Both husband and wife are investigated simultaneously as a couple. After thorough case review wherein essential points of history are noted, investigations begin for both male and female partner.

Husband gives a semen sample after 2-5 days of abstinence (not compulsory) in a clean jar. Semen analysis is the most basic, simple, essential and important test in diagnosing male infertility. Apart from sperm count, motility and morphology semen analysis also helps in diagnosing conditions like infections, anti-sperm antibodies, presence of immotile or abnormal sperm, obstruction, blood or pus in sperm, etc.

For females, the tests include thorough history taking, trans-vaginal scan and certain blood tests. In Ultrasound we would look for the antral follicle count (for ovarian reserve), uterine contour and presence of any lesions like polyps, fibroids, adenomyosis, etc., appearance of any abnormality like fluid in pelvis, hydrosalpinx, etc. The appearance and thickness of the endometrium is also looked into.

Once the results of both male and female testing are out, a couple consultation will be done to decide upon the plan forward.

Anti-Mullerian Hormone is a protein released by growing follicles and in the blood it is a measure of the quantity and quality of remaining potential follicles. More the AMH better the ovarian reserve. AMH declines with age as ovarian reserve also comes down with age. An advantage of AMH test is that it does not vary according to the day of the menstrual cycle, so it could be done any day of the month unlike FSH and LH hormone tests that should be done only on the 2nd or 3rd day of menses.

Having said about its importance, AMH is not the final benchmark for deciding upon the treatment of egg donation. If AMH is low, even then a lot of other factors like patient’s age, antral follicle count in USG, previous treatment outcomes, etc. have to be taken into consideration. Dr Dalal excels in giving results using patient’s own eggs to those women who had been told to go for only egg donation at other centres.

Janini IVF, the best fertility centre in Delhi is fully equipped with most ultra-modern scientific lab equipment and also diagnostic equipment. All blood tests are done in-house and you would not need to go anywhere else. We have a top-rated hi-end ultrasound machine from GE, USA that has 4D and Doppler facilities. Doppler technology in Ultrasound helps in high precision scanning and allows one to see blood flows to key organs like uterus and ovaries. This leads to better decision making in IVF cycles leading to enhanced outcomes.

For male infertility we have a state-of-the-art Andrology laboratory with comprehensive diagnostic facilities. Apart from the full semen analysis, we do have the high-magnification microscope and diagnostic kits to detect anti-sperm antibodies. For those with Azoospermia (zero count) we have markers that can detect whether the case is Obstructive or Non-obstructive Azoospermia.