Connie Rees

cxxvi o In the case of a family history of premature ovarian insufficiency: AMH and antral follicle count will be assessed - Laboratory tests: Chlamydia antigen test and thyroid function (TSH), and virusscreening (Hepatitis B & C, HIV, HTLV) o In case of oligo- or a-menorrhoea: LH, FSH, Prolactin, Testosterone, progesterone, oestradiol - A hysterosalpingography will be carried out in the case of positive history (or active) chlamydia or pelvic inflammatory disease (PID) , or absence of pregnancy with unexplained fertility Based on the results of these tests and investigations, if possible, a likely cause for infertility will be found, which will influence further treatment. In the case of unexplained infertility, a Hunault score will be calculated in decide management. For a couple to be eligible specifically for IVF or ICSI treatment, the following criteria must be met: - Maternal age under 42 - Women with unexplained fertility <38 years, with a minimum of 6 failed IUI’s - Women with unexplained fertility >38 years regardless of number of IUI attempts - Severe male factor (VCM score <3) - HSG-confirmed tubal infertility - An- or Dys-ovulation - No contraindication for IVF treatment of pregnancy o Including moral/ethical contraindications

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