Infertility Treatments IVF London

Infertility

Fertility is an important tenant of every society. Difficulty for a couple to achieve a pregnancy after 12 months of regular unprotected sexual intercourse, is defined as infertility. It is divided into primary infertility, where the couple have never achieved a pregnancy, and secondary infertility, where they have achieved a pregnancy in the past even if this did not result in a live birth. Eighty per cent of couples will achieve a pregnancy within 12 months of unprotected intercourse with this figure rising to 90% after 24 months.

Primary Investigations

The basis of all fertility investigations centre on a clear understanding of the hormonal and physiological changes that occur within the menstrual cycle.

For the female partner it is important to confirm whether ovulation is occurring. Baseline hormonal investigations include; early follicular phase, day 2-4, LH, FSH, oestradiol, Anti Mullerian Hormone (AMH), as well as rubella antibody status. If the menstrual cycle is irregular it is important to add serum prolactin, thyroid function tests and androgen markers such as testosterone blood tests. An early follicular phase, day 2-6, pelvic ultrasound scan is an important baseline investigation to assess the ovarian and endometrial morphology. In particular, polycystic ovaries are found in approximately 20% of women in their reproductive years. Ovarian cysts, especially endometriomas are associated with infertility.

For the male partner, it is important to perform a semen analysis in a specialist laboratory. If it is normal, then no further investigations are required, however, for an abnormal test it is important to perform a detailed testicular examination, to assess testicular size, volume and exclude masses and varicoceles. In addition, serum FSH, LH, testosterone, prolactin and thyroid function tests are important and a referral to a uro-andrologist can be necessary.

Secondary Investigations

A hysterosalpingogram (HSG) is a well established procedure performed in the radiology department by an experienced doctor. It can demonstrate uterine cavity abnormalities such as intrauterine synechiae (adhesions), uterine anomalies such as septae, endometrial polyps and submucosal fibroids. The fallopian tubes can be assessed for fill and spill as well as blockage and dilatation, particularly hydrosalpinx.

A laparoscopy, hysteroscopy and dye insufflation of the fallopian tubes is the gold standard for fully assessing the uterine cavity and tubal patency. It is usually performed as a day case under general anaesthetic and allows for visualization of the pelvis and the abdominal cavity.

Fertility Centre Specialists Treatment

If any of the primary investigations are found to be abnormal then specialist fertility treatments would be necessary. Mr Davis performs one to one IVF, ICSI, IUI and ovulation induction treatment. These assisted reproductive techniques (ART) are undertaken at CRM London - www.ivfcliniclondon.com

The Management of Infertility

The most important aspect of managing infertility is to treat the couple at all times. Once an accurate diagnosis of the probable causative factor(s) has been made and discussed with the couple, a plan of management can be formed. Often there is more than one cause of infertility that needs treatment and a strategy should be devised that considers the time, cost and psychological demands for the couple.

GENERAL ENQUIRIES

Make Appointment/Enquiry

For all further information, if you have questions or to discuss treatment please contact Mr Colin Davis on:

Telephone : 020 7034 5000 Fax:020 7034 5080 Email: secretary@gsc.uk.com

From the first consulation with Mr. Davis | immediately felt confident in his abilities and expertise. He explained everything | needed to know about endometriois and PCOS so that we could make decisions to fix the problems and avoid fertillty issues...