The first thing we need to do is establish whether or not you are producing an egg every month, or ovulating. We do this with a blood test, which can be carried out at the Hunter IVF clinic during normal opening hours.
We will also use ultrasound scanning, to check the lining of the womb (endometrium) and diagnose any conditions that may be distorting the lining.
This allows us to check:
- If you have any fibroids or polyps, which could affect your cycle
- If you have any ovarian cysts
- How easy it will be to collect your eggs from the ovaries
- The size of your ovaries and if there are many small follicles.
This also gives us a baseline report to compare with later in your treatment.
Ovarian Reserve (AMH test)
We also, normally recommend having a blood test to measure ovarian reserve hormone called AMH. This simple blood test provides a very good estimate of the number of eggs that you still have in your ovaries. Find out more about the AMH blood test »
Checking your fallopian tubes and uterus
Additional tests may be needed to check your tubes are open (tubal patency), and the condition of your uterus and ovaries:
- Sonohysterogram - a relatively non-invasive test, which involves an ultrasound and insertion of a tiny tube into the cervix to pass dye through the uterine cavity and tubes.
- Hysterosalpingogram - using X-rays to confirm the fallopian tubes are open (this does not provide information about the uterus and ovaries).
Diagnostic laparoscopy and hysteroscopy
These tests are quite invasive and so usually come last – in some cases you may not need the tests at all.
Laparoscopy is performed under general anaesthetic. A fibre optic telescope (laparoscope) is passed through a small incision in the umbilicus and a manipulating probe is inserted through the pubic hairline, to view the ovaries, fallopian tubes, uterus and pelvic cavity for abnormalities. Tubal patency can also be checked by injecting dye through the uterus and observing its progress. Often two additional small incisions are made if treatment of pathology is required.
Hysteroscopy uses another fibre optic device (a hysteroscope) to study the uterine cavity for polyps (benign growths), fibroids, adhesions and abnormal anatomy.
Find out more about female reproduction »
Find out more about female fertility surgery »
Contact us for more information