In most cases your contact with Stockholm IVF will start with a fertility investigation. It is important to perform a correct and thorough yet rapid fertility investigation to pinpoint the cause of infertility. By combining the most modern methods with some of Scandinavia’s utmost expertise we offer tailored highly skilled investigations for each couple. The ovarian reserve, and thereby the ovarian age, is estimated by measurement of both AMH and ultrasound estimation of the Antral Follicle Count (AFC). We use Hysterosalpingography (HSS) to diagnose tubal factor infertility.
This is a methodological approach to finding both the reason of infertility and the best treatment option for you as a couple. To read more about the steps of a fertility investigation please look at our step-by-step description below.
Fertility investigation – Step-by-step
To help you understand the process of a fertility investigation we have written a simple explanation of the main steps in the workup.
1. First visit
At your first consultation you and your partner will be seen together by one of our experienced fertility specialists. Prior to your visit we want you and your partner to fill in and bring the health declaration, which will give us an overview of your medical history. This information helps determine if there are any obvious reasons for your infertility, such as diseases, medication or any surgery that you may have gone through. After we have looked through, and discussed your history the doctor will perform a gynaecological examination including a thorough ultrasound investigation of the uterus and the ovaries. In most cases the interview together with the gynaecological examination is enough to determine if your ovulation is normal or not. If something is unclear we will at times ask our patients to take a ovulation detection test at home to ascertain the presence of ovulation. We will also take blood tests for analysis of thyroid function (TSH) and ovarian reserve (AMH). Both the male and female will at this stage also be tested for a number of viral and bacterial diseases that may explain your infertility. After this visit the male partner leaves a sperm sMPLE, that is obtained after 3 days of sexual abstinence. The sperm sample is analysed for any abnormalities in quality or quantity.
2. Second visit with examination of the uterus and tubes
To be able to recommend the best treatment for your specific case of infertility it is important to closely examine the uterine cavity and the Fallopian tubes. This is done with a special ultrasound examination called hysterosalpingography (HSS). The HSS investigation is done a few days after menstruation. The examination is done by gently passing a thin, soft plastic catheter through the uterine cervix so that the tip of the catheter will be positioned in the centre of the uterine cavity. Later a saline-based solution is gently flushed through the catheter under ultrasound guidance. We will then be able to see if there are any irregularities of the endometrium (inner lining) of the uterus (i.e. polyps, myomas) and if there is free passage through the Fallopian tubes. At his visit we will also inform you about the results of all laboratory tests and the sperm sample, that were taken at your previous visit.
With a hysterosalpingosonography (HSS) we can detect if there exist any blockage of the tubes.
3. Conclusion and continuation
By performing this methodological fertility investigation we can pinpoint the cause of your infertility. This information is later used to recommend the most suitable treatment for you.
Treatment options include:
Last updated: 2016-02-15