In order to select the right approach and treatment, we need to ascertain each individual’s fertility status using a range of simple diagnostic investigations which may include the following
Whilst we are able to measure hormone levels for both men and women (FSH, LH, E2, AMH, PRL, TSH, fT4 etc) we usually ask the patients General Practitioner to request these in order to keep costs down.
In order to prove that the fallopian tubes aren’t blocked we can request local hospitals to perform an X-ray (HSG) or ultrasound (HyCoSy, SIS) The Beacon Hospital perform most our procedures
We are able to assess anatomy and monitor progress of treatment with regular ultrasound scans provided in-house with our trained medical and mid-wifery staff
The primary investigation for men is semen testing. We prefer testing to be performed by a recognised fertility laboratory.
(DFI) DNA Fragmentation Index
A recent development for assessment of male fertility is the DFI. It is more accurate and re-producible than basic semen-analysis. It may indicate a need for lifestyle changes in the male patient. A sample is frozen here in Dublin and sent for analysis. Results will be emailed directly to the male partner with their latest research appropriate recommendations
An endometrial biopsy can be performed in house which will be assessed under a microscope looking for maturity, or possibly favourability and infection. We are currently collaborating in a study for endometrial receptivity (ERA)
Sometimes it is necessary to visualise the inside of the uterus with a small telescope. It is a minor procedure and involves no incisions. Your own gynaecologist can perform this if required or we will arrange for it to be performed by a local expert
When pelvic pathology such as endometriosis is suspected, it may be necessary to put a telescope in the abdomen through the umbilicus. Many abnormalities or pathologies can be treated this way, often at the same time
As with hysteroscopy your own gynecologist can do this, or we can facilitate this locally