One-Stop Fertility Diagnosis at Create Health

Is your Biological Clock Ticking?

Is your Partner concerned about his Sperm quality?

Are you concerned about the prospect of prolonged and repeated fertility tests resulting in delayed treatment?

Create Health Clinic offers a unique “One-Stop” Fertility Test which is completed within an hour. (We can perform this during lunch hour). This will provide an assessment of the Seed, Soil and Passage involved in the conception of a baby using mainly advanced ultrasound tests. These tests are done using an advanced 3D-Doppler ultrasound scan to check the lining of your womb, ovarian reserve (reserve of eggs) and to check the blood flow to your ovaries and womb. (You may require an additional blood test of ovarian reserve to check the Anti Mullerian Hormone blood test.) These tests are non-invasive and done with a simple ultrasound scan. An ultrasound tubal patency test (to check that fallopian tubes are open) called “HycoSy” can also be perfomed at the same time if necessary. This test is not as painful as the X-Ray test HSG (HysteroSalpingography) and since there is no exposure to X Rays, it allows you to try for a pregnancy in the same cycle.

The detailed 3D – Doppler ultrasound scan is used to examine the following:

Ovarian Reserve:

The volume of your ovaries

Antral Follicle Count (i.e. egg sacs) in your ovaries

The Blood Flow to your ovaries

Identification of ovarian cysts that can affect ovulation

Assessment of factors affecting implantation:

Thickness and appearance of the lining of your womb

The inside cavity of your womb

The blood flow to the lining of your womb

Identification of fibroids or other problems that can affect implantation

Tubal Patency:

The HycoSy test to check for tubal patency**

A blood test for anti mullerian blood hormone levels may be required

The whole procedure takes up to one hour. You are required to take antibiotics two days before the test if you would like your fallopian tubes tested. There is no need for antibiotics if you are having an “ovarian reserve” scan. The research shows that if blood flow to your ovaries is good, you are more likely to produce good quality eggs and similarly if the blood flow to your womb is adequate, you are more likely to conceive and furthermore less likely to miscarry. Recent scientific research also confirms that ovarian follicle count, size and blood flow will indicate quantity and quality of eggs.

Sperm Test:

Your partner can have a detailed sperm test at the same time. The sperm analysis will be carried out by expert embryologists

The Advantages of the One Stop Fertility Test:

It is aimed at reducing the stress of repeated fertility tests and delays in treatment.

It allows the couple to immediately discuss the results with a fertility expert and get advice about options of treatment if required. The couple will receive “life-style” advice to help them to conceive naturally if the results do not indicate the need for immediate treatment.

The “One-Stop” Fertility Assessment using ultrasound technology has been pioneered by the consultants at Create Health Clinic and published in the peer-reviewed scientific journal Human Reproduction in 2001.

References:

Kelly SM, Sladkevicius P, Campbell S, Nargund G.
Investigation of the infertile couple: a one-stop ultrasound-based approach.
Hum Reprod. 2001 Dec; 16(12):2481-4. Review.
PMID: 11726562 [PubMed - indexed for MEDLINE]

Nargund G.
Time for an ultrasound revolution in reproductive medicine.
Ultrasound Obstet Gynecol. 2002 Aug;20(2):107-11. No abstract available.
PMID: 12153658 [PubMed - indexed for MEDLINE]

Jarvela IY, Sladkevicius P, Kelly S, Ojha K, Campbell S, Nargund G.
Quantification of ovarian power Doppler signal with three-dimensional ultrasonography to predict response during in vitro fertilization.
Obstet Gynecol. 2003 Oct;102(4):816-22.
PMID: 14551013 [PubMed - indexed for MEDLINE]

How to book your One-Stop Fertility Assessment

If possible call the clinic (+44 (0)20 8947 9600) before the start of your period to make your booking. If you have irregular periods call on the first day of your period. Those with extremely irregular or absent periods should call the clinic for instructions.

Female: Book your AMH blood test for days 1-5 of your menstrual cycle

Female: Book your One-Stop Assessment appointment for after day 8 of your menstrual cycle

Male: Book your semen analysis appointment to take place before the One-Stop Assessment appointment

Couple: Attend the One-Stop Assessment appointment for a complete assessment of your results as a couple

* Available at Harley Street and West Wimbledon.

** Mild antibiotics are prescribed for the HyCoSy only. Patients must declare whether they are allergic to milk-based products before booking the HyCoSy