We require a series of tests for fertility assessment / fitness for pregnancy as well as infectious disease screening. Each and every test that we order serves a different purpose and each one of these tests will have an implication for your treatment.
For assessment of fertility, we ask each female patient to have the following testing done on day 2 or day 3 of their menstrual cycle: FSH, LH, Estradiol, Prolactin, TSH and AMH hormone tests. The AMH test is independent from your menstrual cycle and can be done at any time, but our patients find it easier to have all the tests done on the same day during their visit to their doctor. It will also be important to have a base line pelvic ultrasound scan during this visit for antral follicle count in the ovaries and to check that there are no major visible problems in the uterus that can interfere with a successful pregnancy.
The male patient is required to have a semen analysis done. Especially if he has not had a child in the near past, it will be important to observe sperm parameters such as count/volume/motility/morphology/pH level and round cell count. In some cases, a small infection in sperm can compromise the whole process, therefore, it is important to be prepared for possible precautions that we may need to take.
The validity of infectious disease testing is six (6) months. As long as patients have their testing done within the 6 month period prior to their treatment time, we do not require a repeat test. However, if patients do not have current test results, then we will administer these tests here at our practice prior to handling any samples.
Only the test results from reputable clinics and hospitals will be accepted, and original test results will need to be presented at the time of your first visit. Photocopies and scanned email attachments are only accepted as temporary proof of testing until we see the originals.
The infectious disease tests required by our practice are as follows:
For female patient: Anti-HIV, Anti-HCV, HbsAg, VDRL, Rubella IgG, CMV IgG, and Toxoplasmosis IgG
For male patient: Anti-HIV, Anti-HCV, HbsAg, VDRL.
You are not alone — it is common for couples to seek help and advice if they are having difficulty conceiving. Infertility cannot always be explained, however there are sometimes reasons why couples find it difficult to become pregnant.
Fertility treatment is an intensive process that requires sensitivity and an understanding of the physical and emotional aspects of every patient’s journey. With the help of our elite fertility specialists, we can introduce you to advanced treatment options, which can in many cases bring light on your journey to parenthood.
In women, fertility problems can be —
- Age: a crucial factor in female fertility as the biological clock limits the ability to conceive. Women start to become less fertile when they are in their 30s and female fertility declines dramatically when women reach their 40s.
- Hormone problems: an imbalance in the hormones that regulate egg production and ovulation can mean that eggs are not produced, released or do not develop properly each month.
- Problems with the fallopian tubes: these lead from the ovaries to the womb and if they are blocked, scarred or damaged in any way, it can stop the egg travelling along them preventing it from meeting the sperm. Damage can be caused by infection or scar tissue.
- Endometriosis: a condition where tissue similar to the womb lining starts growing elsewhere around the reproductive organs.
- Polysystic Ovary Syndrome (PCOS): where there are undeveloped follicles (or cysts) just under the surface of the ovaries that can disrupt ovulation.
- Premature Menopause or Premature Ovarian Failure (POF): where the ovaries stop functioning many years before they should. This can be caused by chemotherapy or radiotherapy for the treatment of any kind of cancer. POF may also occur in cases where genetic conditions are present such as hypoplastic atrophic ovaries or Turner syndrome.
In men, fertility problems can be —
- Azoospermia (no sperm) or Oligozoospermia (low sperm count)
- A blockage in the testes: Where sperm cannot be transported to the penis for ejaculation.
- Retrograde ejaculation: A condition in which semen is ejaculated into the bladder rather than out through the urethra because the bladder sphincter does not close during ejaculation.
- Varicoceles: A varicocele is the enlargement of the internal spermatic veins that drain blood from the testicle to the abdomen (back to the heart). A varicocele develops when the one way valves in these spermatic veins are damaged causing an abnormal back flow of blood from the abdomen into the scrotum creating a hostile environment for sperm development. Varicocoeles may cause reduced sperm count and abnormal sperm morphology which cause infertility.