We provide fertility assessments and investigations that identify any underlying factors that could be preventing you from conceiving naturally.
Fertility assessments fully customised to your needs.
There are a lot of factors that need to be considered in your fertility assessment, in particular, your age, medical history, and lifestyle.
For this reason, we take a ‘problem-based’ approach. Rather than carrying out extensive and expensive tests that may not be necessary, we cherry-pick the most relevant tests for your individual needs to obtain a diagnosis. This means your assessment is fully customised, and you’re able to start your treatment journey at the lowest cost and shortest time.
Our fertility specialists will guide you through this process and ensure the assessment is personalised to your specific needs.
Assessments can include…
In the Fertility Assessments, we will review any existing medical conditions, gynecological history and any known problems, such as
• Menstrual Disturbance
• Ovulatory Irregularities
• Menstrual Cycle
• Past Pelvic Surgery
• Presence of Pelvic Pain
• Difficulties with Intercourse
• Any Symptoms Suggestive Of Other Medical Conditions
If you’ve had fertility treatment before, it is important we review the records of previous treatments and investigations.
We’ll check your height and weight to calculate your BMI. BMI impacts on fertility in different ways. If it’s too high or too low, it may influence your ability to conceive.
A full physical examination also includes an internal pelvic examination to identify physical problems causing infertility, such as a large fibroid and a fixed position womb suggestive of scarring of the tubes. Sometimes tender nodules can be felt which indicate the presence of endometriosis.
It is rarely necessary to examine men unless the semen analysis is abnormal. Examination concentrates on detecting small volume testicles or a condition called varicocele, where dilated testicular blood vessels lead to overheating of the testicles.
Semen analysis is an essential part of fertility testing. Semen is analysed under a microscope for abnormalities in sperm concentration (count), motility (movement) and morphology (appearance).
An assessment of your womb, ovaries and fallopian tubes by ultrasound will be performed to check for anything that could be preventing conception and implantation.
We check the shape, size, and regularity of the womb, as well as the appearance of the ovaries and the number of potential eggs that are available.
SonoHSG is a simple outpatient examination to assess the patency of the Fallopian tubes which involves instillation of a special solution to outline the womb cavity and fallopian tubes.
Blood tests can include a full hormonal profile which tests Follicular Stimulation Hormone (FSH), Luteinising Hormone (LH), Prolactin, Oestradiol levels. This isn’t necessary for women with regular menstrual cycles.
For couples with recurrent pregnancy losses or IVF failures, it may be necessary to screen your chromosome make-up (karyotyping) and immune system (antiphospholipid syndrome screen).
For women aged above 38 or suspected to have low ovarian reserves, a blood test called Anti Mullerian Hormone (AMH) is performed. This is the most accurate test available at the moment to assess ovarian reserve and to predicate the type of stimulation protocol needed for IVF.