What are the examination items before artificial insemination?

Couples who have difficulty conceiving naturally can use artificial insemination to help them get pregnant. However, the requirements for artificial insemination are very high, especially before the cycle, many physical examinations are required. Both husband and wife need to undergo examinations. People who are doing artificial insemination for the first time may not be particularly familiar with the examination items. The following is a detailed introduction to the examination items before artificial insemination.

Check-up items before artificial insemination

Women

In addition to routine physical examinations, detailed gynecological examinations are usually performed on infertile women who undergo artificial insemination, and ovulation tests are generally performed to understand ovulation function and determine the best time for artificial insemination. Reproductive hormone testing can help diagnose anovulation caused by polycystic ovary, premature ovarian failure, hyperprolactinemia, and low gonadotropin. Combined with urine LH testing, it is convenient and reliable. A simple and preliminary method to check the patency of the fallopian tubes is tubal insufflation. Examination of immune factors includes sperm-cervical mucus contact experiment, detection of serum anti-sperm antibodies, anti-ovarian antibodies, anti-endometrial antibodies and anti-HCG antibodies, etc.

Men

The sperm donor must undergo a comprehensive examination, including hepatitis B surface antigen, blood type, and exclusion of other infectious diseases. His appearance and intelligence should also be understood. After the semen of the same sperm donor has caused five pregnancies, it cannot be used again to avoid the possibility of their offspring intermarrying.

Common

Both men and women should go to the infertility clinic for a check-up first. The man should check the sperm quality, determine the sperm activity, survival rate, etc., and check for the presence of microorganisms and viruses, as well as blood tests. The woman needs to undergo a vaginal B-ultrasound to examine the uterus and ovaries, observe ovulation, and see if there are tumors and gynecological inflammation in the uterus. Both men and women need to undergo chromosome testing to see if they have any genetic diseases.

Project

1. Routine examination of male semen. The man needs to provide several samples of semen for analysis or undergo other tests such as sperm antibody test and sperm motility test to understand the condition of the male's sperm.

2. Female fallopian tube examination. The prerequisite for artificial insemination is that the patient needs to ensure that one side of the fallopian tube is unobstructed. If both sides of the fallopian tubes are blocked, artificial insemination cannot be performed.

3. B-ultrasound examination. Based on the gynecological examination, the patient was given a vaginal B-ultrasound examination to further understand the position and morphology of the uterus, the condition of the endometrium, and the condition of the bilateral ovaries.

4. Endocrine function test. Endocrine examination is mainly to help doctors understand women's physical condition. Mainly including pituitary follicle estrogen, luteinizing hormone, estradiol, progesterone, testosterone, and prolactin.

5. Joint examination for both husband and wife. Both husband and wife generally need to undergo blood cell analysis, blood type, eight infectious disease tests, liver and kidney function, and chromosome tests.