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1. Hormone Testing:
a. Wife's thyroid-stimulating hormone (TSH) level within the past year: Abnormalities should be treated and maintained within the normal range.
b. Testosterone (T) levels in polycystic ovaries or polycystic ovary syndrome.
c. Prolactin levels in cases of lactation or menstrual cycle abnormalities.
d. Husband's FSH, LH, T, E2, Prolactin, TSH in cases of moderate to severe semen analysis abnormalities.
2. Tubal Examination:
a. Those at high risk of tubal blockage should undergo hysterosalpingography (HSG).
b. Surgical correction (salpingectomy, tubal reanastomosis, or proximal tubal occlusion) should be considered for hydrosalpinx.
3. Gynecological Ultrasound:
a. Detection of pathology in the womb/endometrial lining/ovaries/fallopian tubes.
b. Calculation of the antral follicle count (AFC) via transvaginal ultrasound to assess the ovarian reserve.
4. Ovarian and Ovulation Function Examination:
Test AMH levels; assess ovulation and menstrual cycle regularity.
5. Body Mass Index (BMI):
For men/women: BMI ≥ 27, weight reduction to a healthy level is advised.
For women: BMI ≤ 18.5, weight gain to a healthy level is advised.
6. Lifestyle Habits:
Both partners should quit smoking and drinking alcohol. Adequate sleep, moderate exercise, and maintaining a positive attitude are recommended.
7. Sexually Transmitted Infection Testing:
Both partners should have a recent STI test report within the past six months, including syphilis, HIV, and chlamydia (IgG and IgA).
8. CBC, Liver and Kidney Function, Blood Coagulation Tests.
9. Varicocele Examination:
Recommended in cases of moderate to severe semen analysis abnormalities.
