This transvaginal pelvic assessment scan gives us a lot of information about the uterus and ovaries. Ultrasound scan is used to check for cysts, fibroids, polycystic ovaries, endometriosis, polyps or swollen fallopian tubes (hydrosalpinx).
The scan also allows us to look for antral follicle count, an indicator of ovarian reserve i.e. how many eggs are left in the ovaries.
Tubal patency tests determine whether the fallopian tubes are open or blocked, and shows distortions of the uterine cavity caused by intrauterine anomalies, fibroids, polyps or adhesions.
This can assist with understanding causes of infertility as changes in the uterine cavity can influence the pregnancy and blocked tubes prevent pregnancy. If just one tube is blocked the chance for pregnancy is decreased.
With both possible methods of examining tubal patency, dye is injected into the uterine cavity. The main differences are:
Hysterosalpingo-Contrast-Sonography (HyCoSy) – is carried out using an ultrasound scanning machine and is carried out in Merrion Fertility Clinic
Hysterosalpingogram (HSG) – is carried out by a Radiographer and is generally done in the National Maternity Hospital
A HyCosy is generally the preferred recommendation when a tubal patency check is required.
Anti-Mullerian Hormone (AMH) blood test
The AMH test, in combination with your scan, is used to assess ovarian reserve. AMH blood levels are also helpful for diagnosing polycystic ovaries.
Rubella blood test
This blood test confirms Rubella immunity by measuring Rubella antibodies.
FSH, LH, Prolactin and Testosterone
These tests may be carried out of significant abnormalities are found during semen analysis.
Factors measured during a semen analysis include:
We also check for anti-sperm antibodies and analyse the sperm to see which type of fertility treatment would be best, if needed.
Book an appointmentCervical Smear: an up-to-date cervical smear is highly recommended
Genetic testing: in men with very low sperm counts or no sperm in their semen, genetic testing may be required. This may include a general screen or karyotype, screening for the Cystic Fibrosis gene or screening for Y chromosome deletions.
Sperm DNA fragmentation Testing: This looks at the DNA carried by sperm to check if it is has become damaged or “fragmented”
Our First Step Fertility Check is aimed at people who are concerned about their fertility. At Merrion Fertility Clinic, we strongly believe in individualised care that is tailored to your particular situation.
What is included?
We are Ireland’s only not-for-profit fertility clinic with over 25 years of experience and excellent rates of success. Closely associated with the National Maternity Hospital, our highly experienced Consultants offer individualised care so you can begin and continue your journey with us.
Opening Hours
Mon – Fri: 8am – 4pm
* Saturday, Sunday and Bank Holidays are for patients undergoing treatment – Appointment Only.
© Merrion Fertility Clinic, 2023
