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General Fertility Test
History Review, Physical and Gynaecological Examination
- Doctor will review your social, sexual, medical, gynaecological and obstetrical history
- Physical Examination
- a thorough examination will be done to assess your overall health and wellness
- examination of pelvic organs e.g. vagina, cervix, uterus and ovary
- Gynaecological Investigation
- Chlamydia test ~ Chlamydia infection can damage the tubes and result in pelvic inflammatory disease which can cause infertility
Transvaginal Ultrasound Scan
- Evaluate your ovarian reserve by checking the antral follicle count (AFC) on day 2-5 of your cycle
- Evaluate the condition of uterus including the uterine lining as well as for any fibroids, polyps etc
- Evaluate the condition of ovaries for any abnormal ovarian cysts e.g. endometrioma, polycystic ovaries
- Evaluate the fallopian tubes for any hydrosalpinx
Hormone Tests
Assessment of ovarian reserve
- Checking of follicle stimulating hormone (FSH), luteinizing hormone (LH) and estradiol hormone (E2) on day 2-5 of your menstrual cycle
- Anti-Mullerian Hormone (AMH) at any time of your menstrual cycle
Assessment of ovulation
- Checking of your progesterone hormone (P4) around 7 days after ovulation
Other Blood Tests
- Complete blood picture : to rule out thalassemia
- Infectious screening : Venereal Disease Research Laboratory test (VDRL), Human immunodeficiency viruses (HIV), Hepatitis C Virus antibody test (Anti-HCV), Hepatitis B surface antigen (HbsAg)
- Thyroid stimulating hormone, prolactin and/or female androgen profile (if applicable) in those who have irregular periods to rule out underlying endocrine causes
- Rubella antibody in order to review the need for vaccination before trying to get pregnant
Urine Test for Ovulation
- The test detects a rise in lutenising hormone (LH) in the urine. A rise in this hormone signals the ovary to release the egg.
- If the test is positive, it suggests that ovulation will occur in the next 24-36 hrs. This gives you an idea of the best timing to have sex.
Basal Body Temperature (BBT)
- BBT is your temperature immediately after wake up before getting off the bed. Women can track their BBT to determine whether they are ovulating or not. Ovulation may cause a slight increase in BBT and they are most fertile 2-3 days before this temperature rise.