Managing An Infertile Couple - History Taking

History Taking For IVF.

1. Managing an infertile
couple
MANJU P JILLA

2. History
taking
Age
Infertility since
Primary of secondary
Detailed obstetric history
Detailed menstrual history
Medical disease (TSH DM infections )
Consanguineous
Family history of infertility
Treatment in the past
Evaluation of all investigation in past , semen ,
Sexual history
Smoking
Treatment history

3. Targeted
investigation
Tubes: HSG and Laparoscopy
Ovaries: TVS , AMH , Laparoscopy ,
Karyotype
Endometrium- TVS, Hysteroscopy,
endometrial biopsy
Semen- Analysis , Culture , DFI ,
karyotype
Myometrium and Pelvic peritoneum
: TVS and Laparoscopy

4. Diagnosis
wise
Management
protocol

5. Male factor

►Oligospermia
►Azoospermia
►Obstructive
► Non - Obstructive

6. Anovulatory

►Hypogonadotropic
Hypogonadism
►PCOD
►Ovarian failure

7. Endometriosis
and
Adenomyosis

8. Tubal block
and
Hydrosalpinx

9. Fibroids

10. Ashermans IUI adhesions septum

11. Unexplained
Infertility

12. Endometrial Immune Cells

13. Ovarian
stimulation
protocols
of IVF

14. Ovarian stimulation protocols of IVF

15. Ovarian stimulation protocols of IVF

16. Antagonist
Protocol

17. Ovarian
stimulation
protocols of
IUI

18. Third party reproduction
►Whom ?
►Where ?
►Why ?

19. Thank You For Your
Attention!

Any Questions?