At your first appointment I will carry out an initial assessment to ensure I have a thorough understanding of your medical history as well as your general health and lifestyle. I will also spend time getting to know you and to understand what’s important to you so that together we can create a treatment journey that’s right for you.
Based on the results from the initial assessment I will recommend some preliminary tests and investigations. Your tests and investigations may include some or all of the following:
A blood test in the first week of your cycle to measure the levels of estrogen hormone, luteinizing hormone (LH), follicle stimulating hormone (FSH), antimullerian hormone (AMH) and thyroid stimulating hormone (TSH) levels.
A pelvic ultrasound
A pelvic ultrasound will determine if there are any physical changes, such as fibroids or polyps, that may affect your treatment, and to also check for the presence of ovarian cysts. It will also measure the size of your ovaries and count the number of small follicles present in your ovaries. The ultrasound also provides a ‘baseline’ report that can be used as a reference during your treatment.
A semen analysis to assess the following:
Motility: The sperm’s swimming ability.
Morphology: The shape of the sperm.
Count: The number of individual sperm.
Vitality: The capacity of the sperm to live and endure.
IBT (anti-sperm antibodies). These antibodies can attach to the sperm’s tail and may impede the sperm’s ability to travel through the cervical mucus.