➣ Identifying the problem is the foremost important step.
➣ But all patients cannot be offered the same set of investigations. It is categorized
according to the patients previous history and previous investigations done. If previous
investigation is reliable, it is not repeated.
➣ Investigations are done for both male partner and female partner.
➣ To assure the general health- CBC, RFT, GTT, HBA1C, LFT
➣ To rule out infective conditions which can compromise the health of developing baby- HIV,
HBsAg, HCV- Ab, Rubella IgG.
➣ Hormonal evaluation of ovarian function- AMH , thyroid, prolactin levels which can
influence the success rate and brain growth of fetus.
➣ Genetic evaluation (if needed).
➣ Immunological investigations ( if needed).
➣ To evaluate uterus , endometrium and ovaries.
➣ Tube testing - Saline Sonography, HSG
➣ Diagnostic laparoscopy
➣ Diagnostic hysteroscopy
➣ Trial cannulation
Operative Hysteroscopy (if needed)- Septal Resection, Myoma Resection, Polypectomy, Adhesion
Operative Laparoscopy (If needed)- Cystectomy, Myomectomy, Adhesiolysis, Tubal
Canalization, Endometriotic cystectomy.
➣ ERA- ENDOMETRIAL RECEPTIVITY ARRAY (in patients with ivf /ICSI failure, even after
ytransferring a healthy embyo)
➣ PGS – PRE GENETIC SCREENING OF EMBRYOS(in patients with IVF/ICSI failure, a previous
anomalous child, repeated abortions)"