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Fertility Investigations

Ultrasound scan

Throughout infertility testing, ultrasound scans provide detail and information on the ovaries, endometrial lining and uterus. The ultrasound helps to evaluate the ovarian reserves, to see the uterine shape in more detail and to see if there is a block in the fallopian tubes. Ultrasound scans work by using high-frequency sound waves which then creates an image of your internal organs. We use these scans before and during treatments to keep tracking what is happening.

woman sat listening to a gynaecologist

HyCoSy

Hysterosalpingo-contrast-sonography (HyCoSy) is a special type of scan used to assess the fallopian tubes.  This is a straightforward procedure which is used to assess the patency of the fallopian tubes using advanced ultrasound to test for common symptoms such as blocked fallopian tubes.

 

HyCoSy can also be used to check for abnormalities of the uterus and ovaries, it’s a much safer alternative to older methods as it does not use X-rays or any kind of radiation. Instead, a foam dye is used to show the inside of the structures and detect any problems.

 

Who is it for

  • Women who would like to test the patency of the fallopian tubes
  • Those who wish to undergo inter-uterine insemination (IUI) are also advised to undergo a HyCosy
  • Patients with endometriosis, pelvic infection or appendicitis
  • Patients with endometriosis

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AMH test

AMH blood tests are carried out as part of a fertility assessment if you are trying for a baby or if you are considering IVF or egg freezing

Anti-Mullerian Hormone (AMH) is a hormone produced by the follicles – egg sacs – that contain all the immature eggs in your ovaries. Every woman has a set supply of immature eggs, which reduces as they age. We can measure your AMH level using a, non-invasive blood test. It gives us a good indication of how many immature eggs you have, this is referred to as your ovarian reserve.

 

AMH and natural conception:

Testing your AMH can help us make informed fertility choices if you are planning a family. As part of a comprehensive fertility assessment, your AMH result – together with other factors – can help us to understand if you may need help to conceive.

 

AMH and IVF:

AMH testing is an important part of the treatment planning process. It gives us a good idea of the egg numbers you might achieve through IVF and allows us to tailor IVF to suit you, so that you have eggs for treatment.

 

AMH and egg freezing:

AMH helps to tell us if egg freezing is suitable for you and if there will be a good number of eggs for preservation. If your AMH level is too low, you will not respond well to ovarian stimulation and will not have many eggs to freeze.

Semen check (Sperm test)

If you’re part of a couple having trouble conceiving it can be very useful for the man to have a sperm test to better understand why this is happening. You can then move forward with more information on your fertility journey.

It’s important to remember that the majority of issues can be overcome simply through lifestyle changes and/or treatment. We are here to help guide you and offer any treatment you may need.

You may have a semen analysis on its own or as part of a couples fertility test.

Semen analysis looks in detail at the sperm count, motility and shape of your sperm and is carried out by our team of highly qualified embryologists.

They will take your sample and look at it under a microscope to record this information. You’ll then get a copy of your results to look over yourself.

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Progesterone test

Progesterone is a hormone that your body produces. Both men and women produce it. In women it’s mainly produced in the ovaries, which means women tend to have more of it.

In men, progesterone is involved in the creation of sperm, or spermatogenesis.

In women, it helps prepare your uterus for a fertilized egg. If you become pregnant, progesterone helps you remain pregnant.

We measure this on day 21 of a 28 day cycle to get the best information so it is often called the 21 day progesterone test.

We can measure the level of this hormone to learn more about what is happening if you are having difficulty getting pregnant. It can help us find out more about ovulation to help manage treatments and further tests.

This test is also used to detect ectopic pregnancy or miscarriage.

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