Fertility assessment FAQs

Q: Who will be assessing my fertility?

A: We have expert clinicians who have a wealth of experience in Fertility Assessment. You will meet a Fertility Consultant in your follow-up appointment, where your results and your treatment options will be discussed in minute detail. We will provide you with a full Fertility Assessment report.

 

Q: Can a single man have a Fertility Assessment?

A: Of course. We are happy to talk to any single man concerned about his fertility potential. You can book a Fertility Assessment appointment, at which you will provide a semen sample. Our fertility specialists will conduct a full semen analysis of the sample and will review the results with you in depth at a follow-up appointment.

 

Q: We are struggling to conceive after having a natural conception.
Will the One-Stop Fertility Assessment give us answers?

A: Yes, in most cases our fertility tests identify the likeliest causes of infertility. Many couples struggle with what we call Secondary Infertility, which is when couples either cannot conceive or can conceive but cannot carry a baby to term after a perfectly normal first pregnancy and birth. In fact, Secondary Infertility is as common than Primary Infertility.

Reasons for Secondary Infertility tend to be the same as for Primary Infertility. It is likely that since you were last pregnant, you or your partner may have had an infection, your egg quality may have declined or your partner’s sperm quality or quantity may not be what it once was. Other common explanations for Secondary Infertility include: endometriosis, pelvic adhesions, uterine fibroids, polyps or ovulation problems.

 

Q: What is AMH?

A: AMH  is the abbreviation for anti-Mullerian hormone. Since AMH is produced only in small ovarian follicles, the level of this hormone is used to measure the size of the pool of potential growing follicles in women. Put simply, AMH blood levels reflect the size of your remaining egg supply or your ovarian reserve.

As a woman gets older, the number of remaining microscopic follicles decreases, as does the AMH and the number of ovarian antral follicles visible on ultrasound.

Women with many small follicles, such as those with polycystic ovaries, have high AMH hormone values and women that have few remaining follicles and those who are close to menopause have low AMH levels. AMH levels do not vary with the menstrual cycle, so we can measure them at any time of the month.

 

Q: What is a transvaginal 3D scan?

A: A standard 2D scanning image shows only a single slice taken through the anatomy at a time, whereas a 3D ultrasound takes a number of 2D images at any one time. These images are used to create spectacular three-dimensional, lifelike pictures of the womb. We use a vaginal probe to take transvaginal 3D scans and it is a standard part of routine gynaecological procedures at our Centre.

 

Q: What is a Saline Infusion Sonogram (SIS)?

A: A Saline Infusion Sonogram (also referred to as Saline Sonography) is a special ultrasound test to check whether uterine cavity (the inside of the uterus) is normal.

 

Q: Why do I need a Saline Infusion Sonogram?

A: Benign or non-malignant uterine growths, such as endometrial polyps or uterine fibroids, can develop in the uterine cavity and create an environment that is hostile for implantation. The sonogram can also identify scar tissue which needs removing. A routine ultrasound scan will identify larger growths, but small ones can only be seen using Saline Infusion Sonography.

 

Q: How is Saline Infusion Sonography performed?

A: The procedure is simple and usually takes just 10 to 15 minutes. A special catheter (about the size of a single strand of spaghetti) is inserted through your cervical canal. An ultrasound scan is performed as a sterile salt-water solution (saline) is injected through the catheter into the uterine cavity. The fluid distends the cavity allowing a good view of the entire inside of the womb.

 

Q: What is HyCoSy?

A: Hystero-Contrast-Salpingosonography (HyCoSy) is a non-invasive ultrasound procedure used to check if the fallopian tubes are open or blocked.

A thin catheter (tube) is passed through the cervix into the womb and a tiny balloon is inflated to hold the catheter in place. A transvaginal ultrasound scan is performed and a contrast fluid is injected through the catheter into the uterus. The fluid shows up as bright white and its path can be followed in the uterus and through the fallopian tubes on each side. If the fallopian tubes are patent (not blocked) the fluid will spill easily into the pelvis. After determining the patency of your tubes the catheter is removed.