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Examinations

Failure to conceive can be related to factors in both the woman and the man. In some cases it’s not possible to find the exact cause, but thorough investigation is important to find the most successful treatment for you and get the optimal results.

Examination programme for the woman

  • Blood sample to test for HIV and hepatitis

  • Swabbing for chlamydia, mycoplasma, ureaplasma urealyticum

  • Cervical smear

  • Ultrasound scan of passage conditions in the uterus and fallopian tubes (HSU)

  • Blood sample for hormonal analysis, including AMH

  • Extended hormone profile – if PCOS is suspected

  • Hysteroscopy if polyps or fibroids are suspected, or in case of recurrent miscarriages

Examination programme for the man

  • Blood test for HIV and hepatitis

  • Semen analysis (if the sperm count is severely reduced, it can be necessary to add some extra tests, such as ultrasound scan of the testicles or an extended hormone profile)

Obligatory HIV and Hepatitis tests before treatment

Tests for HIV and hepatitis are required by law before treatment can start.

The EU Tissue and Cells Directive stipulates that all couples must be tested for HIV, hepatitis B (HbsAG and Anti-HBc) and Hepatitis C (Anti-HCV-Ab) before fertility treatment can start.

Treatment options after examination

ARTIFICIAL INSEMINATION IVFArtificial insemination, also called test tube treatment or egg transplantation
ICSILike IVF, except fertilisation of the egg happens by means of  micro-insemination; i.e., a single sperm cell is injected into the egg
EGG DIAGNOSIS (PGD)Implies that the embryo (fertilized egg) is diagnosed for known genetic diseases that the man or the woman is a carrier of, such as HD (Huntington’s disease) or CF (cystic fibrosis).
EGG SCREENING (PGS)Implies that the embryo (fertilized egg) is screened to make sure that the 23 pairs of chromosomes (22 autosomes plus the sex chromosomes X and Y) are present; in other words that the embryo has the normal number of chromosomes.
ASSISTED HATCHINGIn the laboratory a tiny hole is made in the shell of the embryo before it is transferred to the womb
TESASperm cells are extracted from the testicle if the man has had a vasectomy or is unable to ejaculate
EGG FREEZINGHigh-quality spare embryos are frozen after IVF treatment
SPERM FREEZINGFreezing of sperm can be a good idea if:
- the man is about to receive medical treatment that may potentially harm his sperm cells
- the man finds it difficult to supply fresh sperm on the day of egg extraction
- the man can’t be present on the day of IUI treatment or egg extraction
- the man is considering a vasectomy
INSEMINATION IUIInsemination with partner (IUI-H) Insemination with donor sperm (IUI-D)