Before treatment commences basic investigations will be carried out on both partners. These investigations give the fertility team information which helps to plan future management.
The first test that will be undertaken is a blood test to assess if there is an egg being matured and released on a regular basis. Regular foliicle development and ovulation is necessary for conception to occur. A blood test to check for the FSH, LH and Prolactin hormones will be taken on day two of your menstrual cycle. Another blood test to check for your Progesterone levels should be taken approximately one week before your period is due. Our Fertility team will be able to advise you of the best time for you to have this done.
You will also be tested for Rubella status to which you should be immune to prior to your treatment. If you are not immune you will need a rubella vaccine as this infection can cause serious problems to a baby.
When you attend the hospital a routine vaginal ultrasound scan will be undertaken at your first visit to assess the uterus, ovaries and the pelvis.
It may be that you will also require a test to make sure your Fallopian tubes are open to enable the egg to reach the sperm. There are two ways of doing this:
- Hysterosalpingogram (HSG)
A hysteroscopy may be required if an abnormality of the cavity of the womb is suspected either because or abnormal vaginal bleeding or visualised on ultrasound scan or HSG.
A routine semen analysis will be done to ensure that there are sperm available. Production and maturation of the sperm takes about seventy days and during this time exposure to certain drugs, radiation, toxins, chemicals or infections may affect the process of sperm development. Should you think you have been exposed to any of these please let the fertility centre staff know when you hand in your semen sample.