About Infertility
Infertility or subfertility is estimated to effect approximately one in six couples. There are different definitions of infertility, but a couple is generally considered to have a fertility problem if they have been trying to conceive unsuccessfully for one year or more. If a couple has not conceived in that time, some basic investigations can be performed by their G.P. These may or may not give an answer and nowadays it is felt that infertile couples should then be referred to a hospital or clinic that specializes in infertility.
Prior to starting treatment at the Morehamption Clinic you and / or your partner may require investigation. Your GP or the Doctor at the Morehampton Clinic may refer you for one or more of the investigations outlined below:
Some Common Investigations
Semen analysis
This involves a semen sample being brought to a laboratory where it is examined under a microscope to check for number, shape, quality and movement of sperm.
Ultrasound Scan
This is a totally painless procedure, which takes a couple of minutes and enables the womb and ovaries to be viewed. If this is done at the time of ovulation it can give a good indication of how efficient ovulation is. It can also detect the presence of ovarian cysts.
Blood Test
Blood samples may be taken to check hormonal levels.
Biopsy
Occasionally, testicular biopsy may be performed to determine the cause of a male factor fertility problem, but this is more the exception than the rule.
H.S.G. (Hysterosalpingogram)
This is an x-ray. Dye is injected into the Uterus and Fallopian Tubes prior to x-ray. This is to check for tubal patency (that the tubes are open and clear).
Laparoscopy
A laparoscope is an instrument with a small telescope attached. This is inserted into a tiny incision in the belly button. This enables the surgeon to have a clear view of the ovaries, tubes and womb. It is done under general anaesthetic and sometimes requires an overnight stay in hospital.
Post coital test
For this test the couple are asked to have sexual intercourse a couple of hours before attending the clinic. A sample of mucus is taken from the neck of the womb (cervix) and examined under a microscope. This shows if the sperm are able to survive in the cervical mucus.
Most people find having tests, waiting for results and having treatment stressful. It is a sensitive subject and most will welcome an understanding approach. Confidentiality is most important. Counselling can be of great help here. It is offered at many units and it is one of the areas in which we particularly specialize.
