Стандарт обследования перед проведением ЭКО

Для заметок   Анализы крови (сдавать натощак, с 8.00 до 10.00)                                    Сроки
  1 Определение основных групп крови (А, В, 0). Определение резус-принадлежности бессрочно
  2 Общий анализ крови 1 месяц
  3 Анализ крови биохимический общетерапевтический (общий белок, мочевина, креатинин, билирубин общий и прямой, глюкоза, АЛТ, АСТ, холестерин) 1 месяц

 

  4 Гемостазиограмма 1 месяц
  5 Исследование на маркеры вирусного гепатита В, вирусного гепатита С, исследование на ВИЧ-инфекцию 3 месяца
  6 Определение антител к бледной трепонеме в крови (RW) 3 месяца
  7 Исследование уровня фолликулостимулирующего гормона, лютеинизирующего гормона, общего эстрадиола, пролактина, общего тестостерона, кортизола, антимюллерова гормона в сыворотке крови на 2-4 день менструального цикла. 1 год*
  8 Исследование уровня прогестерона на 19-21 день менструального цикла, натощак 1 год*
  9 Определение антител классов M, G (IgM, IgG) к токсоплазме, вирусу краснухи, вирусу простого герпеса, цитомегаловирусу 1 год
  10 Исследование свободного трийодтиронина (Т3), свободного тироксина (Т4), ТТГ в сыворотке крови 6 месяцев*
  11 Общий анализ мочи (сдается в любой день, кроме менструального цикла) 1 месяц
  12 Мазки из половых путей (анализ сдается в любой день, кроме менструального цикла)  
  13 Мазок из церв. канала и влагалища на флору 20 дней
  14 Цитологическое исследование соскоба с шейки матки методом жидкостной цитологии 1 год
  15 Инфекционное исследование отделяемого из цервикального канала (ИППП):

Ø  на хламидии (Chlamydiatrachomatis), микоплазмы (Mycoplasma genitalium), , цитомегаловирус (Cytomegalovirus), ВПГ 1,2 типа, трихомонада – качественный метод

Ø  уреаплазму (Ureaplasma urealyticum + parvum); вирус папилломы человека (все высокоонкогенные типы) – количественный метод

1 год
    Функциональная диагностика  
  16 Ультразвуковое исследование матки и придатков трансвагинальное (6-8 день цикла), с обязательным определением объема яичников (3 размера) и подсчетом количества антральных фолликулов (исследование должно быть проведено по направлению врача репродуктолога) 1 месяц
  17 Ультразвуковое исследование молочных желез, (дополнительно маммография  после 35 лет) на 8-10 день менструального цикла  1год*
  18 Ультразвуковое исследование щитовидной железы и паращитовидных желез  1год*
  19 Кольпоскопия 1год
  20 Флюорография 1год
  21 ЭКГ 6 месяцев
    Консультации специалистов  
  22 заключение маммолога об отсутствии противопоказаний к ЭКО и беременности 1год*
  23 заключение эндокринолога об отсутствии противопоказаний к ЭКО и беременности 1год*
  24 заключение специалиста кабинета патологии шейки матки (на прием являться с результатами анализа ВПЧ (13 пункт) и цитологического исследования шейки матки (12 пункт). 1год*
  25 заключение терапевта о состоянии здоровья (в том числе по данным последних результатов обследования) об отсутствии противопоказаний к ЭКО и беременности! 1год*

*учитывая возраст, овариальный резерв, сопутствующую патологию и т.д. – окончательное решение по срокам принимает врач

 Супругу

    Анализы крови  
  1 Определение основных групп крови (А, В, 0). Определение резус-принадлежности бессрочно
  2 Исследование на маркеры вирусного гепатита В, вирусного гепатита С, исследование на ВИЧ-инфекцию 3 месяца
  3 Определение антител к бледной трепонеме в крови (RW) 3 месяца
    Мазки из уретры  
  4 Молекулярно-биологическое или микробиологическое исследование отделяемого из уретры:

Ø  на хламидии (Chlamydiatrachomatis), микоплазмы (Mycoplasma genitalium), цитомегаловирус (Cytomegalovirus) – качественный метод

Ø  уреаплазму (Ureaplasma urealyticum + parvum), вирус папилломы человека – количественный метод

1 год
    Анализ спермы  
  5 Спермограмма с определением строгой морфологии сперматозоидов по Крюгеру, (исследование должно быть сделано только в РЦОЗСиР или по направлению врача андролога) 3 месяца
  6 МАР-тест 3 месяца
    Консультация андролога (только РЦОЗСиР) 3 месяца

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  

Дополнительные исследования по показаниям

 

    Диагностика  
    лапароскопия  
    гистероскопия с раздельно-диагностическим выскабливанием или пайпель-биопсия эндометрия (для оценки состояния эндометрия)  
    исследование проходимости маточных труб  
    рентгенограмма черепа, КТ или МРТ  
    кариотипирование  
    Консультации  
    заключение врача кабинета невынашивания беременности  
    заключение генетика  
    заключение инфекциониста (при наличии инфекционных заболеваний, в т.ч. ВИЧ, гепатитов В и С, сифилиса), содержащее диагноз, с указанием стадии заболевания и вирусной нагрузки, заключение об отсутствии  противопоказаний к ЭКО и о возможности нахождения в стационаре акушерско-гинекологического профиля)