When a patient comes into our clinic, Dr. Peyman Saadat will spend all the time needed in the first consultation to review the patient’s history in detail and determine what may be the underlying issue. He will take a complete medical history, and review medical records, if available, for both partners. Based on the interview, Dr. Peyman Saadat can determine which tests are needed to identify the issue, and what approach will be best to achieve everyone’s goal of a successful pregnancy. find a solution.
The three most important tests to determine if there is female factor infertility are:
To determine the cause of male infertility, a semen analysis is usually recommended to evaluate the male partners sperm count and quality. In a semen analysis, four factors are evaluated:
In special circumstances, extra evaluation may be needed. For example, in patients with recurrent pregnancy loss, additional tests may need to be done. These tests may include genetic testing to check the parents for any chromosomal abnormalities; testing of the uterus to evaluate any congenital abnormalities, such as uterine septum or bicornuate uterus; and antibody testing to evaluate if there are antibodies present in the maternal serum that may affect pregnancy outcomes (these include lupus anticoagulant and anticardiolipin antibodies, as well as other antiphospholipid antibodies). Additional evaluation for the presence of infections such as Chlamydia may be required, as well as ureaplasma and other infectious agents.
Evaluation for infertility may also require further testing, including tests for antibodies present in the female partner that work against the sperm of the male partner, called antisperm antibodies, as well as for the presence of paternal leukocyte antigens, which are present in the mother.
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