Basic Infertility Investigations

Female partner

  • Tests to determine your Ovarian reserve:
    • Blood test to check the level of hormones in your blood between day 2-5 of your period. These hormones include:
      • AMH (Antimullarian Hormone). This hormone is produced by the small follicles (potential eggs) on the ovaries, and it gives an accurate assessment of your ovarian reserve. The higher the AMH level, the better your ovarian reserve.
      • FSH (Follicular Stimulating Hormone), LH (Lutenising Hormone) and Oestradiol. FSH is the hormone that is produced by the master gland at the base of the brain to drive the ovaries to make you ovulate. The higher the FSH level, the lower the ovarian reserve.
    • Transvaginal ultrasound scan to check the Antral Follicle Count (AFC) which is the number of potential eggs within the ovaries. The normal AFC is about 15-20. The lower the AFC, the lower the ovarian reserve.
  • Tests to check the Fallopian tubes:
    • HyCoSy (Ultraosund scan and dye test).
    • Hysterosalpingogram (HSG) which is X-ray & dye test.
    • Laparoscopy & dye test.
  • Ovulation blood test:
    This blood test is normally done 7 days before starting your period to check the level of progesterone.

Male partner

  • Semen analysis
  • Blood test should be done if the sperm count is very low or there is no sperm in the ejaculate. These blood tests include:
    • Hormone profile (FSH, LH & Testosterone)
    • chromosomal analysis, Y-chromosome microdeletion and cystic fibrosis.