The best place to start on your fertility journey would be to make an appointment with one of our Doctors. It is advisable that you come to this consultation with your partner, as both male and female factors will be investigated.
Complete history and physical examination.
At Fembryo we encourage patients to obtain all previous medical records for treatment related to infertility, hormonal or menstrual disturbances, anovulation, gynaecologic surgery, or pelvic infection. Appropriate medical information should also be gathered on the husband i.e. previous semen analysis and prior hormone tests Particular attention is directed towards a review of medications that may interfere with fertility (i.e. anti hypertensive and non-steroidal anti-inflammatory drugs in males) or those that might be teratogenic (harmful to the foetus).
Initial Medical Laboratory Evaluation:
On the 2nd or 3rd day of the menstrual cycle , a basic hormone profile is performed to assess ovarian and other endocrine and metabolic functions, together with a sexually transmitted disease profile (HIV, Hepatitis B, VDRL) and assessment of immunity to German Measles and Mumps.
Individualized Laboratory Testing:
When clinically indicated, further tests will be performed by the reproductive specialist to diagnose endocrinological abnormalities that may present with signs of virilization, abnormal menstrual cycles or abnormal genital organ anatomy as seen in chromosomal/genetic variants. The most common endocrinopathy seen in the reproductive years is Polycystic Ovarian Syndrome (PCOS), with usually some or all the features of absent or irregular periods; signs of virilization such as acne or hirsutism and abnormal ovaries on ultrasound evaluation. Due to the association of infertility with anovulation, the diagnosis is important to establish a multidisciplinary approach to the treatment of these patients.