Blood Tests

+Investigation of Female
+Investigation of Male
+Ovulation Induction
+Surgical Sperm Aspiration
+Other Surgeries
Blood Tests

Anti Mullerian Hormone – this hormone has the advantage of sensitivity and specificity for determination of ovarian reserve and also can be done on any day of the menstrual cycle.

  • TSH, Free T4
  • Evaluation of thyroid function also plays an important role in infertile females, as altered thyroid function can lead to irregular cycles, ovulation and increased risk of miscarriage.
  • Since we have the ultra-sensitive assay for TSH, it can be done even in fasting or post prandial state.
  • Prolactin
  • Evaluation of prolactin is especially indicated in those women with galactorrhoea (discharge from nipples)
  • Serum Total Testesterone, DHEAS, 17 hydroxy progesterone
  • These are androgens (male hormones) which are when present in female body beyond a certain titre leads to abnormal hair growth, acne, irregular ovulation, deranged blood sugars, weight gain and in some cases even hoarsening of voice.
  • So in certain women with these androgenic effects as mentioned above, serum androgen levels are measured.
  • Day 3 serum FSH with estradiol level
  • These were routinely performed a few years back to determine ovarian function is now considered obsolete with its high variability depending on day of cycle and less sensitivity and specificity than the serum AMH level
  • In women with history of recurrent miscarriage a few more investigation are performed as a part of the diagnosis to guide further management
  • ANA (Anti nuclear antibody)
  • Homocysteine
  • ACLA (Anti cardiolipin antibody) IgG, IgM
  • Lupus anti-coagulant
  • Chromosomal analysis
  • These test help in determination of immunological factors for repeated pregnancy
  • losses like Anti Phospholipid Antibody syndrome, SLE, thrombophilia like hyper-homocysteinemia which are quite common in Indian population, chromosomal translocation.