What tests are needed for eco. What tests are needed for IVF according to MHI

Planning for pregnancy is not an easy process. And for both men and women. Especially if on their own for one reason or another. Fortunately, now very often infertility is treated with the help of Or, as this procedure is also called, IVF. It helps couples who have problems conceiving to get pregnant. Most often, the technique is used after undergoing a course of infertility treatment.

But what tests are needed for IVF? What is required of men and women who want to take advantage of such a program? It doesn't matter if it's paid or under OMS. The list of analyzes still remains unchanged. And how to properly prepare for the passage of certain studies? All this will be discussed later. In reality, everything is not as difficult as it seems. It is enough just to responsibly approach the decision through IVF.

Training

The first thing to do is to give up bad habits. This is a mandatory item that helps to get the most accurate test results. Preparation for the passage of certain studies is a serious test. If you just find out what tests are needed for IVF, but do not follow the recommendations of doctors, the results will not be entirely accurate.

It is better to give up alcohol and tobacco a month before the test (all). Nutrition is also best to normalize: exclude fatty, fried, flour, sweet and salty. All this is possible, but in moderation.

It is necessary to donate blood for certain studies strictly on an empty stomach. If we are talking about urine analysis, you will have to collect only the morning portion. Or after an 8-hour break.

Where to do

It is offered to take in medical institutions. Where exactly to go, each couple decides independently. Can:

Go to a government clinic. Free way to prepare for IVF. It does not require investments, but it is very long. And not all studies are most often carried out in budgetary public clinics.
Go to a private medical center. In this case, you will have to find out in advance what tests are needed for IVF for men and women, so as not to undergo unnecessary studies. The health check will be quick, but at the same time expensive. The list of analyzes for paid IVF and MHI is the same.

Accordingly, as soon as the couple decides where it will go, and all bad habits are excluded, you can be interested in the list of upcoming studies.

Three months

It is worth paying attention to the validity of certain analyzes. In general, the list of studies is large. Therefore, you should first take tests that are valid longer than others.

Three months for men and women, the following studies are valid:

blood for the Rh factor;
blood type analysis;
testing for hepatitis (B, C);
partner testing for syphilis.

What tests are needed for IVF? These studies are relevant for both men and women. As already mentioned, their validity period is 3 months. After the expiration of the specified period, it will be necessary to re-conduct the relevant studies if the full list of tests is not provided to the doctors.

Month

But all this is just the beginning. Some studies are valid for only 30 days. Therefore, couples suffering from infertility are interested in what tests should be taken before IVF.

To date, the following studies are valid for a month:

general blood analysis;
blood biochemistry;
coagulogram;
general urine analysis;
Ultrasound of the pelvis (girls, men usually do not do ultrasound).

It follows that all the tests on the way to IVF will have to be passed quickly. Invalid tests are not accepted by doctors. All this is just the beginning. What tests are needed for IVF? OMS or paid - it's not so important. As already mentioned, couples must go through the same tests in one case or another.

Hormones for women

All of the above tests are required for both men and women. Girls will have to check their health for a variety of hormones. Therefore, everyone should clearly know what kind of tests to take.

Among the studies on hormones for women are:

testosterone;
estrogen;
FG and LG;
prolactin;
thyroid stimulating hormone;
dehydroepiandrosterone sulfate;
antibodies to thyroid peroxidase;
thyroglobulin (antibodies).

For women

What tests are needed for IVF for women? Of course, it is necessary to pass all the previously listed studies. But this is not enough.

In addition, girls need to pass:

analysis for ;
microscopic examination of a vaginal smear for sensitivity to antibiotics;
analysis for chlamydia;
blood for CMV detection;
blood for ureaplasma;
a smear from the cervix to detect atypical cells;
blood for the presence of antibodies to rubella;
analysis for STIs;
blood test for coagulation and glucose;
mammogram;
fluorography.

Additional tests will have to be prescribed by the attending gynecologist, depending on the situation. Most often, women have to go through an examination by a gynecologist on an armchair. This standard procedure is mandatory.

men

Men also have a separate list of studies. They must pass all the previously listed tests, with the exception of women. Additional studies they will have will be different from those through which the girls go through.

What tests are needed for IVF for CHI or for a fee for men? The strong half of society, as a rule, rents:

spermogram;
blood test for antisperm bodies;
(from urethra);
hormone tests (testosterone, lactogenic hormone, sex steroid that binds globulin, LH, FG, thyroid-stimulating hormone);
fluorography;
check for syphilis, CMV, rubella, chlamydia.

You can usually end up with this. All additional studies are prescribed by the attending physician. Basically, consultation with a urologist and gynecologist is required.

In outline

In fact, understanding what tests are needed for IVF is not as difficult as it seems. In general, the list of ongoing studies is not much different from the tests that a couple takes when planning a pregnancy.

If you are interested in a list of ongoing studies in general terms, it will look like this:

general analysis of urine and blood;
blood chemistry;
check for rubella, CMV, chlamydia;
testing for sexually transmitted infections;
hormone tests (male and female);
checking the patency of the fallopian tubes;
spermogram;
determination of blood group and Rh factor;
examination for CHI (men);
swab from the vagina (girls) and urethra (boys) to check for infections;
fluorogram;

As a rule, the delivery of blood and urine tests occurs immediately for all of the listed studies. Ultrasound, ECG and fluorogram are performed separately. Smears for certain studies are also given separately, usually during an examination by a specialist. Now it is clear what tests are needed for IVF according to the quota. In fact, with proper preparation, you can very quickly cope with the task - the passage of research.

Clinical examination

Another small nuance - before IVF, a couple must fully check their health. Therefore, these analyzes are usually not enough. In addition to them, it is necessary to go through a number of narrow specialists. This process is called dispensary.

It is clear what tests are needed before IVF. And which specialist doctors to visit before the procedure? Among them are:

therapist;
gynecologist;
urologist;
neurologist;
surgeon
dentist (especially important for women);
Laura;
oculist (mainly for girls).

Now it is clear what tests are needed for IVF. And what will a couple have to go through before artificial insemination. This is far from the easiest process. He will have to be carefully monitored.

Men have one big advantage over women when diagnosing infertility: the examination is much faster and painless for them (and many women know how important this is for impatient men!)

Therefore, the first analysis that is carried out if infertility is suspected is a spermogram. Based on its results, the doctor can quickly draw a conclusion about the state of men's health. The doctor evaluates the quality of sperm - the volume and number of sperm in the ejaculate, their mobility, the ability to move in the "right direction". Morphological analysis allows you to assess the correctness of the structure of male germ cells.

If the spermogram shows deviations from the norm, the doctor will immediately be able to prescribe a course of treatment. In many cases, this is a course of oral medications to be taken over a period of several months. And, as the experience of fertility doctors shows, very often after a course of treatment, a married couple can conceive their baby as soon as possible.

Preparing for IVF for a man

However, it also happens that conservative methods of treatment are not successful. Here, both the female factor of infertility and disorders in the male reproductive system can have a negative impact (in about 40% of cases). Certain pathologies of sperm (teratozoospermia, azoospermia) do not leave a chance for the fertilization of an egg by a sperm in natural conditions.

In such a situation, the methods of assisted reproductive technologies – in vitro fertilization (IVF) and its variety ICSI (sperm injection into the oocyte cytoplasm) – will help an infertile couple become parents. The latter method gives excellent results in severe male factor infertility, since artificial conception in this way requires a single male gamete of proper quality.

However, the correct preparation of a man before IVF and IVF ICSI does not differ in its main stages. The final task of the future dad is to donate his genetic material at the right time for “in vitro conception”. This happens on the same day and hour when the expectant mother undergoes a follicle puncture to obtain oocytes suitable for fertilization. What measures can future parents take so that the preparation gives its result - successful fertilization on the first attempt?

Reviews and a forum where users talk about how they prepared for the in vitro fertilization procedure and what results they got, clearly show that each case is completely individual. It is impossible to transfer a technique that worked for one infertile couple exactly to another - and expect an equally effective result.

Preparation for IVF for a man, like a woman, includes two aspects - physical and psychological. On the "physical level" a man should:

follow the doctor's prescriptions (if any) for taking medicines that positively affect the quality of sperm;
if the future dad is prescribed a course of physiotherapy in preparation for IVF, you need to attend the procedures without gaps;
optimize lifestyle: give up bad habits (smoking, drinking alcohol), if any. It is better to refrain from visiting the bath and sauna - overheating has an extremely negative effect on the quality of sperm;
if possible, it is necessary to exclude the influence on the male body of toxins that adversely affect spermatozoa (harmful production, etc.);
it is necessary to prepare a man’s body for IVF by following a certain diet. Certain foods are known to have a positive effect on sperm quality. The diet should be balanced, include the required amount of protein. Vitamin supplements should not be neglected (but the order of their use should be consulted with a doctor).
moderate exercise, without high power loads, will be useful.

No less important is the psychological readiness of the spouses for the in vitro fertilization procedure. It is no secret that many men are wary and hostile about the need to consult doctors about infertility. Reproductive health clinics, among other IVF preparation services, offer couples consultations with a psychologist.

To start preparing for IVF for a man (as well as for a woman), you also need to pass an extensive list of tests. Some of them are mandatory, others are needed only for individual indications. The list of basic tests before IVF includes:

spermogram, usually given once. The analysis makes it possible to evaluate the qualitative and quantitative indicators of sperm and its suitability for conception;
general blood test (group, Rh factor) - given once;
blood test for HIV, syphilis, hepatitis B and C. The expiration date of this test is three months;
PCR blood test for herpes simplex virus antigens, given once;
smear from the urethra for flora (the analysis is valid for six months);
analysis of PCR discharge from the urethra and ejaculate for cytomegalovirus and herpes simplex virus of the first and second types, shelf life - one year;
sowing on ureaplasma, mycoplasma, chlamydia, these analyzes are relevant throughout the year;
the final conclusion of an andrologist is also valid for a year.

If necessary, the doctor prescribes additional tests before IVF for men. The purpose of these examinations is to eliminate possible risks as much as possible and increase the likelihood of success of the artificial insemination program. Among the tests that may be needed for IVF is the MAP test - an analysis for the presence of antisperm antibodies. It is indicated if adherent germ cells were detected in the spermogram. With a positive result of the MAP test, natural conception is impossible, ICSI is indicated.

Men over the age of 35 are required to consult a geneticist and karyotyping. With age, the likelihood of genetic disorders increases, and this analysis must be passed for IVF to clarify the presence or absence of pathologies that can be inherited by the child. If sexually transmitted infections are suspected, an additional PCR study of discharge from the urethra for ureaplasma and mycoplasma is indicated.

In severe pathologies of the male reproductive system (for example, the complete absence of spermatozoa in the ejaculate), a testicular biopsy is performed. In this way, it is possible to identify germ cells suitable for conception in the tissues of the testis or appendages.

Infertile couples are always interested in how long it takes to prepare for IVF. It depends primarily on the state of health of both partners. Both the woman and the man must be able to provide fertile genetic material. In addition, the expectant mother must be able to endure pregnancy and give birth to a baby.

For men, as part of the preparatory period, a course of drugs that improve sperm quality may be prescribed. The duration of taking these funds can be from three months to six months. After the course of treatment, a second analysis of the spermogram is done, on the basis of which the doctor concludes that the sperm is suitable for the in vitro fertilization procedure.

Abstinence before IVF

The intensity of a man's sexual life is reflected in the quality of his ejaculate. Too frequent sexual intercourse leads to the fact that the number of sperm in the seminal fluid decreases, they simply do not have time to mature to the proper condition. Too rare sex life leads to the so-called stagnation of sperm, which is not the best way reflected in its quality.

According to the recommendations of doctors, abstinence before IVF, or rather, sexual life, should correspond to a schedule of about once every three days. Immediately before donating sperm for the in vitro artificial conception procedure, you should abstain from sexual activity.

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When the desired pregnancy does not occur naturally, the spouses always have a chance to conceive a child with the help of the achievements of modern medicine. In order for the doctor to admit a couple to the IVF procedure, they must undergo a certain list of examinations. All tests before IVF are strictly prescribed in the protocols, so the doctor cannot recommend less or more of them than is regulated by law. The list of tests can be expanded taking into account the patient's history and comorbidities.

When pregnancy does not work naturally, you can use the IVF procedure,

What research may be needed before this procedure?

Preparing for IVF can take a long time. Spouses are sometimes unclear why they need this huge list of examinations that they are ordered to undergo. It is important to know that this list is not the desire of a specialist or a reproductive center who wants to earn extra money from unfortunate parents, but a necessary measure. It is a detailed examination of a woman and a man that makes it possible to identify and foresee all the possible problems that may be encountered during IVF.

All tests before IVF can be divided into two groups:

mandatory. All couples rent them. Without the normal results of these examinations, the doctor does not have the right to admit the couple to IVF. They are divided into:

studies for women;
general tests that are prescribed for both men and women;
studies for men, if they plan to use his spermatozoa during IVF.

Additional research. They are prescribed in the presence of concomitant diseases, taking into account the anamnesis of a woman and a man.

In addition to the list of tests, one of the painful issues is the expiration date of the results of the study. Each clinic may have its own requirements for the validity of the results.

Important! Before taking tests, you should take a list where their list and validity periods are prescribed, which are required by a particular medical center. If these data are not available, then all questions can be clarified personally with a clinic specialist, so as not to waste time and money.

Consider the main tests that are most often recommended for couples before IVF. We will also clarify the most commonly used expiration dates for these studies.

This may look like a list of tests before IVF.

Surveys for women

This list of studies is assigned to all women who want to start the IVF procedure, regardless of whose sperm will be fertilized (husband or sperm donor).

General clinical

General blood test (CBC).

The essence of the method: used to determine the composition of blood cells. For research take blood from a finger.

Preparation: not needed, the analysis is taken in the morning on an empty stomach.

Shelf life: 10 -14 days, in some clinics they allow up to a month.

General urine analysis (OAM).

The essence of the method: to determine the functional activity of the kidneys and the state of the urinary system.

Preparation: before delivery, conduct a thorough toilet of intimate organs and blot with a towel. Collect the average portion of urine in the morning.

Validity: 10-14 days, rarely up to a month.

Coagulogram.

The essence of the method: with the help of this analysis, the work of the blood coagulation system is clarified. As a rule, they rent together with the UAC.

Preparation: not needed. If the patient is taking aspirin and other blood-thinning drugs, the doctor should be warned or take a break for a week before donating.

Expiration dates: a month or two.

Blood chemistry.

The essence of the method: donate blood from a vein to find out how the internal organs work.

Preparation: take in the morning before meals. For a few days avoid fried, salty or spicy foods so as not to overload the liver and pancreas.

Validity: 10-14 days, up to a month.

Thyroid ultrasound, and if necessary, the study of the hormones of this body.

Ultrasound of the thyroid gland is performed to clarify its work and the presence of nodes or other neoplasms. If the doctor has doubts, he sends the woman to check hormones. give up on an empty stomach. Before donation, it is necessary to exclude preparations containing iodine. Shelf life from 3 months to six months.

Fluorography or X-ray of the chest.

The essence of the method: check the lungs for the presence of neoplasms using an x-ray.

Preparation: not needed, clothes and jewelry made of metal are removed before the examination.

Validity: within one year.

Inspection of the therapist and ECG.

Execute at the very end. It is carried out to clarify the diagnosis and conclude on indications or contraindications for IVF. For this, the patient comes to the doctor for an appointment with the results of all general clinical examinations. The conclusion of the therapist is valid for six months after.

The last conclusion is given by the therapist about the presence or absence of contraindications to IVF.

Gynecological studies

Ultrasound of the pelvic organs.

Determine the state of the organs of the female reproductive system. Preparation depends on the method of ultrasound: if the organs are examined through the abdomen, then the bladder must be filled. In cases of transvaginal ultrasound, it is emptied.

Shelf life is about a month, but can be reduced according to the requirements of a particular clinic.

Mammography or ultrasound of the mammary glands.

Shows neoplasms or mastopathy of the mammary glands. Valid for a year.

Cytological study.

Allows you to assess the hormonal background and the presence of dysplastic processes in the uterus. Before the analysis, sexual abstinence is recommended for 3-4 days. The validity period of cytology is within six months.

Study of sex hormones.

It explores a whole list of sex hormones, including prolactin, progesterone, follicle-stimulating, etc. The study is carried out on an empty stomach in the morning. A week before donating blood for hormones, they limit sexual and physical activity and avoid stress and overload. Good for 2-3 months.

A smear for microflora.

Allows you to assess the degree of purity of the vagina and the presence of Trichomonas and gonococci, as well as to suspect candidiasis or gardnerellosis.

Preparation: sexual abstinence for 3-4 days, before the smear, the usual toilet of intimate organs is performed with water. Do not use vaginal suppositories, ointments or creams one week before the test.

The result is valid within 10-14 days.

Blood tests and swabs for various infections.

The list of studied infections is clearly regulated. Examine the presence of: gonorrhea, syphilis, herpes, HIV, ureaplasma, chlamydia, etc.

The validity of these studies is from one month to six months.

Determination of antibodies to rubella virus and toxoplasma.

This analysis is necessary to clarify the presence of antibodies to these microbes in order to revaccinate or treat the chronic form of the disease if necessary. Validity of results within six months.

Without normal tests, a woman is not allowed to the IVF protocol.

Tests required for a man

A man needs to be tested if it is planned that he will become a sperm donor for egg fertilization. What research is needed:

Spermogram.

The essence of the method: the study of certain indicators of sperm.

Preparation: abstinence from sexual activity and masturbation for 3-4 days, exclude medication and exposure to heat.

Validity within 3-4 months from the date of delivery.

Blood and smears for urogenital infections.

In men, ureaplasmosis, syphilis, herpes and other infections are determined using a smear or blood test.

The results are good for about a month or three, depending on the clinic.

Analysis (MAP test).

The result of the study is valid for six months.

A man should also undergo a series of tests before IVF.

Research for both partners

Before entering the IVF protocol, both spouses need to go through:

analysis for blood type and Rh factor. The result is valid for life;
are tested for syphilis, HIV, hepatitis B and C, as well as herpes virus types 1 and 2. Shelf life from a month to three.

Additional examinations

According to the indications, a woman can also be prescribed a colposcopy, an examination for antisperm antibodies, a consultation with a geneticist and other studies. A man may be advised to undergo a spermogram, visit a geneticist and an andrologist.

Questions to the doctor

Question: What do you need to pass IVF tests by quota?

Answer: If a couple was examined in a medical institution and received a conclusion with the need to conduct IVF, then they can use the state program and take tests according to the quota. For this, it is necessary that the woman's age be less than 39 years old and she has been diagnosed with a complete need for fallopian tubes. In addition, the couple must have an insurance policy.

Question: Where to get the exact list of tests before IVF. And is it necessary to take them in one place and for a fee?

Answer: To do this, you need to contact the clinic you have chosen for the procedure. Many of the tests can be done free of charge at your clinic, while some require a fee, such as a spermogram. Where to take them is your choice, unless otherwise specified in the clinic's regulations.

The list of necessary tests before IVF at the AltraVita clinic. To exclude contraindications to the IVF procedure and carrying a pregnancy, a married couple is examined.

Print test list Submit test results

Attention! Tests for HIV, hepatitis B and C, syphilis are taken only at the AltraVita clinic upon presentation of a passport.

For woman

once

blood type, Rh factor
determination of antibodies of the Ig M and Ig G class to the rubella virus in the blood - if Ig G is positive and Ig M is negative, then once.
In the absence of immunity to rubella, vaccination is recommended, followed by the determination of antibodies to confirm the development of immunity.

Validity 1 month

clinical blood test
urinalysis
smear on the flora from the urethra and cervical canal and the degree of cleanliness of the vagina

Validity 3 months

Validity 6 months

Validity 12 months

cytological examination of a smear from the cervical canal and cervix
conclusion of the therapist about the state of health and the possibility of carrying a pregnancy, ECG
Ultrasound of the thyroid and parathyroid glands
Ultrasound of the mammary glands (up to 35 years), if pathology is detected - mammography / after 35 years - mammography
expert ultrasound of the pelvic organs

According to indications

study of patency of the fallopian tubes
CA125 before repeat IVF
hysteroscopy, endometrial biopsy (Paipel biopsy) - performed in addition to expert ultrasound to assess the endometrium
blood test for karyotype - once

For a man

once

blood type, Rh factor

Validity 3 months

blood test syphilis (RW), HIV, hepatitis B and C
examination of a smear for flora from the urethra

Validity 6 months

Validity 12 months

molecular biological study (PCR of urethral discharge) for herpes simplex virus type 1.2, ureaplasma urealiticum, cytomegalovirus, chlamydia, mycoplasma genitalium)

According to indications

blood test for karyotype

Before surgery

Validity 1 month

general blood analysis
general urine analysis
hemostasiogram (prothrombin, thrombin time, APTT, fibrinogen concentration)
a smear for flora from the urethra and cervical canal and the degree of purity of the vagina (for women)

Validity 12 months

fluorography or chest x-ray with conclusion
medical consultation, EKG

Consultation of doctors of related specialties according to indications

geneticist
oncologist-mammologist
endocrinologist
psychiatrist
infectious disease specialist

All couples who decide to have a baby need to know what is needed for IVF. Spouses should follow a healthy lifestyle, eat foods rich in vitamins and minerals, and, if possible, exclude alcohol and smoking. They also need to be tested before planning a pregnancy. This will identify and solve existing health problems at the preparatory stage. However, in some cases, conception in a natural way is not possible. In this case, you can contact the AltraVita Center for Reproductive Technologies.

You should be aware that some studies need to be taken, given certain rules. For example, when preparing for IVF, hormone tests should be taken on a certain day of the cycle - it is better to check with specialists about this. In addition, during some examinations it is necessary to exclude physical activity and sexual relations. Tests before artificial insemination must be taken by both partners. In addition, the list of necessary studies depends on the age of patients and comorbidities. For example, people who have among their relatives patients with diseases that are inherited must undergo a genetic examination. There are many nuances that can affect the result, so before taking the tests, you should consult with a specialist.

Artificial insemination is a rather complicated procedure, so a married couple who decides to use the help of the clinic's specialists must thoroughly prepare for conception. To do this, first of all, you should pass tests for IVF.

What tests are needed for IVF?

Examination before pregnancy should include the usual set of dispensary activities, such as a consultation with a general practitioner, general clinical examinations, and specialized examinations for women and men, such as smears for genital infections.

If a couple suffers from infertility and plans to use ART, then the examination before IVF includes a more extended list. Women are often asked to donate blood for FSH, AMH and other female sex hormones. Men with infertility are advised to be tested for ICSI. A complete list of tests for IVF and preparation for ICSI is presented below and is available for printing.

After receiving the results of a complete examination of the couple, the doctor will determine the time when IVF can be done. To exclude contraindications to the procedure and carrying a pregnancy, a survey of a married couple is carried out.

First of all, patients are invited to undergo an initial consultation with a reproductive specialist, during which a plan is drawn up for examining and correcting the identified violations as part of pregnancy planning. The doctor will also determine which tests for artificial insemination need to be taken. Allocate a mandatory examination (in accordance with the order of the Ministry of Health of the Russian Federation of August 30, 2012 No. 107n “On the procedure for the use of assisted reproductive technologies, contraindications to their use”) and examination according to indications.

IVF is a rather costly and often long procedure.

In preparation for it, it is necessary to exclude as much as possible the influence of various unfavorable factors on the part of the health of a married couple. Therefore, preparation for the procedure includes a thorough and complete examination of the health status of both partners. There is a list of tests for IVF that a married couple must undergo before this procedure.

Before the IVF procedure, the couple is consulted by a doctor who provides information not only about what tests are needed before IVF, but also talks about the course of the procedure and possible risks. In order to have a complete picture of the health of a married couple, it is important for the doctor to know about hereditary diseases that have occurred in the families of relatives. Spouses are encouraged to find out if there have been cases of miscarriages or the birth of a child with genetic abnormalities. After anamnesis, the doctor makes a list of tests before IVF. Depending on the clinical situation, the doctor may recommend additional tests and studies.

List of IVF tests given by a woman and their expiration date

What tests for IVF are mandatory?

blood test for HIV, RW, hepatitis "A" and "C";
determination of the Rh factor and blood group.

Hormonal tests

Gonadotropic hormones given on the 3rd-5th day of the menstrual cycle:

follicle stimulating hormone (FSH);
luteinizing hormone (LH);
estradiol;
prolactin;
growth hormone (STH);
progesterone (surrendered on the 20-25th day of the cycle);

Tests for sexually transmitted infections required for IVF: chlamydia, toxoplasmosis, gardnerellosis, ureaplasmosis, trichomonas, herpes, mycoplasmosis, candidiasis, cytomegalovirus, gonorrhea.
All of the above analyzes have a validity period of 3 months.

The following tests are only valid for 1 month and must be retaken after this time:

urinalysis (on an empty stomach, in the morning);
clinical and biochemical blood tests;
blood test for toxoplasmosis IgM and Ig G;
blood test for clotting rate (on an empty stomach, in the morning);
blood test for rubella IgM and Ig G;
blood test for tumor markers CA15-3, CA19-9, CA125;
microbiological analysis for the sensitivity of microorganisms to antibiotics.

Also, a woman is required to undergo a series of examinations:

electrocardiography;
fluorography;
cytological examination of the cervix (smear to detect atypical cells).

A woman needs to get advice from a therapist and, if necessary, other specialists - an endocrinologist, a mammologist.

List of IVF tests required for a man

general urine analysis
blood test for group group and Rh factor;
blood test for HIV, syphilis (RW), hepatitis "A" and "C".
spermogram (in the clinic on an empty stomach) for:
- control of sperm motility in a portion of semen;
- MAR-test (presence of antisperm antibodies);
- the presence of leukocytes and their number in a portion of semen;
smear and blood for urogenital infections (the list of infections is similar to that in women).
biochemical blood test (bilirubin, AST, ALT, GGG, creatinine, urea, glucose).
blood test for hormone levels (must be taken in the morning on an empty stomach):
- LG
- FSH
- Prolactin
- Testosterone
- T3 (triiodothyronine)
- Estradiol
- TSH (thyroid stimulating hormone)
- DGA-S
- T4 (Thyroxine)

Also, a man should get a consultation from a urologist-andrologist and have his conclusion to this list of tests.

In some cases, additional documents and analyzes may be needed (including according to the quota): hysteroscopy, endometrial biopsy, MAP test, hysterosalpingography, colposcopy, immunogram.

What tests and examinations are needed for IVF for a married couple over 35 years old?

In addition to the list of tests listed above for couples over 35, a genetic examination and consultation are mandatory. It should be noted that the list of analyzes by quota and analyzes by CHI remains unchanged.

genetic research

HLA typing is a study that determines how spouses are compatible or different in antigens. For a proper pregnancy, it is necessary that the antigens of the parents differ. The formed embryo has its own antigens, which are foreign to maternal immunity. The woman's body reacts to the cells of the fetus by launching protective mechanisms that preserve the fetus. If the similarity of the HLA genes of the spouses exceeds the norm, then the fetus is dominated by cells identical to the cells of the mother. The immune system of a pregnant woman recognizes the fetus as a foreign agent and destroys it. As a result, a miscarriage or congenital pathologies of the fetus.

Determination of the karyotype. After the doctor has explained what tests to pass before IVF, you should proceed to the delivery of the biomaterial. An important genetic study is the analysis of the karyotype. This study allows you to determine genetic diseases and predict the risk of their occurrence in a child. If one of the parents has a dubious set of chromosomes, there is a risk that the baby will be born mentally retarded.

Diagnosis of hereditary polymorphism. Modern research suggests that inherited thrombophilia can lead to miscarriage, preeclampsia and placental abruption. Even a minimal risk of thrombosis significantly affects the course of pregnancy.

Human chorionic gonadotropin is a specific protein that is produced by the membranes of the embryo during pregnancy. HCG supports the proper development of the fetus. Thanks to the hormone hCG in the female body, the processes that trigger menstruation are blocked. An increase in hCG is an early sign of pregnancy. HCG is a mandatory study, which is included in the general list of tests before IVF. There are times when the hCG test is negative. Such a result can be in the early stages of pregnancy, as well as with pathological attachment of the embryo (in the fallopian tubes). To identify pathological abnormalities of the fetus, hCG analysis is carried out in the period from the fourteenth to the eighteenth week.