You may have undergone preliminary testing with your GP or referring gynaecologist. Your fertility specialist will review your results and history before recommending a treatment plan. Before we determine the best treatment plan for you, further investigations may be necessary and typically these can include:
You’ll need a blood test to check whether or not you are ovulating, or producing an egg every month. This can be carried out at our clinic during clinic hours.
An ultrasound scan checks the lining of your womb (endometrium) and diagnoses any conditions that may be distorting the lining.
It allows us to check:
It also gives us a baseline report to compare with later in your treatment.
Ovarian Reserve (AMH test)
We usually recommend a blood test to measure Serum Anti Mullerian Harmone(AMH) to estimate ovarian reserve. This simple blood test provides a very good estimate of the number of eggs that you still have in your ovaries. Your fertility specialist can then explain whether your ovarian reserve is ‘normal’ for your age.
Checking your fallopian tubes and uterus
Tests may be needed to check your tubes are open (tubal patency), and the condition of your uterus and ovaries:
These tests are more invasive and so usually come last, – in some cases you may not need these tests at all.
Laparoscopy is performed under general anaesthetic. A fibre optic telescope (laparoscope) is passed through a small incision in the umbilicus and a manipulating probe is inserted through the pubic hairline, to view the ovaries, fallopian tubes, uterus and pelvic cavity for abnormalities. Tubal patency can also be checked by injecting dye through the uterus and observing its progress. Often two additional small incisions are made if treatment of pathology is required.
Hysteroscopy uses another fibre optic device (a hysteroscope) to study the uterine cavity for polyps (benign growths), fibroids, adhesions and abnormal anatomy.