{"id":318,"date":"2020-01-27T14:11:15","date_gmt":"2020-01-27T13:11:15","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/specialites\/medecine-de-la-reproduction\/?page_id=318"},"modified":"2021-06-02T12:56:16","modified_gmt":"2021-06-02T11:56:16","slug":"diagnostic-dinfertilite","status":"publish","type":"page","link":"https:\/\/www.chu-poitiers.fr\/specialites\/medecine-de-la-reproduction\/les-techniques-new\/diagnostic-dinfertilite\/","title":{"rendered":"Diagnostic d&rsquo;infertilit\u00e9"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row][vc_column width=\u00a0\u00bb1\/2&Prime; el_id=\u00a0\u00bbmenu1&Prime;][vc_column_text css=\u00a0\u00bb.vc_custom_1579698767382{margin-left: 80px !important;}\u00a0\u00bb]\n<ul>\n<li><a href=\"#t1\">Spermiologie<\/a><\/li>\n<li><a href=\"#t2\">Hyst\u00e9rosalpingographie<\/a><\/li>\n<li><a href=\"#t3\">Hyst\u00e9rosonographie<\/a><\/li>\n<\/ul>\n[\/vc_column_text][\/vc_column][vc_column width=\u00a0\u00bb1\/2&Prime;][vc_column_text css=\u00a0\u00bb.vc_custom_1579622171194{margin-right: 80px !important;}\u00a0\u00bb]\n<ul>\n<li><a href=\"#t4\">\u00c9valuation de la r\u00e9serve ovarienne<\/a><\/li>\n<li><a href=\"#t5\">S\u00e9rologie<\/a><\/li>\n<\/ul>\n<p id=\"t1\">[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column css=\u00a0\u00bb.vc_custom_1579688770623{margin-top: 20px !important;}\u00a0\u00bb][vc_custom_heading text=\u00a0\u00bbSpermiologie\u00a0\u00bb font_container=\u00a0\u00bbtag:h2|font_size:25|text_align:left|color:%236595bf\u00a0\u00bb google_fonts=\u00a0\u00bbfont_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1579689071956{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_separator color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#6595bf\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1579689112112{margin-bottom: 15px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_column_text css=\u00a0\u00bb.vc_custom_1579688740566{margin-top: 0px !important;margin-bottom: 10px !important;border-top-width: 0px !important;border-bottom-width: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb]<em>Analyse des spermatozo\u00efdes : nombre, mobilit\u00e9, vitalit\u00e9 et morphologie.<\/em>[\/vc_column_text][vc_column_text css=\u00a0\u00bb.vc_custom_1579688666959{margin-left: 100px !important;}\u00a0\u00bb]\n<ul>\n<li>Spermocytogramme : analyse de la morphologie des spermatozo\u00efdes<\/li>\n<li>Spermoculture : \u00e9tude bact\u00e9riologique du sperme<\/li>\n<li>Test de migration\/survie : s\u00e9lection des meilleurs spermatozo\u00efdes<\/li>\n<li>Mar-test : recherche d&rsquo;anticorps anti-spermatozo\u00efdes<\/li>\n<li>Test de Hunher : \u00e9tude des spermatozo\u00efdes dans la glaire cervicale apr\u00e8s un rapport<\/li>\n<\/ul>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row gap=\u00a0\u00bb25&Prime;][vc_column width=\u00a0\u00bb1\/3&Prime; css=\u00a0\u00bb.vc_custom_1579690467942{margin-top: 0px !important;border-top-width: 0px !important;padding-top: 20px !important;background-color: #dce7ef !important;}\u00a0\u00bb][vc_column_text]\n<p style=\"text-align: center;\"><strong>Prise de rendez-vous<\/strong><\/p>\n[\/vc_column_text][vc_column_text]\n<p style=\"text-align: center;\">Lundi, mardi et jeudi matin<br \/>\npar t\u00e9l\u00e9phone au<br \/>\n<strong>05.49.44.39.56<\/strong><br \/>\n(d\u00e9lai de 3 \u00e0 4 semaines)<\/p>\n[\/vc_column_text][\/vc_column][vc_column width=\u00a0\u00bb1\/3&Prime; css=\u00a0\u00bb.vc_custom_1579690508342{padding-top: 20px !important;background-color: #dce7ef !important;}\u00a0\u00bb][vc_column_text]\n<p style=\"text-align: center;\"><strong>Documents<\/strong><\/p>\n[\/vc_column_text][vc_column_text]\n<ul>\n<li style=\"text-align: left;\">Ordonnance (obligatoire)<\/li>\n<li>Pi\u00e8ce d&rsquo;identiti\u00e9<\/li>\n<li>Carte de s\u00e9curit\u00e9 sociale et attestation de mutuelle<\/li>\n<\/ul>\n[\/vc_column_text][\/vc_column][vc_column width=\u00a0\u00bb1\/3&Prime; css=\u00a0\u00bb.vc_custom_1579690512391{padding-top: 20px !important;background-color: #dce7ef !important;}\u00a0\u00bb][vc_column_text]\n<p style=\"text-align: center;\"><strong>Avant le recueil<br \/>\n<\/strong><\/p>\n[\/vc_column_text][vc_column_text]\n<p style=\"text-align: center;\">2 \u00e0 8 jours d&rsquo;abstinence (sans \u00e9jaculation)<\/p>\n<p style=\"text-align: center;\">Boire 1L d&rsquo;eau de plus la veille<\/p>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=\u00a0\u00bb.vc_custom_1579690762285{margin-right: 150px !important;margin-left: 150px !important;border-right-width: 0px !important;border-left-width: 0px !important;padding-right: 0px !important;padding-left: 0px !important;}\u00a0\u00bb][vc_column css=\u00a0\u00bb.vc_custom_1579690663324{margin-right: 0px !important;margin-left: 0px !important;border-right-width: 0px !important;border-left-width: 0px !important;padding-top: 20px !important;padding-right: 0px !important;padding-bottom: 20px !important;padding-left: 0px !important;background-color: #bed5ea !important;}\u00a0\u00bb][vc_column_text css=\u00a0\u00bb.vc_custom_1579690722205{margin-right: 0px !important;margin-left: 0px !important;border-right-width: 0px !important;border-left-width: 0px !important;padding-right: 0px !important;padding-left: 0px !important;}\u00a0\u00bb]\n<p style=\"text-align: center;\"><strong>Recueil<\/strong><\/p>\n[\/vc_column_text][vc_column_text css=\u00a0\u00bb.vc_custom_1579690710548{margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-right-width: 0px !important;border-bottom-width: 0px !important;border-left-width: 0px !important;padding-right: 0px !important;padding-bottom: 0px !important;padding-left: 0px !important;}\u00a0\u00bb]\n<p style=\"text-align: center;\">Par masturbation apr\u00e8s avoir bien respect\u00e9 les consignes d&rsquo;hygi\u00e8ne.<\/p>\n<p style=\"text-align: center;\">Votre conjointe peut vous accompagner.<\/p>\n<p style=\"text-align: center;\">Pr\u00e9l\u00e8vements \u00e0 domicile non accept\u00e9s.<\/p>\n<p style=\"text-align: center;\">Les <strong>r\u00e9sultats<\/strong> vous seront envoy\u00e9s, ainsi qu&rsquo;au m\u00e9decin, dans les 2 jours ouvr\u00e9s.<br \/>\nLe laboratoire se tient \u00e0 votre disposition pour toute interpr\u00e9tation.<\/p>\n<p id=\"t2\">[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=\u00a0\u00bbHyst\u00e9rosalpingographie\u00a0\u00bb font_container=\u00a0\u00bbtag:h2|font_size:25|text_align:left|color:%236595bf\u00a0\u00bb google_fonts=\u00a0\u00bbfont_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1579690823144{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_separator color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#6595bf\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1579689112112{margin-bottom: 15px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_column_text css=\u00a0\u00bb.vc_custom_1579691399403{margin-top: 0px !important;margin-bottom: 20px !important;border-top-width: 0px !important;border-bottom-width: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb]<em>Examen radiographique permettant d&rsquo;observer l&rsquo;ut\u00e9rus et les trompes de Fallope.<br \/>\n<\/em>[\/vc_column_text][\/vc_column][\/vc_row][vc_row equal_height=\u00a0\u00bbyes\u00a0\u00bb content_placement=\u00a0\u00bbmiddle\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1579691522903{margin-right: 60px !important;margin-left: 60px !important;}\u00a0\u00bb][vc_column width=\u00a0\u00bb1\/2&Prime; css=\u00a0\u00bb.vc_custom_1579691429468{padding-top: 20px !important;padding-bottom: 20px !important;background-color: #dce7ef !important;}\u00a0\u00bb][vc_column_text css=\u00a0\u00bb.vc_custom_1579691445708{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb]\n<p style=\"text-align: center;\">Examen sous speculum.<\/p>\n<p style=\"text-align: center;\">Mise en place d&rsquo;un cath\u00e9ter ou d&rsquo;une sonde p\u00e9diatrique en intra-ut\u00e9rin.<\/p>\n<p style=\"text-align: center;\">Instillation d&rsquo;un produit de contraste permettant la visualisation de la cavit\u00e9 ut\u00e9rine, des trompes et du brassage p\u00e9riton\u00e9al.<\/p>\n[\/vc_column_text][\/vc_column][vc_column width=\u00a0\u00bb1\/2&Prime;][vc_single_image image=\u00a0\u00bb1057&Prime; img_size=\u00a0\u00bbfull\u00a0\u00bb alignment=\u00a0\u00bbcenter\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1622634951571{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][\/vc_column][\/vc_row][vc_row][vc_column css=\u00a0\u00bb.vc_custom_1579691599254{margin-top: 20px !important;}\u00a0\u00bb][vc_column_text]\n<p style=\"text-align: center;\">Prise de rendez-vous et examen en service de radiologie<\/p>\n<p id=\"t3\">[\/vc_column_text][\/vc_column][\/vc_row][vc_row id=\u00a0\u00bbt3&Prime;][vc_column][vc_custom_heading text=\u00a0\u00bbHyst\u00e9rosonographie\u00a0\u00bb font_container=\u00a0\u00bbtag:h2|font_size:25|text_align:left|color:%236595bf\u00a0\u00bb google_fonts=\u00a0\u00bbfont_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1579691710850{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_separator color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#6595bf\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1579689112112{margin-bottom: 15px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_column_text css=\u00a0\u00bb.vc_custom_1579692052149{margin-top: 0px !important;margin-bottom: 20px !important;border-top-width: 0px !important;border-bottom-width: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb]<em>Examen d&rsquo;\u00e9chographie, r\u00e9alis\u00e9 au 12e jour du cycle, permettant l&rsquo;\u00e9tude des parois de l&rsquo;ut\u00e9rus et de la cavit\u00e9 de l&rsquo;ut\u00e9rus dans l&rsquo;optique d&rsquo;une implantation d&#8217;embryon.<br \/>\n<\/em>[\/vc_column_text][\/vc_column][\/vc_row][vc_row content_placement=\u00a0\u00bbmiddle\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1579692276064{margin-right: 60px !important;margin-left: 60px !important;}\u00a0\u00bb][vc_column width=\u00a0\u00bb1\/2&Prime; css=\u00a0\u00bb.vc_custom_1579692301862{padding-top: 20px !important;padding-bottom: 20px !important;}\u00a0\u00bb][vc_single_image image=\u00a0\u00bb1060&Prime; img_size=\u00a0\u00bbfull\u00a0\u00bb alignment=\u00a0\u00bbcenter\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1622634968205{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][\/vc_column][vc_column width=\u00a0\u00bb1\/2&Prime; css=\u00a0\u00bb.vc_custom_1579692195382{padding-top: 20px !important;padding-bottom: 20px !important;background-color: #dce7ef !important;}\u00a0\u00bb][vc_column_text css=\u00a0\u00bb.vc_custom_1579692212959{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb]\n<p style=\"text-align: center;\">Examen sous speculum.<\/p>\n<p style=\"text-align: center;\">Mise en place d&rsquo;un cath\u00e9ter en intra-ut\u00e9rin.<\/p>\n<p style=\"text-align: center;\">Injection de s\u00e9rum physiologique pendant l&rsquo;\u00e9chographique.<\/p>\n<p id=\"t4\">[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=\u00a0\u00bb\u00c9valuation de la r\u00e9serve ovarienne\u00a0\u00bb font_container=\u00a0\u00bbtag:h2|font_size:25|text_align:left|color:%236595bf\u00a0\u00bb google_fonts=\u00a0\u00bbfont_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1579692405661{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_separator color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#6595bf\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1579689112112{margin-bottom: 15px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_column_text]\n<p style=\"text-align: center;\"><strong>Qu&rsquo;est-ce que la r\u00e9serve ovarienne ?<\/strong><\/p>\n[\/vc_column_text][vc_column_text]\n<p style=\"text-align: center;\">Chaque femme dispose d\u00e8s la naissance d&rsquo;un <strong>capital en ovocytes<\/strong> pr\u00e9d\u00e9fini. Ce stock <strong>diminue<\/strong> au fil du temps.<\/p>\n<p style=\"text-align: center;\">Face \u00e0 un d\u00e9sir d&rsquo;enfant tardif ou des difficult\u00e9s \u00e0 concevoir, une \u00e9valuation de la r\u00e9serve ovarienne est donc g\u00e9n\u00e9ralement pr\u00e9conis\u00e9e. Elle se d\u00e9roule en deux temps :<\/p>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row gap=\u00a0\u00bb30&Prime; equal_height=\u00a0\u00bbyes\u00a0\u00bb content_placement=\u00a0\u00bbtop\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1579874599282{margin-right: 30px !important;margin-left: 30px !important;}\u00a0\u00bb][vc_column width=\u00a0\u00bb3\/5&Prime; css=\u00a0\u00bb.vc_custom_1579874659059{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;background-color: #dce7ef !important;}\u00a0\u00bb][vc_column_text css=\u00a0\u00bb.vc_custom_1579874872456{margin-top: 0px !important;border-top-width: 0px !important;padding-top: 0px !important;}\u00a0\u00bb]\n<p style=\"text-align: center;\"><strong>Bilan hormonal<br \/>\n<\/strong><\/p>\n[\/vc_column_text][vc_column_text]\n<p style=\"text-align: center;\"><em>Par prise de sang<br \/>\n<\/em><strong>Hormone anti-M\u00fcllerienne (AMH) :<\/strong> marqueur de croissance folliculaire, ind\u00e9pendant du cycle menstruel et diminuant au cours du temps.<br \/>\n<strong>FSH ou follicle stimulating hormone :<\/strong> hormone d&rsquo;induction de la croissance et de la maturation des follicules.<br \/>\n<strong>\u0152stradiol :<\/strong> hormone ovarienne qui atteste de la qualit\u00e9 de la s\u00e9cr\u00e9tion ovarienne.<\/p>\n[\/vc_column_text][\/vc_column][vc_column width=\u00a0\u00bb2\/5&Prime; css=\u00a0\u00bb.vc_custom_1579874671754{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;background-color: #bed5ea !important;}\u00a0\u00bb][vc_column_text css=\u00a0\u00bb.vc_custom_1579874956135{margin-top: 0px !important;border-top-width: 0px !important;padding-top: 0px !important;}\u00a0\u00bb]\n<p style=\"text-align: center;\"><strong>\u00c9chographie pelvienne<br \/>\n<\/strong><\/p>\n[\/vc_column_text][vc_column_text]\n<p style=\"text-align: center;\">Il est impossible d&rsquo;\u00e9valuer la r\u00e9serve ovarienne dans sa globalit\u00e9, mais on peut <strong>estimer le stock ovarien \u00e0 un instant T<\/strong> en observant les follicules antraux.<\/p>\n<p style=\"text-align: center;\">Un compte de ces follicules (CFA) est donc r\u00e9alis\u00e9 par voie \u00e9chographique en d\u00e9but de cycle.<\/p>\n<p id=\"t5\">[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=\u00a0\u00bbS\u00e9rologie\u00a0\u00bb font_container=\u00a0\u00bbtag:h2|font_size:25|text_align:left|color:%236595bf\u00a0\u00bb google_fonts=\u00a0\u00bbfont_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1579693214025{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_separator color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#6595bf\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1579689112112{margin-bottom: 15px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_row_inner equal_height=\u00a0\u00bbyes\u00a0\u00bb gap=\u00a0\u00bb35&Prime; css=\u00a0\u00bb.vc_custom_1579698450609{margin-right: 100px !important;margin-left: 100px !important;}\u00a0\u00bb][vc_column_inner width=\u00a0\u00bb1\/2&Prime; css=\u00a0\u00bb.vc_custom_1579697458491{background-color: #dce7ef !important;}\u00a0\u00bb][vc_column_text]\n<ul>\n<li><a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/medecine-de-la-reproduction\/equipe-du-centre-dassistance-medicale-a-la-procreation\/diagnostic-dinfertilite\/male\/\" rel=\"attachment wp-att-429\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-429 alignright\" src=\"https:\/\/www.chu-poitiers.fr\/specialites\/medecine-de-la-reproduction\/wp-content\/uploads\/sites\/28\/2020\/01\/male-143x300.png\" alt=\"\" width=\"36\" height=\"75\" srcset=\"https:\/\/www.chu-poitiers.fr\/specialites\/medecine-de-la-reproduction\/wp-content\/uploads\/sites\/28\/2020\/01\/male-143x300.png 143w, https:\/\/www.chu-poitiers.fr\/specialites\/medecine-de-la-reproduction\/wp-content\/uploads\/sites\/28\/2020\/01\/male.png 244w\" sizes=\"auto, (max-width: 36px) 100vw, 36px\" \/><\/a>Syphilis<\/li>\n<li>H\u00e9patite B et C<\/li>\n<li>VIH<\/li>\n<li>Chlamidia<\/li>\n<\/ul>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/2&Prime; css=\u00a0\u00bb.vc_custom_1579697464543{background-color: #dce7ef !important;}\u00a0\u00bb][vc_column_text]\n<ul>\n<li><a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/medecine-de-la-reproduction\/equipe-du-centre-dassistance-medicale-a-la-procreation\/diagnostic-dinfertilite\/female3\/\" rel=\"attachment wp-att-431\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-431\" src=\"https:\/\/www.chu-poitiers.fr\/specialites\/medecine-de-la-reproduction\/wp-content\/uploads\/sites\/28\/2020\/01\/female3-300x300.png\" alt=\"\" width=\"75\" height=\"75\" srcset=\"https:\/\/www.chu-poitiers.fr\/specialites\/medecine-de-la-reproduction\/wp-content\/uploads\/sites\/28\/2020\/01\/female3-300x300.png 300w, https:\/\/www.chu-poitiers.fr\/specialites\/medecine-de-la-reproduction\/wp-content\/uploads\/sites\/28\/2020\/01\/female3-150x150.png 150w, https:\/\/www.chu-poitiers.fr\/specialites\/medecine-de-la-reproduction\/wp-content\/uploads\/sites\/28\/2020\/01\/female3.png 512w\" sizes=\"auto, (max-width: 75px) 100vw, 75px\" \/><\/a>Syphilis<\/li>\n<li>H\u00e9patite B et C<\/li>\n<li>VIH<\/li>\n<li>Rub\u00e9ole<\/li>\n<li>Toxoplasmose<\/li>\n<li>Chlamidia<\/li>\n<\/ul>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column width=\u00a0\u00bb1\/2&Prime; 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