Assessment of Endocrine-Ovarian Factors
Ovulatory dysfunction is one of the most common causes of female infertility.
It manifests through:
• Anovulation (lack of ovulation)
• Early or delayed ovulation
• Follicular persistence with the formation of ovarian cysts
• Luteal phase insufficiency
Among the endocrine factors that determine ovulation disorders, we can mention polycystic ovary syndrome, thyroid gland dysfunction, excess prolactin secretion, obesity or malnutrition, emotional stress, endometriosis, and premature ovarian function exhaustion.
For the diagnosis of infertility of endocrine origin, we propose the following diagnostic packages:
Package E1: Assessment of Ovarian Reserve
Price 1,780 MDL
Assessment of ovarian reserve is indicated for women who:
• Have fertility issues
• Have reached the age of 35 and want to know their ovarian reserve to “plan” when to become mothers
• Have a family history of premature menopause
• Have undergone surgery on the ovaries
• Have been diagnosed with endometriosis
• Before undergoing In Vitro Fertilization (IVF) procedures.
✓ Ultrasound assessment of the number of antral follicles (AFC)
✓ Value of follicle-stimulating hormone (FSH) on the 3rd day of the menstrual cycle
✓ Value of AMH (Anti-Müllerian hormone)
✓ Consultation with a Reproductive Medicine Specialist:
✓Calculation of the ovarian reserve score
✓Prediction of ovarian response to ovarian stimulation
✓ Recommendations for improving ovarian reserve
Package E2: Ovulation and Fertility Assessment
Price 1,580 MDL
• Diagnosis of female infertility
• Determining the time of ovulation for performing intrauterine insemination
• Establishing the conditions for carrying out IVF in a natural cycle.
✓ Ovulation ultrasound monitoring (3 ultrasounds included)
✓ Luteal phase progesterone test
✓ Prolactin level
✓ Consultation with a Reproductive Medicine Specialist:
✓ Determining if the menstrual cycle is ovulatory
✓ Determining the time of ovulation, parameters of the ovulating follicle, and endometrial thickness
✓ Diagnosing the insufficiency of the follicular and luteal phases of the cycle
✓ Developing a treatment plan.
Package E3: Polycystic Ovary Syndrome
Price 1,380 MDL
• Diagnosis of polycystic ovary syndrome
• Differential diagnosis between ovarian hyperandrogenism and adrenal hyperandrogenism
✓ Pelvic ultrasound
✓ Hormonal tests:
• FSH (follicle-stimulating hormone) • LH (luteinizing hormone) • DHEAS (dehydroepiandrosterone sulfate) • Testosterone
✓ Consultation with a Reproductive Medicine Specialist
Package E4: Thyroid Gland Dysfunction
Price 1,120 MDL
• Screening for thyroid gland pathology
• Infertility of endocrine origin (anovulation, luteal phase insufficiency).
✓ Thyroid gland ultrasound
✓ Hormonal tests:
• TSH (Thyroid Stimulating Hormone)
• FT4 (Free Thyroxine)
• Anti-TPO (Anti-thyroid peroxidase)
✓ Endocrinologist consultation.