The basic evaluation of an infertile couple by Dr. Sepehr KatiraieM.D.

 

INTRODUCTION: Having a baby needs both parent dedication, time and financial security to raise this baby.

 

  1. Ovulation assessment on female party (blood test), The methods used to assess ovulation include: basal body temperature charts, midluteal progesterone levels, a luteal phase endometrial biopsy, home testing of luteinizing hormone (LH) levels and serial ultra-sonogram to evaluate follicular growth.
  2. Semen evaluation: tell your partner to come for evaluation. Its not count if your husband have baby from you or another women before, today is important your doctor wants to know if he is producing sperm today or not?
  3. anatomical genital part assessment:including:

 

 

  1. Clomiphen 50 mg will be given from 5th day of menstruation till day 10th for 5 days. This hormone therapy need to followed by ultrasound exam on day 12th to see if follicles are in the ovary or not . Will continue 3 month with 50 mg dosage if pregnancy didn’t happen then¿
  2.  Clomiphen 100 mg will be given from 5th day of menstruation till day 10th for 5 days. This hormone therapy need to followed by ultrasound exam on day 12th + LH surge test + intra cervical or intrauterine husband sperm injection into women. Will continue 3 month with 100 mg dosage if pregnancy didn’t happen then¿
  3.  Clomiphen 150 mg will be given from 5th day of menstruation till day 10th for 5 days. This hormone therapy need to followed by ultrasound exam on day 12th. Will continue 3 month with 150 mg dosage if pregnancy didn’t happen then¿
  4.  IVF or invitro fertilization or other hormone therapy may be considered.