The causes of infertility are many and varied. They can involve the male or the female partner, or a combination of both.
For example, there may be problems with sperm or egg production, the structure or function of your reproductive systems, or with your hormonal and immune conditions.
There isn’t always an identifiable cause. Unexplained Infertility affects 10 to 20 per cent of couples.
Fertility assessment with TasIVF
You may already have had preliminary tests with your GP or referring gynaecologist before seeing TasIVF, so your TasIVF fertility specialist will review your results and history before recommending any treatment plan.
This plan may involve further investigations before treatment, which can include:
A simple blood test to determine if you’re ovulating normally each month.
An ultrasound scan can be used to check the lining of the uterus for the presence of fibroids or polyps which may impair conception. An ultrasound can also show the size of the ovary, size and number of follicles and the presence or absence of ovarian cysts.
Ovarian Reserve (AMH Test)
A simple blood test to measure your levels of Anti Mullerian Hormone (AMH). This is a good indication of how many eggs you still have in your ovaries, and whether this is normal for your age.
Checking your fallopian tubes and uterus
You may need additional tests to check your tubes are open, and to assess the condition of your uterus and ovaries:
- Sonohysterogram (also called HyCoSy) – a relatively non-invasive test, comprising of an ultrasound after inserting a tiny tube into the cervix to pass dye through the uterine cavity and fallopian tubes.
- Hysterosalpingogram – X-rays to confirm the fallopian tubes are open.
These tests are only available at TasIVF’s Hobart fertility clinic.
Diagnostic laparoscopy and hysteroscopy
These tests are more invasive, and in many cases aren’t necessary if we’ve already found the causes of your fertility problems with the tests we’ve described so far.
Performed under general anaesthetic, a laparoscopy involves inserting a fibre-optic telescope through a small incision in the umbilicus, and through the pubic hairline. This allows us to see the ovaries, fallopian tubes, uterus and pelvic cavity in detail, and check for any abnormalities.
A hysteroscopy also uses another fibre-optic device to study the uterine cavity for benign polyps, fibroids, adhesions and any abnormal anatomy.
If you’re trying to conceive, a simple fertility assessment with TasIVF can give you a clear picture of your reproductive health. Just call 03 6224 1808 to find out more and to make an appointment.