- Our Services
COMPREHENSIVE FERTILITY INVESTIGATIONS BEFORE IUI AND IVF
Successful IUI treatment begins with proper fertility assessment.
At Lafemme Healthcare Fertility Clinic, we strongly recommend fertility investigations for both partners to maximize treatment success and identify any correctable causes of infertility.
These investigations help us:
Optimize ovulation
Improve egg quality
Assess sperm quality
Confirm healthy fallopian tubes
Optimize the uterine lining (endometrium)
Improve pregnancy success rates
FOR WOMEN
1. HORMONAL PROFILE TESTS
These tests evaluate ovarian reserve, ovulation potential, and hormonal balance.
Test
Best Timing
- FSH, LH & Estradiol (E2) – Cycle Day 2ā5
- AMH (Anti-MĆ¼llerian Hormone) – Any day of cycle
- Prolactin – Morning preferred
- TSH (Thyroid Function) – Any day
- Progesterone – 7 days after ovulation
Preparation
- Preferably done in the morning
- Inform doctor of hormonal medication use
- Avoid excessive stress where possible
2. PELVIC ULTRASOUND SCAN
Best Timing
Cycle Day 2ā5
This scan helps assess:
- Ovarian reserve (Antral Follicle Count)
- Fibroids
- Ovarian cysts
- Endometrial lining thickness
- Polycystic ovaries
- Adenomyosis
3. FALLOPIAN TUBE ASSESSMENT (VERY IMPORTANT FOR IUI)
Since fertilization in IUI occurs naturally within the fallopian tube, at least one healthy open tube is essential.
Recommended tests may include:
HSG (Hysterosalpingogram)
OR
HyCoSy (Hysterosalpingo-Contrast Sonography)
Best Timing
Cycle Day 6ā10
(After menstrual bleeding stops but before ovulation)
Preparation
ā Abstain from intercourse before the procedure
ā Inform doctor of iodine/contrast allergy
ā Mild pain medication may be advised beforehand
Ā
4. INFECTION SCREENING
May include:
- HIV
- Hepatitis B
- Hepatitis C
- Syphilis
- Vaginal/cervical infection screening
5. METABOLIC & WELLNESS TESTING
Where indicated:
- Blood sugar assessment
- Insulin resistance testing
- Vitamin D levels
- Weight optimization screening
- Fasting Requirement
Some tests require:
6ā8 hours fasting
Your doctor will advise.
For men
1. SEMEN ANALYSIS
This is one of the most important investigations before IUI.
The test evaluates:
ā Sperm count
ā Sperm movement (motility)
ā Sperm shape (morphology)
ā Infection indicators
IMPORTANT ABSTINENCE REQUIREMENT
Abstain from ejaculation for 2ā5 days before semen analysis
Avoid:
ā More than 7 days abstinence
ā Excess alcohol intake before test
ā Fever or illness where possible
2. SPERM DNA FRAGMENTATION TEST
May be recommended if:
- Recurrent fertility failure
- Poor sperm quality
- Recurrent miscarriages
- Poor embryo quality history
3. HORMONAL TESTING IN MEN
Where indicated:
- Testosterone
- FSH
- LH
- Prolactin
ENDOMETRIAL OPTIMIZATION FOR IUI SUCCESS
The endometrium (lining of the womb) is where implantation occurs after fertilization.
Healthy implantation requires:
Ā Good lining thicknessĀ Good blood supplyĀ Hormonal balanceTarget Endometrial Thickness
Most successful IUI cycles aim for:
7ā14 mm lining thickness
How We Optimize the Endometrium
Hormonal Support
Where necessary:
Estrogen support
Progesterone support
Blood Flow Optimization
May include:
Ā HydrationĀ ExerciseĀ Selected medications where indicatedTreat Underlying Conditions
Such as:
- Polyps
- Fibroids affecting the uterine cavity
- Chronic endometritis
- Adenomyosis
FALLOPIAN TUBE OPTIMIZATION
- Healthy tubes
- significantly improve IUI success.
- Tubal Health Strategies
- Treatment of Pelvic Infection where infection is identified.
- Hydrosalpinx Management
Fluid-filled damaged tubes may negatively affect fertility and may require treatment.
Lifestyle Protection
Avoid:
ā Smoking
ā Untreated sexually transmitted infections
IMPORTANT REMINDER
IUI success improves when:
Healthy Eggs + Healthy Sperm + Open Tubes + Healthy Endometrium + Correct Timing work together.
At Lafemme Healthcare Fertility Clinic, we optimize every step to maximize your pregnancy chances.