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3 Cards in this Set

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IVF indications

Tubal insufficiency


Recanalisation of tubal sterilization


Ovarian failure or reduced reserves


Cancer or chemotherapeutic drugs


AIDS in the partner


Risk of transmitting genetic disease to offspring


Surrogacy

TROCARS

Tests for tubal patency

HSG - 1st test


Sonohysterography


Laparoscopy and Chemopertubation with indigo Carmine


Obsolete - Rubins or CO2 insufflation test

Tests for Ovarian reserve

~Basal FSH levels on Day 3 and day 10 after clomiphene citrate Challenge test - best test - >10 IU/L


~Anti mullerian hormone levels - done any time during menstrual period - Qualitative test


~Antral follicular cells count - done in follicular phase - quantitative test -less than 4 follicles


~Inhibin B levels on day 5 <40pg/ml


~ serum estradiol levels on day 3 >70-80ng/ml