Treatment
Advanced Examinations
Blood test- hormone levels
For patients that cannot find sperm at multiple sperm analyses, doctor collect the first will collect urine sample after ejaculation, to eliminate the possibility of obstructive azoospermia. After that, blood tests are suggested to evaluate patient’s spermatogenesis.
 
How to read the reports?
 
Dysfunction of hypothalamus or pituitary gland (lack of hormone to produce sperm)
Blood test results Low in FSH & LH
Low in Testosterone
High in PRL
Treatment Treat with injections (retain hormone supplies)
Treat with medicines
Transfer to oncology after Docotr`s evaluation
腦下垂體

 

Dysfunctional testiculus
Blood test results High in FSH & LH
Testosterone normal or lower than average
High in PRL
Treatment Treat with injections + MESA /TESA
IVF with donated sperm
Treat with medicines
睪丸不製造精蟲 

 

Ductus deferens blockage
Blood test results Normal in FSH & LH
Normal in testosterone
Treatment MESA /TESA
輸精管阻塞
Blood test for couples’ chromosome
Based on stats, over 70% of spontaneous abortion are related to abnormality of fetus’ chromosome. It is important to check for couples’ chromosome if you have any of the following symptoms:
  1. Infertility with unknown reason, poor sperm quality, azoospermia
  2. Fail implantation with accumulated 4 GBR or 2 blastocysts with normal chromosome
  3. Recurrent miscarriage or habitual abortion
    ※ Def : ≥ 2 miscarriages within AP20wks
Hysteroscopy (H-scopy)
Hysteroscopy
Purpose:

H-scopy uses a hysteroscope to examine if the uterus and uterine lining are normal. There is a direct correlation between the condition of the uterus and embryo implantation.

Procedure:

Patient will be asked to lie on her back on the examination table with feet raised and supported by stirrups, similar to a pap smear or vaginal exam. An optical instrument connected to a video unit with a fiber optic light source is inserted to check the conditions of the uterus.

If only a simple examination is required, there is no need for anesthesia. The whole process takes about 3 mins, after which, the patient is asked to rest for another 30 mins. For further examination and operation, anesthesia will be administered and the process will take about 5 mins. Resting period is an additional 1-2 hours.

When to test:

Best time to test is after the last menstrual cycle and before ovulation takes place for the next cycle. If it is a regular cycle of 28 days, the best time will be in the morning of the 7th to 11th day.

Cervical cultures
Cervical cultures
Purpose:

Inflammation of female genital tract includes viginitis, cervicitis, salpingitis and pelvic inflammatory disease (PID). Chronic inflammation may cause endometirum polyp(s), tubal adhesion, obstruction and/ or hydrosalpinx, etc. Bacteria, Chlamydia trachomatis and human papillomavirus (HPV) are 3 most common pathogens.

Auto-immune system
Purpose:

Through blood tests, we can determine whether patients' immune system is normal or not. Some patients' immune system will attack embryo after implantation, which will affect its bedding procedure or even cause miscarriage.

We suggest blood tests if you have any of the following symptoms :

  1. infertility with unknown reason, advanced age, premature ovarian failure, constitution allergy
  2. Recurrent miscarriage or habitual abortion
    ※ Def : ≥ 2 miscarriages within AP20wks

What items are included in the blood test?
  1. Anti-Thyroglobulin antibody (ATA)
  2. Anti-Thyroid peroxidase antibody (Anti-TPO)
  3. Anti-Extractable nuclear antigen antibody panel (Anti-ENA)
  4. Anti-Phospholipid antibody (APS)
    1. Anti-b2 glycoprotein IgG/IgM (B2GP)
    2. Anti-cardiolipin IgG/IgM (ACA)
    3. Lupus anticoagulant
Blood test for couples’ chromosome
Based on stats, over 70% of spontaneous abortion are related to abnormality of fetus’ chromosome. It is important to check for couples’ chromosome if you have any of the following symptoms:
  1. Infertility with unknown reason, poor sperm quality, azoospermia
  2. Fail implantation with accumulated 4 GBR or 2 blastocysts with normal chromosome
  3. Recurrent miscarriage or habitual abortion
    ※ Def : ≥ 2 miscarriages within AP20wks