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Gynecological study

The basic female study is aimed at knowing the female biological age and checking the integrity of the internal reproductive system. To know the female biological age it is necessary to understand the concept of ovarian reserve, that is, the availability of good quality oocytes present in a woman on a given moment. The levels of FSH, LH, Estradiol and Prolactin hormones during the first half of the cycle (early follicular phase) measured between the third and fifth day of the menstrual cycle or functional tests -like the Navot test- help to assess the ovarian reserve and determine one of the factors that best indicates the prognosis of the treatment to undertake. Other tests entailing the measurement of specific hormones (anti-mullerian hormone) or the physical exam with intravaginal ultrasound scan are also carried out.

Intravaginal ultrasound scan

Fecundación in vitro

It provides information about the position, form and size of the uterus. We can also get images of the ovaries, their accessibility, the preantral follicle count (egg supply – one of the markers of ovarian reserve). .


Other tests that can be recommended based on the underlying pathology detected in each case:

Hysterosalpingography

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It is a procedure conducted to investigate the internal outline of the uterus and the patency of the fallopian tubes. It entails the injection of a contrast medium throguh the cervical canal that initially fills the uterine cavity and secondly the fallopian tubes while serial X-rays are taken to observe the passage of the medium through all the system. It is important to emphasize that this is a dynamic test where the assessment of the passage done by the radiologist should be taken into account. We recommend the use of anti-inflammatory and analgesic medicine, muscle relaxants/an anxiolytic and also an antibiotic as a preventive measure to reduce possible discomforts. Hysterosaplingography is essential prior to an artificial insemination treatment.

Hysteroscopy

It allows for direct inspection, through the lense of a very small camera, of the internal part of the uterine cavity. It is specially indicated in cases of infertility (repeated abortions) or in cases where an ultrasound scan or the clinical conditions hint at intracavitary pathology (polyps, myomas, etc.). It can be performed for diagnostic or surgical purposes, the latter for minor procedures like polyp removal or the resectoscopy of a vaginal septum, etc. When done for diagnostic purposes, it does not require anesthesia and is done on an outpatient basis.

Diagnostic Laparoscopy

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It is a surgical technique that allows for the direct inspection of the surface of the organs (uterus, ovaries, fallopian tubes and pelvic cavity). Inspection is attained by distending the abdomen with the insertion of gas (CO2) to create an optimal space for examination. It requires general anesthesia with short inpatient care.