INVESTIGATIONS

Fertility Doctor recommended Tests

PLEASE note that our pathology department is open Monday-Saturday 8- 5pm. Please ring us a day before you come in to make an appointment. Lab will be closed on Bank holiday.
Tel: 2171 2345/41, Ask for Pathology Lab or a Fertility Doctor

MALE:
Semen Analysis:

Any Fertility Doctor will know this as an important test in cases of subfertility. We advise you to have 3 days of abstinence before producing the sample. Please do not use any spermicidal jelly or condoms for production. Please write your name, date and time of production clearly on the container. Please bring the sample to us within an hour of production by keeping it at close to the body temperature. Result of the test will be discussed with you in 1-2 days. Three important things we analyze in the semen sample are count, motility and morphology. If you have any questions please do not hesitate to ask our Pathologist or a Fertility Doctor for more info.

Infection screen:

HIV I & II: For the benefit of patients, staff and other people these tests are compulsory if you are undergoing Assisted reproductive treatment. HBsAg: This test is to know that you are not carrying hepatitis B virus. Anti HCV: This test is to know your status for hepatitis C virus.
VDRL: Routine test for syphillis
Hormonal tests on male and sonography of testis are performed for cases of azoospermia that is no sperm found in the sample.

FEMALE:
Hormonal Blood Tests :

FSH and LH: This blood test should be done during day 2 to day 5 of your cycle. FSH, LH levels are important to know your ovarian function. Day 1 is first full day of your period. Blood levels after 5th day can give us wrong information.
TSH: to know your thyroid hormonal levels. Thyroid hormone can sometimes disturb the menstrual cycle and thereby affect fertility. Prolactin: High levels of prolactin is known to be associated with problems with ovulation.

Infection screen :

HIV I & II: For the benefit of patients, staff and other people these tests are compulsory if you are undergoing Assisted reproductive treatment. HBsAg: This test is to know that you are not carrying hepatitis B virus. Anti HCV: This test is to know your status for hepatitis C virus.
VDRL: Routine test for syphillis If you need further information about these viruses please speak to the nurse.
Rubella IgG: This is an important test to perform before you conceive. If this test is negative, it means that you are susceptible to get rubella infection during pregnancy, which can harm your baby. In that case Rubella vaccine is advisable.

Sonography :

Usually gynae sonographies are performed through internal (vaginal) probe. It is best to keep your bladder empty during the procedure as it gives best pictures of organs. During vaginal sonography (TVS) we can normally see the shape and size of uterus, location, volume and appearance of ovaries.
Please note that normal tubes are not seen during the sonography.

Saline Infused Sonography (SIS) :

This is a special form of sonography performed to see the cavity of the uterus and patency of the fallopian tubes. You are required to start the first day of antibiotic (ie Doxyycline and Flagyl) before the procedure. Please take the second dose of both the tablets after going home on the same day. Continue taking both the tablets twice a day for another 4 days. This precaution is taken to avoid any vaginal infection to spread into the pelvis.
For SIS it is best to have your bladder slightly full. This makes it easier to introduce the plastic canula into the womb to infuse saline during the procedure. Most of the patients do not need any pain killers after the procedure. Rarely if you experience pain simple painkillers like crocin or combiflam can be taken. SIS is advisable to perform after stopping your periods and before your day of ovulation (ie Day 5-14)