If conception does not occur for a long time, it is necessary, first of all, to register for infertility in a antenatal clinic or in a regional center for reproductive medicine, and then consult a reproductive specialist. There is an established medical examination standard that allows you to quickly determine the range of problems that prevent pregnancy.
Instructions
Step 1
The examination of a woman begins on the 2nd day of menstruation. In this case, the first day is the one on which menstruation began before noon. If she came after 12 noon, then the first day is the next. On the 2-3rd day of menstruation, a woman is tested for hormones:
- FSH;
- LH;
- prolactin;
- Anti-Müllerian hormone (AMH);
- estradiol.
At the same time, it is necessary to undergo an ultrasound examination with a full bladder to assess the condition of the ovaries (diagnosis of a cyst or follicle that could have remained from the previous cycle).
Step 2
In addition, during the menstrual cycle, you should undergo several ultrasounds with a vaginal sensor (at least 3-4 times) to establish the follicular reserve, the exact time of ovulation, the growth and dominant of the follicle, determine the spermogram and the MAR test.
Step 3
By the end of the cycle, your doctor will have a fairly clear picture of the initial study, this will allow him to decide on further tactics for treating infertility or prescribing other additional examinations (hysteroscopy, laparoscopy, etc.).