Infertility investigation

FEMALE INVESTIGATIONS—

A variety of tests are integral to fertility treatment, allowing your fertility specialist to monitor progress. At your initial visit, you are likely to have the following:

Standard Blood Tests

(to check for hormone levels)​

FSH (follicle stimulating hormone)

LH (lutenising hormone)

Estradiol

AMH (Anti-Müllerian hormone)

PRL (Prolactin)

TSH (thyroid stimulating hormone)

β-HCG (beta-human chorionic gonadotrophin) when a pregnancy establishes

These tests are necessary to assess your ovarian reserve, the levels of hormones that can have an effect on fertility and the levels of the pregnancy hormone once this is established.

 

 

 

 

Imaging

2D/3D ultrasound transabdominal (TAS) or transvaginal (TVS) technique is used to assess the anatomy of the womb, its lining (endometrium) and the ovaries, as well as the overall anatomy of the pelvis. Early stages of pregnancy will be also assessed.

Depending on the results following your initial investigations and/or treatment, further tests may be required. These will be discussed with you in detail during your follow-up appointment, where you will have the opportunity to ask questions, process the information and make an informed decision.

Endoscopy

Diagnostic Hysteroscopy: A camera in the womb to directly visualize the cavity.

Diagnostic Laparoscopy: Keyhole surgery to directly visualize the pelvis.

 

3D Ultrasound of Uterine Cavity

HyCoSy

(Hysterosalpingo-Contrast-Sonography)

More detailed investigation of the womb cavity and the patency of the Fallopian tubes can be achieved with HyCoSy. Saline water is passed through the neck of the womb (cervix) inside the womb and the contour of the cavity is visualized. Subsequently contrast dye is introduced to identify the patency of the tubes. Similar to the HyCoSy is the Hysterosalpingogram where instead of Ultrasound technology, abdominal X rays are taken.

 

Ανάλογα με τα αρχικά  αποτελέσματα καθώς και το θεραπευτικό πρωτόκολλο που θα ακολουθήσετε, ενδέχεται να απαιτηθούν περαιτέρω εξετάσεις όπως είναι η Διαγνωστική Υστεροσκόπηση και Λαπαροσκόπηση για τον περεταίρω έλεγχο του ενδομητρίου και της πυέλου.

 

 

 

 

 

MALE INVESTIGATIONS

Multiple tests are a regular part of fertility treatment. Throughout your fertility journey, you are likely to undergo the following:

 

 

Standard Blood Tests

 

FSH (follicle stimulating hormone)

LH (lutenising hormone)

Testosterone

PRL (Prolactin)

TSH (thyroid stimulating hormone)

The results can reveal any possible hormonal dysfunction that interferes with the sexual function and the production of normal semen.

Imaging

Testicular ultrasound is used to assess the testicle, the cord connecting it to the rest of the body (spermatic cord), the tube carrying sperms into the urethra (vas deferens), and the overall anatomy of the male genitalia.

Sperm Analysis

Sperm analysis to check the count, the motility & the morphology of the spermatozoa

Sperm culture to check for potential infections

Sperm DNA Fragmentation to assess genetic integrity

Urine test may be required to exclude retrograde ejaculation of spermatozoa towards the bladder.

 

Additional investigations and Andrology assessment maybe required upon identification of pathological results.