What tests need to be done before IVF treatment?[Complete Guide]

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A brief summary of the article:

IVF is a life-changing decision, so pay attention! The part about doing tests beforehand? Crucial. It's the same as having a complete scan of your reproductive system. Before beginning in vitro fertilization (IVF), the doctors examine both spouses for any health problems that can compromise the procedure. By doing these tests in advance, they can tailor the treatment strategy to your unique circumstances and improve your chances of getting pregnant.
According to the statistics, proper pre-testing can significantly improve your odds. With each transfer of fresh embryos, the average pregnancy rate for women aged 18–34 in 2021 was 41%—very respectable! When 40-to-50-year-old women used their eggs, the percentage decreased to 6%. These pre-IVF tests are critical to detecting any fertility issues as early as possible.
We are just at the beginning of this journey. Is there another benefit to doing tests beforehand? Yes! There is a possibility of reducing potential dangers in the future.
Doctors conduct all the tests that can determine if in vitro fertilization will be successful, including checking for infectious disorders, evaluating the man's sperm quality, and checking the woman's ovarian reserves. If you identify difficulties early on, you can improve your chances of a safe pregnancy by adjusting your strategy in advance.
All in all, there is more to pre-IVF testing than merely checking a box. You're employing a well-planned approach to maximize your chances of success. Your medical team is showing great initiative and care by tailoring their approach to you to give you the best possible opportunity to become a parent. Pay attention to this crucial initial step if in vitro fertilization is in your future; doing so might make your fantasies a reality.
Before going into any details about IVF, see all of them at once!

Pre-IVF Testing Overview (What tests need to be done before IVF):

Broad Categories of Pre-IVF Testing:

  1. Ovarian Reserve Testing: Determines the quantity and quality of a woman’s eggs. Anti-Mullerian hormone (AMH) measurement, which indicates the remaining number of eggs, is part of this process.
  2. Semen Analysis: Assesses the quality and quantity of sperm.
  3. Hysterosalpingography (HSG): Checks for blockages or abnormalities in the fallopian tubes and uterus.
  4. Infectious Disease Screening: Ensures the pregnancy has no risk of transmitting infections to the embryo or affecting the pregnancy. The test includes Hepatitis B Core Antibody (HBcAb/Anti-HBc).
  5. Genetic Testing: Identifies any genetic abnormalities that could impact the offspring.
  6. Mock Embryo Transfer: Determines the best approach for transferring embryos.
  7. Psychological Evaluation: Helps cope with the stress and emotional aspects of IVF treatment.

Specific Tests Included in Pre-IVF Testing:

  • Physical Exam: A general health check to identify any physical issues affecting fertility.
  • Blood Tests: Include a complete blood count, hormone levels (estrogen and progesterone), thyroid function tests, and vitamin D levels.
  • Blood Type: Determines the blood group of both partners.
  • Genetic Tests: Screens for hereditary conditions that could affect fertility or the baby’s health.
  • Infectious Disease Status: Tests for diseases like HIV, Hepatitis B and C, and other sexually transmitted infections.

Read more: Ultimate IVF Prep Checklist: 10 Essential Medical Tests to Ensure Success

As you can see, numerous tests are required, but you need to remember one thing: Pre-IVF testing is not just a series of medical procedures; it’s a journey that couples embark on with the hope of fulfilling their dream of parenthood. Each test, from the initial blood work to the psychological evaluation, is a step toward that dream. They are not mere formalities but critical milestones that pave the way for a healthy pregnancy and baby.

Pre-IVF Testing Summary Table

Category Test Purpose Female Partner Male Partner Notes
Ovarian Reserve Anti-Mullerian Hormone (AMH) Measures remaining eggs Yes No FSH and estradiol levels may also be checked.
Ultrasound It may be used to assess antral follicles (potential eggs) Yes No Often done alongside AMH testing.
Semen Analysis Semen analysis Evaluate sperm count, motility, and morphology No Yes Crucial for assessing male fertility.
Uterine Evaluation Hysteroscopy Uses a camera to examine inside the uterus Yes No Check for fibroids, polyps, or other abnormalities.
SIS (Saline Infusion Sonography) Ultrasound with saline solution for better image Yes No Alternative to hysteroscopy.
HSG (Hysterosalpingography) X-ray to examine uterine cavity and fallopian tubes Yes No Checks for tubal blockages.
Bloodwork Complete Blood Count (CBC) General health check Yes Yes May identify underlying health issues.
Hormone Levels (estrogen, progesterone) Monitors ovulation and uterine lining Yes No Assesses hormonal balance.
Thyroid Function Tests Checks thyroid function Yes Yes Can impact fertility.
Vitamin D Levels May be checked Yes Yes Deficiency can impact fertility.
Blood Type Determines blood type Yes Yes Checks for Rh factor compatibility.
Infectious Disease Screening Tests for HIV, Hepatitis B & C, and STIs Reduces risk of transmitting infections Yes Yes Protects the embryo and pregnancy.
Genetic Testing (Optional) Screens for hereditary conditions Yes Yes Identifies potential risks to offspring.
Mock Embryo Transfer (Optional) Practices embryo transfer technique Yes No Helps determine the best approach for transfer.
Psychological Evaluation (Optional) Provides support for emotional aspects of IVF Yes Yes Can help manage stress and anxiety.

Let’s return to the main topic, which is most likely why you visited this article! 

Understanding Your Fertility Potential

Female Partner Testing:

  • Ovarian Reserve Assessment

A crucial part of the test is checking your ovarian reserve, specifically the number of healthy eggs you still have. Tests on the patient’s blood will be necessary to measure hormones such as FSH, AMH, and estradiol. FSH controls follicle growth, AMH measures how many follicles are growing, and eggs produce estradiol. Your age plays a huge role here because, let’s face it, the older we get, the fewer and lower-quality eggs we have left.

  • Uterine Evaluation:

For the pregnancy to go smoothly and for the embryo to implant, it is necessary to have a healthy uterus. To look inside things, doctors use unique tests like hysteroscopy, which uses a small camera to peer directly into the uterus, SIS, which uses ultrasonography with a saline solution to obtain a clear image of the uterus, and HSG, which uses X-rays to examine the uterine cavity and fallopian tubes. These tests can identify fibroids or polyps if they indicate problems with implantation or pregnancy.

  • Bloodwork

Additionally, you should undergo several fundamental blood tests, such as determining your blood type, screening for infectious infections, and monitoring your blood sugar levels. So what’s the deal? They will check to see if your blood type is compatible with the baby’s, monitor you for complications like diabetes, and make sure you don’t have any infections that might affect the baby.

The most important thing is to know how each test affects your reproductive journey and what it is for. The more you understand, the better judgments you can make, so don’t be shy about asking your doctor to explain it to you. Because everyone’s circumstances vary, you must understand how these findings apply to your unique situation.

Male Partner Testing: 

When a couple is having trouble conceiving, a sperm analysis is a vital test to determine the state of the man’s sperm. It assesses some critical factors that are essential for fertilization:

Sperm Count is a test to determine the number of sperm in the ejaculate. Fertilization success rates are proportional to the count.

Motility: The motility of sperm refers to their mobility. For sperm to fertilize an egg, they must be able to navigate the female reproductive system.

Morphology: This section analyzes the morphology of sperm. Sperm with normal morphology are more likely to fertilize an egg.

A person’s way of life can have a noticeable effect on the health of their sperm. Food, physical activity, stress, and toxic exposure can influence sperm quantity, motility, and shape. For example, sperm motility and morphology can be negatively affected by smoking and heavy alcohol use, and obesity is associated with a reduced sperm count and quality456. Improving a man’s reproductive potential is as simple as leading a healthy lifestyle.

A few additional points to consider:

Aside from all the tests listed above, several other factors (additional consideration) can affect the chances of a successful pregnancy with In Vitro Fertilization (IVF). Give us a rundown on this:

Mental Health Screening (Optional)

The emotional toll of in vitro fertilization (IVF)treatments can be overwhelming; therefore, it is helpful to do mental health screenings before beginning the procedure. The complicated range of emotions that could emerge at this time can be dealt with more effectively with the support, guidance, and coping mechanisms that counseling can offer.

Blood Type Compatibility

While most of the time, a person’s blood type will not affect their fertility, Rh factor incompatibility can be problematic. The mother can develop antibodies that target the baby’s red blood cells if she is Rh-negative and the infant is Rh-positive. This condition is known as Rh illness. Some therapies can help prevent this illness.

Donor Screening (if applicable)

Extensive screening must take place before utilizing donated eggs or sperm. Examining the mother’s health and her family’s medical history is part of this process, as is genetic testing to identify any anomalies or diseases that may run in the family. Prevention of genetic or infectious illness transmission to the receiver and the baby is imperative.

Final thought 

Let us explain again why pre-IVF testing is essential (What is the point of repeating? Not to mention how important it is for your family to know about testing)

Success Rates Go Up: Annual pregnancy rates increase by an overwhelming margin if women get adequately tested before they plan to conceive. People should especially use their eggs to do it.

Problems Can Be Spotted Early: Identifying reproductive challenges, as quickly as possible, helps a scientist to decide on the treatment strategies, and the work can be done faster than if a person is confused if something is wrong.

When you are put at a lower risk for yourself and the baby when you undertake prenatal tests, the tests may correctly diagnose and treat problems.

Informed Decisions: Using collected data from pre-treatment, you can make sound conclusions about your reproductive capabilities and how Invitro-Fertilization processes should have proceeded.

Peace of Mind: Knowing you’ve taken all the necessary steps to optimize your chances of success can provide significant peace of mind during this emotional journey

Ready to take the first step?  Schedule a consultation with your fertility specialist today to discuss pre-IVF testing and explore the possibilities of achieving your dream of a family.





















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Doctor Mehdi Ahmadi
Body and Facial plastic surgeon Providing all beauty services of body, skin, facial cosmetic surgery, etc., specialized with more than 10 years of experience and 1,000 successful cosmetic surgeries.

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