Exams and preparation for IVF cycle

Both partners are concerned by fertility treatment. The couple will undergo clinic exam as well as examinations. No invasive examination should take place until the basic investigations, less invasive, have been performed. This step is essential for the success of the treatment and for the right choice of the IVF protocol. Some explorations can be done in the home country. Others can be done in Tunisia before the start of the IVF cycle.

Exams and preparation for IVF

IVF treatment: What are the diagnosis ART or IVF for the woman?

Age of the woman is important. Chances of success for IVF decrease drastically with age. Over the age of 42, a woman’s chances of getting pregnant with her own eggs are low. In addition to the hormonal assessment, the evaluation of the woman may include one or more of the following examination:

Vaginal ultrasound

Vaginal ultrasound is a simple and effective examination that has become an important part of the infertility assessment. It determines the uterine volume, looks for uterine myomas, endometrial polyps, evaluates the endometrium, etc. It specifies the size and appearance of the ovaries, their possible micropolycystic aspect and allows the counting of astral follicles, an essential witness of the ovarian reserve.

Hysterosalpingography HSG

Hysterosalpingography HSG is an important complementary examination for IVF. This X-Ray procedure is used to see the morphology of the uterine cavity and to detects a uterine malformation, a synechia, an intra-cavity polyp or fibroid, a uterine septum… It allows to check the permeability of the tubes, and may reveal the existence of a hydrosalpinx or poor peritoneal diffusion of the contrast medium. In this case, an IVF cycle is often recommended.

Diagnostic hysteroscopy

Diagnostic hysteroscopy has gradually taken on an important role in the assessment of fertility. It is a simple examination that can be performed on an outpatient basis to diagnose problems of the uterus. It is proposed on the basis of clinical or ultrasound signs systematically in the assessment of fertility and in particular in the assessment prior to an IVF procedure.


Laparoscopy is used to inspect the uterus, ovaries and fallopian tubes and to evaluate their patency and mobility. It checks also the pelvic peritoneum and the douglas. It can be used to correct an abnormality (adhesion lysis, removal of a cyst, electrocoagulation of endometriosis foci etc.). Laparoscopy is proposed whenever there is a doubt about the state of the tubes or if endometriosis or pelvic adhesions are suspected.

IVF treatment: What are the IVF diagnosis for men?

Semen analysis is part of the assessment of the infertile man. It gives valuable information on the quality of sperm. The fertility specialist may ask for complementary examinations and chose the therapeutic approach accordingly.
Semen analysis can indicate several cases:


 Oligospermia, or a lower-than-normal sperm count, is a major topic of concern in the realm of reproductive health. It can significantly impact male fertility and the ability to conceive, making it a pressing issue for individuals and families alike. When a man has oligospermia, it means that there is a lower amount of sperm present in his semen sample than what is considered the standard for optimal fertility. To determine this condition, a crucial process called semen analysis is often performed as part of assessing the man’s reproductive health.

There are multiple variables that can play a role in oligospermia, with lifestyle choices, environmental factors, and underlying medical conditions all potentially contributing. Unhealthy habits like smoking, heavy alcohol consumption, and a lack of physical activity have been linked to decreased sperm production. Additionally, exposure to certain chemicals and pollutants in the environment can also play a part. It’s worth noting that oligospermia alone does not guarantee infertility, as conception can still occur with a lower sperm count. However, the odds of successfully achieving pregnancy may be lower than usual and may require more time.

When it comes to tackling oligospermia, certain lifestyle adjustments may need to be made, such as incorporating nutritious foods, keeping active, and steering clear of harmful substances. Depending on the severity, medical interventions, such as hormone therapy or assisted reproduction techniques, may be suggested.
As we maneuver through the intricacies of oligospermia, it becomes clear that identifying and tackling the underlying issues of this condition are crucial. By advocating for a holistic approach to male reproductive health, we can empower individuals to make educated decisions that have a positive effect on fertility and overall wellness.


 Cryptozoospermia is a complex condition where, upon direct examination, no spermatozoa are found, yet intriguingly, some are present after centrifugation. This adds a fascinating twist to our understanding of male infertility.At first glance, the absence of visible sperm may raise worries about fertility problems. However, the subsequent identification of sperm cells through centrifugation adds a layer of complexity to the diagnosis. This underscores the crucial role of advanced laboratory methods in evaluating male reproductive health.When cryptozoospermia is present, the amount of sperm may be too low for traditional examination techniques to accurately identify their presence. However, by using centrifugation, these elusive sperm can be brought to visibility, presenting a promising option for assisted reproductive technologies.Delving into the intricacies of cryptozoospermia not only challenges our conventional understanding of male fertility, but also emphasizes the necessity for comprehensive diagnostic strategies. With researchers and healthcare professionals passionately exploring tailored interventions and treatments, this captivating aspect of fertility sheds light on the complex nature of this condition.As we explore the intricate realm of reproductive health, cryptozoospermia acts as a poignant reminder of the intricate balance between science and medicine. It serves as a catalyst for us to consistently hone our approaches and expand our understanding, in order to unearth breakthroughs for individuals struggling with fertility issues.


Recent developments in medical technology have changed the longstanding belief that azoospermia, a condition where spermatozoa are not present upon direct examination or centrifugation, results in permanent infertility. Thanks to a procedure called testicular sperm aspiration (TESA), viable spermatozoa can now be extracted in cases of azoospermia. Additionally, new techniques for freezing sperm have greatly improved the outlook for those with this condition.


When other treatments are ineffective, In Vitro Fertilization (IVF) becomes a captivating option in the realm of fertility treatments. In certain cases, IVF is the initial recommendation. Our devoted specialist in infertility treatment, Dr. Mahmoud KHAROUF, conducts a thorough evaluation of each case to offer customized examinations and IVF methods best suited to the couple’s unique requirements.

After the complete diagnosis and the study of the pre IVF assessment

After conducting a comprehensive diagnosis and thorough pre-IVF assessment, Dr. Mahmoud KHAROUF’s team strongly recommends an In Vitro Fertilization (IVF) cycle, also known as Assisted Reproductive Technology (ART). This highly effective approach not only eliminates the need for costly treatment abroad, but also streamlines the medical journey, saving both time and money. By opting for this method, individuals can better manage their budget for medical expenses and experience a more efficient and successful fertility treatment journey.

How to prepare your IVF medical trip?

The aim of this diagnostic and preparation phase is to check whether there is anything that may hinder fertility. Hence, the couple undergoes IVF procedure under the best conditions.

Examinations that constitute the IVF

Prior to beginning the IVF process, couples must undergo a comprehensive series of evaluations to determine their fertility levels. These examinations are an essential aspect of the IVF assessment, aimed at identifying any potential obstacles and gaining a comprehensive understanding of each couple’s unique situation. The best part? These evaluations can be conveniently completed in the comfort of their own home country.

After giving indication for IVF

After carefully assessing the needs of our patients and determining the most suitable IVF methods, our skilled fertility specialists at Tunisia Medical Travel ensure that the wife is fully prepared for the upcoming IVF procedure. This essential stage gives couples peace of mind as they embark on their medical journey, knowing they are fully equipped for what lies ahead.

After we receive your medical records

To get started with your IVF journey, simply complete the online IVF form once you have received confirmation. Our team at Tunisia Medical Travel will then carefully review your medical records, providing customized support and advice for the next steps. You can trust that our dedicated team will keep you updated and supported every step of the way.

About us

Tunisia Medical Travel TMT specializes in arranging medical value trips to Tunisia. We provide comprehensive support to our international patients throughout their entire journey, guiding them to the most suitable specialists and facilities based on their specific medical conditions.

Contact us

Residence Yasmine du Lac,  Tunis, Tunisia

(+216) 22.960.337


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