Frequently Asked Questions on Fertility Diagnosis
What does the Fertility MOT include?
The Female MOT includes a detailed diagnostic scan and a consultation. The scan is carried out with a 3D Doppler scanner, which looks at the follicles, ovaries and womb lining and the blood flow to these. It can be used to determine ovarian reserve and check for obstructions such as cysts, polyps and fibroids. The doctor will then talk through the results of the scan with you, and give you advice on your fertility. This costs £200.
The couples MOT includes a detailed assessment scan (see above) and semen analysis followed by a consultation. These can be conducted on the same day, within 90 minutes. The first stage in the appointment is for the male partner to produce a semen sample; he must abstain for 2-5 days before the appointment. The density, morphology and mobility will be analysed in the lab. The next stage is for the female partner to have a scan: this is an internal san with a 3D scanner. Then both partners will have a consultation with the doctor to talk through the results. This costs £290 in total.
For more information, please visit Fertility MOT.
What does the Initial scan/consultation include?
The initial scan and consultation includes the same diagnostic scan as the MOT. The doctor will assess ovarian reserve, and check the ovaries and womb lining and the blood flow to these. They will also check for obstructions such as cysts, polyps and fibroids. The doctor will then go through the results of the scan with you and your medical history before working with you to produce a personalised treatment plan.
For more information, visit What to expect at a fertility clinic.
What is the difference between an MOT and an initial scan/consultation?
At the initial scan and consultation the doctor formulates a treatment plan, whereas in the MOT the doctor simply gives information about your fertility for you to take away, without advising on treatment. So the initial scan/consultation is for people who have already decided that they wish to go ahead with some form of treatment or for those that have already had treatment, whereas the MOT is for people who do not necessarily want treatment but would like to know more about their fertility status. Both include the same detailed assessment scan. MOT patients can still go on to have treatment if they decide to do so; they would simply have to book in for an additional follow-up consultation.
What is the AMH blood test and is it necessary?
The AMH blood test is used to measure Anti-Mullerian hormone, a hormone that is given off by developing eggs. Measuring the levels of this in the blood enables doctors to estimate ovarian reserve. This blood test is not included in the MOT because usually our doctors are able to estimate ovarian reserve on the basis of the scan, which gives a detailed picture of the ovaries and the follicles within. However, if you wish to have an AMH test, or the doctor recommends one, we can perform this here for £105; the results will be available on the day.
Do you offer male MOT/semen analysis?
We can perform semen analysis either on its own or as part of a couples MOT. The semen analysis includes analysis of the density, morphology and mobility of sperm. If you wish to have a semen analysis you will need to abstain for 2-5 days before coming into the clinic to provide a sample. This will be analysed in the lab by the embryology team and the results will be ready within the hour. The semen analysis costs £95 and the couple’s MOT is £290.
For more information, visit Semen Analysis.
Which other diagnostic techniques are available?
Most of our diagnosis is carried out through our ultrasound scans. We have invested in top of the range scanning equipment, and our scanning machines are 3D, with Doppler technology. This enables a high level of precision, as doctors can look at the blood flow as well as morphology of your reproductive system. The scan can assess ovarian reserve, check for obstructions such as cysts/polyps/fibroids, and examine the blood flow to the ovaries, follicles and uterus. Scans cannot check the patency of fallopian tubes, but we offer the HyCoSy test if you require this. Another diagnostic method that is available is the Hysteroscopy which can be used to check for potential problems with the uterus; this is often useful after recurrent miscarriage. We also administer AMH blood tests, which are a quick way to assess ovarian reserve.
Can you check my fallopian tubes?
Yes, we can assess tubal patency with a procedure known as a HyCoSy. This is carried out in the theatre. A thin tube and ultrasound will be passed into the womb via the vagina and a small amount of fluid injected into the womb and fallopian tubes. This procedure is carried out between days 7 and 15 of the cycle, and patients are required to take antibiotics for a few days prior to the HyCoSy. It costs £400.
For more information, visit HyCoSy.
Do you offer Hysteroscopy?
Yes, we perform Hysteroscopy here at CREATE. This procedure involves a small flexible camera being passed into the uterus, and used to check for conditions such as polyps, fibroids and scarring of the uterus. This can be performed with or without sedation ass you prefer. Under certain circumstances the doctor may be able to treat conditions that they find.
For more information, visit Hysteroscopy.