial consultation of the married couple.

    Survey of a married couple

    The required minimum examination of a married couple looks like this:

    Scope of examination of a woman:

    1. Required:
    – determination of the blood group and the Rh factor (when entered into the passport they are valid for life)
    – clinical blood test;
    – coagulogram;
    – blood tests for syphilis, HIV, hepatitis B and C (valid for 3 months);
    – blood tests (IgM, IgG) for toxoplasmosis, chlamydia, cytomegalovirus and rubella;
    – bacterioscopic analysis of secretions from three points;
    – cytological examination of smears from the cervix;
    – general gynecological examination;
    – ultrasound examination of the pelvic organs;
    – a blood test for Antimüllerian hormone (AMH), prolactin (PRL), folitropin (FSH), lutropin (LH), progesterone (P), estradiol (E2) is given on the 2-3 day of the menstrual cycle;
    – Fluorography or total antibodies to MBT;
    – the conclusion of the therapist on the state of somatic health and the absence of contraindications for carrying a pregnancy;

    2. According to indications (optional):
    – examination of the uterus and fallopian tubes (hysterosalpingography, sonosalpingoscopy, laparoscopy, hysteroscopy)
    – colposcopy;
    – endometrial biopsy
    – bacteriological examination of material from the urethra and cervical canal;
    – blood test for testosterone (T), cortisol (K), thyroxine (T3), triiodothyronine (T4), thyrotropin (TSH), somatotropin (STH)
    – determination of blood glucose levels
    – examination for the presence of antisperm and antiphospholipid antibodies;
    – examination for the presence of antibodies to thyroglobulin and antibodies to thyroperoxidase, Antimicrosomal antibodies
    – examination for signs of antiphospholipid syndrome and other disorders of the immune system;
    – examination for urogenital and TORCH infections
    – conclusions of other specialists according to indications (determined by the doctor)
    – karyotyping, medical genetic counseling, other molecular genetic studies;
    – ultrasound of internal organs, thyroid gland;
    – Breast ultrasound for women under 40 and mammography for women over 40
    – biochemical blood test: kidney tests, liver function tests, total bilirubin, protein fractions, glucose.

    Examination of a man:

    1. Required:
    – determination of the blood group and Rh factor (when entered in the husband`s passport, they are valid for life)
    – blood tests for syphilis, HIV, hepatitis B and C (valid for 3 months);
    – spermogram;
    – fluorography of the lungs or total antibodies to MBT;

    2. According to indications:
    – consultation with an andrologist;
    – MAR test;
    – hyaluronan binding test;
    – karyotyping, medical genetic counseling and other molecular genetic studies;
    – examination for TORCH-complex infections;
    – blood test for folitropin (FSH), lutropin (LH), testosterone (T), prolactin (PRL), thyroxine (T3), triiodothyronine (T4), thyrotropin (TSH)
    – DNA fragmentation

    The scheduled examination of a married couple should not be stopped, even if the cause of infertility is found at an intermediate stage, since several different problems may be detected in the future.
    Already during the initial consultation, many doctors begin examinations based on the history of previous examinations and ultrasounds. In our clinic, as a rule, at the initial appointment, a gynecologist-reproductologist conducts an ultrasound examination (ultrasound).

    The revealed abnormalities found during one of the examinations do not always mean some kind of pathology, and it may be necessary to repeat the test to confirm or exclude the pathology.
    Only if the cause of infertility is precisely determined can the most effective treatment be prescribed.

    The staff of the Lada Reproductive Health Clinic will help you find the pregnancy you want!

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    Клиника репродуктивного здоровья "Лада"
    ул. Среднефонтанская, 19В, ЖК «Чудо-город» 65039 Украина, г.Одесса
    (0482) 373747, [email protected]