Initial investigations – if not already performed by your GP these will be initiated at your first appointment in the fertility clinic.
Hormone profile - Follicle Stimulating Hormone, Luteinising Hormone and oestradiol. These blood tests will help to tell us about whether you are ovulating and also to help assess how your ovaries are working (the reserve of your ovaries).
Semen analysis - a detailed look at the number, movement and shape of the sperm.
Trans-vaginal ultrasound scan - an internal scan to assess the size and shape of your womb and also give information regarding the size, activity and location of your ovaries.
Chlamydia antibody status blood test – this is checked as occasionally women that have had Chlamydia may have tubal damage.
Rubella immunity blood test – if you are not immune to rubella and contract it in pregnancy it may cause damage to the baby.
Further Investigations – HSG (Hysterosalpingogram)- is an X-Ray investigation. It involves injecting a small amount of dye which shows up on X-Ray films of the pelvis. This gives valuable information about the shape of the cavity of the womb and also whether the fallopian tubes are open.
Laparoscopy- an operation to look inside the pelvis and diagnose or treat any problems. It can be used to check whether the fallopian tubes are open, look for/or treat endometriosis or adhesions or fibroids.
Hysteroscopy- this is a look inside the uterus under anaesthetic to check for any irregularities in the lining of the womb. Occasionally this is performed at the same time as a laparoscopy.