Fertility

Fertility counselling and screening are important steps for individuals or couples planning to start a family or experiencing difficulties conceiving. Here's a basic overview of fertility counselling and screening that our MSH Team Members can support you with:

Fertility Counseling:

Fertility counselling involves a discussion between the individuals/couple and a fertility specialist or counsellor. The aim is to assess and address any concerns related to fertility, provide information, and develop a plan based on individual circumstances. The counsellor may ask questions about medical history, lifestyle factors, sexual practices, and any previous attempts at conception. They may also offer emotional support and guidance throughout the process.

Medical History and Physical Examination:

The fertility specialist will typically conduct a comprehensive medical history review for both partners during the screening process. This includes asking about previous pregnancies, medical conditions, surgeries, medications, and lifestyle factors that may affect fertility. A physical examination may also be performed to check for any visible abnormalities or signs of underlying medical issues.

Fertility Testing for Women:

For women, fertility testing may include the following:

a. Ovulation Assessment: This can be done through tracking basal body temperature, ovulation predictor kits, or blood tests to measure hormone levels.

b. Hormone Testing: Blood tests may be done to evaluate levels of hormones such as follicle-stimulating hormone (FSH), luteinising hormone (LH), estradiol, progesterone, and thyroid-stimulating hormone (TSH).

c. Ovarian Reserve Testing: This assesses the quantity and quality of eggs remaining in the ovaries. Tests like anti-Müllerian hormone (AMH) blood test, antral follicle count (AFC) via ultrasound, and day 3 FSH and estradiol levels may be conducted.

d. Hysterosalpingogram (HSG): This is an X-ray procedure that examines the shape of the uterus and checks for blockages or abnormalities in the fallopian tubes.

Fertility Testing for Men:

For men, fertility testing may involve:

a. Semen Analysis: A semen sample is collected and analysed to assess sperm count, motility, morphology (shape), and other parameters.

b. Hormone Testing: Blood tests may be performed to measure hormone levels such as testosterone, luteinising hormone (LH), follicle-stimulating hormone (FSH), and prolactin.

Additional Testing:

Depending on the initial findings, additional tests or specialised procedures may be recommended, such as genetic testing, ultrasound scans, hysteroscopy, laparoscopy, or specialised sperm function tests.

It's important to note that fertility counselling and screening can vary depending on individual circumstances and the healthcare provider's expertise. The process may take time, and results may lead to further investigations or tailored treatment plans. It's advisable to consult with a fertility specialist or reproductive endocrinologist for personalised guidance and recommendations.