General Screening

A FullBlood Count (FBC) is a blood test used to evaluate your overall health and detect abnormalities in your blood; including anemia, infection and leukemia.

The components measured includes:

  • Red blood cells (contains Hemoglobins)
  • White blood cells (fight infections)
  • Hemoglobin (an oxygen-carrying protein in red blood cells)
  • Hematocrit (the proportion of red blood cells over plasma in your blood)
  • Platelets(helps with blood clotting)

Abnormal increases or decreases in cell counts may indicate that you have an underlying medical condition that calls for further evaluation by a Hematologist.

There are four main blood groups/ types; A, B, AB and O. Your blood group is determined by the genes inherited from your parents.

Your blood group can also be either Rhesus(Rh) D positive or Rhesus(Rh) D negative, which means your blood group can be one of the eight types listed below.

  • A RhD positive (A+)
  • A RhD negative (A-)
  • B RhD positive (B+)
  • B RhD negative (B-)
  • O RhD positive (O+)
  • O RhD negative (O-)
  • AB RhD positive (AB+)
  • AB RhD negative (AB-)

Healthy people are often tested for hepatitis B infection because the virus can damage the liver before causing any signs and symptoms.

RPR (rapid plasma reagin) / VDRLis a screening test for syphilis. It looks for antibodies that are present in the blood of people who may have the disease.

The human immunodeficiency virus (HIV) causes HIVinfection and acquired immunodeficiency syndrome (AIDS). AIDS is a condition in which progressive failure of the immune system allows life-threatening opportunistic infections and cancers to thrive in the human body.

Hepatitis C is caused by the hepatitis C virus (HCV). It is an infectious disease affecting the liver. The infection is often asymptomatic. However, chronic infection can lead to scarring of the liver and ultimately lead to cirrhosis, which is sometimes only apparent after many years. Sometimes, those with cirrhosis will go on to develop liver failure, liver cancer, or life-threatening esophageal and gastric varices.

This test will be done if your health care provider suspects that you have a disorder caused by abnormal forms of hemoglobin (hemoglobinopathy).

Many different types of hemoglobin (Hb) exist in our bloodstream. The most common ones are HbA, HbA2, HbF, HbS, HbC, Hb H, and Hb M. In healthy adults HbA and HbA2 is prevalent.

Some people may also have small amounts of HbF; the main type of hemoglobin in an unborn baby’s body. Certain diseases are associated with high HbF levels (when HbF> 2% of the total hemoglobin).

HbS is an abnormal form of hemoglobin associated with sickle cell anemia. People who have sickle cell anemia have a crescent or sickle shape blood cells amid other normal red blood cells. These sickle shaped red blood cells can easily break down and cause blockage of smaller blood vessels.

HbC is an abnormal hemoglobin associated with hemolytic anemia. The symptoms are much milder than they are in sickle cell anemia.
Less common, abnormal Hb molecules usually cause anemias.

Hormone Assays

Hormone assays are usually measured during the diagnostic stage of a fertility treatment:

FSH, an important indicator of women’s ovarian reserve. Abnormally elevated FSH levels are associated with poor ovarian reserve. This means the chances of getting good quality eggs from the ovaries are reduced. At level above 9 mIU/ml, the ovarian reserve is reduced. When a woman menopause, the FSH levels are very high, more than 20 mIU/ml.

LH, when the levels of LH are high in relation to FSH, it indicates that the patient has polycystic ovary suyndrome (PCOS). In PCOS, the ratio of LH:FSH is more than 2:1.

AMH, anti-Mullerian Hormone is a good indicator of ovarian reserve. Value less than 1 indicates poor ovarian reserve.

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