Fertility Investigations

Any further tests I consider with you will depend on your particular situation and potential causes of infertility, and I will discuss these with you.

Some of the most common fertility tests are:

Ovulation investigation

A normal menstrual cycle length is 25 to 35 days. If this is occurring, there is a good chance that an egg is being released each month. There are different ways that this can be confirmed:

  • Progesterone, which should rise a week after ovulation, can be tested with a blood test
  • A urinary ovulation test can give you 24 hours warning for when ovulation is likely to occur
  • A temperature rise can be seen after ovulation
  • In some cases, I will track your cycle with ultrasounds

Semen analysis

If semen analysis is required, I will organise this through Melbourne IVF. The sample can be done at home or onsite. If the test day coincides with the day your partner is likely to ovulate, it is recommended that you rebook the test.

Blood tests

There are many different types of blood tests that are used to investigate infertility. These tests will be tailored to your individual circumstances. Please bring along any blood tests your GP may have already organised.

Egg timer (AMH) test

The egg timer test is a type of blood test – it’s also known as the Anti-Mullerian Hormone (AMH) blood test. This test gives an indication of whether your egg numbers are low, normal or high for your age, although it doesn’t provide information about egg quality.

Tubal patency test

This test is done to confirm that there is a pathway for sperm and eggs to meet. It involves the passage of a catheter through the cervix and the injection of a liquid (levovist), which can be seen on ultrasound. Some women do experience period-like cramping, so pain relief medication needs to be taken an hour before the procedure.

Laparoscopy

A laparoscopy is performed as a day procedure. It is keyhole surgery – a minimally invasive procedure that involves passing a telescope through the umbilicus. It can be used to diagnose and treat some causes of infertility, and is commonly used to correct endometriosis. This is often combined with a hysteroscopy, which involves passing a telescope through the cervix to look at the inside of the uterus. Tubal patency and samples from the endometrium can be assessed at the same time.

If you need any of these investigations, I will make sure you have all the information you need, and answer any questions you may have.