Preliminary fertility investigations

26 August 2019

In the majority of cases, GP’s are the first medical professionals to provide guidance when patients are considering having a baby. If conception has not occurred after 12 months, where the woman is under 35, or after 6 months where the woman is over 35, and there is no complicated medical history, investigation are recommended.

Preliminary tests for women

Baseline Bloods Day 2-6 of Menstrual Cycle- FSH, LH, E2, AMH, TSH, Prolactin, Rubella, Blood Group Screen. ( FSH- Follicle Stimulating Hormone, LH-Luteinising Hormone, E2-Oestradiol, AMH- Anti-Mullerian Hormone, TSH- Thyroid Stimulating Hormone, HSG- Hysterosalpingogram) (Please note there is currently no Medicare rebate for AMH- cost is approximately $95) Updated PAP smear (especially if it is over 12 months since the last test). Baseline transvaginal scan day 2-6 of menstrual cycle for Antral Follicle Count (AFC), ovarian volumes (both ovaries) and assessment for uterine pathology. *Patient can book in at Fertility SA to have this scan prior to their first consultation with their Fertility SA Specialist. Cost of the scan is $150; patient’s eligible for Medicare will receive a $29.75 rebate (costs current May 2018).

Optional Tests

If cycles are irregular: Serum androgens If cycles are regular: Luteal Progesterone (to be taken on day 21 of a 28 day cycle) Consider HSG (Hysterosalpingogram)

Preliminary tests for men

Semen Analysis
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