Appraising your Fertility Health
Depending upon where you are on your fertility journey, you may have already done some tests with your doctor or specialists. Please bring your test results/report and our fertility specialists will review them. If you haven’t had any previous tests, that’s ok, Monash IVF specialises in assessing fertility and can manage the process for you.
Monash IVF provides fertility assessment tests and screenings for men and women.
Female Expert Fertility Testing
To begin, our specialists will perform a series of checks to gauge whether you are ovulating. Information from these checks will provide you and your partner with the best time to have sex. Knowing the optimal time to have sex can help increase your chances of getting pregnant. Our specialist will consider different methods including an ovulation kit, a blood test and/or an ultrasound.
Determining your fertile window
With a series of transvaginal ultrasounds, your specialist can track how your follicles are developing within the ovaries. Ideally, these follicles contain immature eggs – known as primordial follicles – that will mature into leading or dominant follicles over the first half of your cycle.
Your fertility specialist tracks the follicles’ progress using ultrasound. They may also order a series of blood tests to assess your levels of oestrogen and progesterone (female hormones). Together, this information helps determine your fertile window: the best time for you and your partner to have sex.
Using Pelvic ultrasound is important
Your specialist may perform a pelvic ultrasound to assess your reproductive system: vagina, cervix, uterus, fallopian tubes, ovaries and other pelvic structures.
The ultrasound is helpful in finding the answers and diagnosis to:
- heavy, irregular or infrequent periods in premenopausal women
- pelvic pain
- polycystic ovaries
The specialist may request that the patient may require a specialised pelvic ultrasound – such as a HyCoSy (used to examine the fallopian tubes and other pelvic organs) or a Sonohysterogram (a study of the uterus).
Healthy Fallopian Tubes
Fertilisation takes place in the Fallopian tubes. Your fertility specialist will be interested to know the health of your fallopian tubes and whether you have block or damaged fallopian tubes.
Your specialist can investigate through:
- laparoscopic surgery
- an x-ray
- a tubal patency test (a dye test)
Measuring Your Ovarian reserve AMH blood Test
AMH Test is a simple blood test which assesses your fertility by measuring the number of eggs in your ovaries. AMH stands for Anti-Mullerian Hormone and is a protein hormone made by the cells lining the follicles (little sacs that hold your eggs).
It is important to note that the AMH test can only identify how many eggs you have left. Unfortunately, there’s no test for egg quality.
AMH Levels, Why it Matters
The AMH blood test shows the amount of AMH in your blood which is a strong indicator of your ovarian reserve. The AMH blood test tells us how many eggs you have remaining, as well as providing us with a guide of how many fertile years you have ahead.
What is ovarian reserve?
Your ovarian reserve is the number of eggs left in your ovaries. Women are born with all the eggs they’ll ever have – around 2 million! But their quantity and quality deteriorate with age.
Over time and from age 35, your ovarian reserve progressively declines until menopause. Women that are premenopausal, their ovarian reserve declines even earlier.
Scheduling an AMH blood test
Your AMH levels don’t fluctuate during the month, which makes scheduling an AMH blook test convenient. You can even complete the test if you’re on the contraceptive pill.
The AMH blood test is a specialised test, so it’s important the results are analysed by a trained fertility expert. If you’d like to have the test, consult with your fertility specialist. Alternatively, talk to one of our experienced fertility nurses for more information.
Please note – the test can only identify how many eggs you have left. Unfortunately, there’s no test for egg quality.
Should I have the AMH test done?
You might want to have the AMH blood test if you:
- Are struggling to conceive for more than 6 months
- want to check that your ovarian reserve (the number of eggs in your ovaries) is at a healthy level for your age
- are concerned about factors that could have affected your ovarian reserve, such as chemotherapy
Male Expert Fertility Testing
Male infertility contributes to to more than half of cases of infertility (after a woman’s age). If you and your partner are having difficulty conceiving, we courage couples to schedule a fertility health check together. For men, our specialists will test for semen abnormality and possible sperm issues.
The best way to assess male fertility is through a semen test and analysis at Monash IVF.
A semen analysis is a lab test that examines a sample of semen under a microscope. It evaluates things such as sperm count, activity (motility) and shape (morphology).
The test can give accurate information about patient’s sperm:
- motility – how many sperm can swim efficiently through the woman’s reproductive tract
- morphology – the shape of the sperm
- count – how many individual sperm are present in the sample
- vitality – how healthy the sperm are and their chance of survival
At the point of booking your appointment for the Semen Analysis test, the specialist will you instruct you with preparation information to ensure sperm counts are at their highest level on the day of your semen analysis test. Generally, the specialist advises that patients abstain from sexual activity, including masturbation, for two to seven days before the test.
Contact Monash IVF to book a semen analysis: email@example.com