Hormone and immunological analysis
This must be performed between the 2nd and 4th day of menstruation. You do not need to fast beforehand.
- Hormone: FSH / LH / PRL / 17 β Oestradiol and, possibly, anti-Mullerian hormone.
- Immunological: HBsAg / HC Ab / RPR / HIV Ab
Gynaecological ultrasound scan
The best time to do the ultrasound is in the first few days of your new cycle after your period. This is when the ovarian follicular reserve can be assessed and any abnormalities in the anatomy of the womb or which might hinder embryo implantation can be ruled out. It also allows us to discount ovarian cysts or tumours as cause of your infertility.
Depending on the results of these basic tests, the specialist may want to investigate further with additional diagnostic tests.
Further investigations in women
A Hysterosalpingogram is performed when the first test results are normal or when a disorder of the fallopian tubes is suspected.
A hysteroscopy involves inserting a small camera into the womb to inspect the inside of the cavity and assess any abnormalities.
Laparoscopy is a surgical exploratory technique which allows the surgeon to access the inside of the abdominal cavity to assess the anatomy of the female reproductive system and to correct certain abnormalities.
Karyotype consists of taking a blood sample to ascertain each individual's chromosomal pattern.
Infertility Blood Test (in cases of repeated miscarriages)
This will identify any blood clotting and immunological factors that could explain the lack of fertility.