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First Fertility Assessment in 5 Simple Steps

> DOWNLOAD our 5 Simple Steps guide

You are not alone…

One in six couples experience difficulties trying to conceive.

However, with the assistance of fertility treatments, many couples fulfil their dream of becoming a parent. The experienced team at Galway Fertility Clinic has been providing a
wide range of fertility treatments in Ireland for over 20 years. Our approach is to provide the least invasive, most cost effective treatment, giving you the best chance of success. We offer a wide range of investigations to identify any contributing factors in both male and female infertility.

We outline here, our “5 Simple Steps” to giving you a comprehensive assessment.

 

STEP 1: Your First Appointment(s)

At your first appointment, our Fertility Consultant will perform a detailed assessment and schedule any tests required. We have arranged the following appointments for both of you at our clinic.

Female: Detailed Medical History (both partners) Please bring information of any previous treatment you may have had
Physical Examination (including breast examination if needed)
Trans-Vaginal Ultrasound Scan
Anti-Sperm Antibody Test (Blood test)
Blood Tests (AMH / Bio-Screens if required)
Male:
(if applicable)
Semen (Sperm) Analysis. This test is carried out in our laboratory.
Blood Tests (Hormone Profile / Bio-Screens if needed)
Physical Examination (occasionally required)

 

STEP 2: Blood Tests required with your GP

In order for the consultant to identify potential causes of your infertility, the following blood tests should be completed prior to your initial appointment. You should attend your GP to have these tests taken and bring a copy of the results with you to your appointment. Please bring this pamphlet along to your GP to ensure the correct tests are performed. 

 

Female:

Test

Description

Specific Instructions

Hormone Profile:
  • FSH, LH,
  • Prolactin, Free Androgen Index
  • Testosterone
  • SHBG
  • Thyroid Function Tests
Taken on Day 3 to 7 of menstrual cycle (counting the first day of your period as Day 1)
Ovulation Test Progesterone Level Taken on Day 20 to 23 of menstrual cycle
Bio-Screen Blood Tests
  • HIV 1 and 2 (Anti-HIV-1,2)
  • Hepatitis B (HbsAg, Anti-HBc)
  • Hepatitis C (Anti-HCV-Ab)
  • Syphilis (VDRL)
  • Rubella
May be taken on any day
Smear Test (if required) (Recommended every 3 years)

 

Male/Partner (if applicable):

Test

Description

Specific Instructions

Bio-Screen Blood Tests:
  • HIV 1 and 2 (Anti-HIV-1,2)
  • Hepatitis B (HbsAg, Anti-HBc)
  • Hepatitis C (Anti-HCV-Ab)
  • Syphilis
May be taken on any day

It is preferable for the above test results to be available at your first appointment so that the consultant has all the necessary information at this time.

 

STEP 3: Semen Analysis at your First Appointment

Instructions for Semen (Sperm) Assessment

As part of your initial assessment, you will be asked to produce a Semen (sperm) sample. A comprehensive test is then performed to check for possible sperm quality issues which may influence treatment options.

The most accurate assessment is obtained following no more than 5 days abstinence from ejaculation. The sample is assessed for:

  • Sperm Count
  • Morphology (Sperm Quality)
  • Motility
  • The Presence of Anti-Sperm Anti-Bodies
  • Progression

It is preferable for the sample to be produced in a designated room in the clinic at a pre-arranged appointment time.

Some clients may wish to produce the semen sample at home. In such cases you should arrange this with the Clinic. The specific guidelines for producing samples at home are as follows:

  • The semen sample should be produced by masturbation, without lubricants, into a sterile specimen container (available from any pharmacy).
  • Write your name and date of birth on the container.
  • Please ensure the lid of the container is closed completely.
  • Keep the sample at body temperature (an inside pocket) in transit and deliver to the clinic within one hour.

 

STEP 4: Additional Tests Available

We offer a wide range of investigative tests which can identify any contributing factors in both female and male infertility and may be recommended at your initial consultation. Some of these tests may include:

Test

Description

Costs

AMH Testing (Female only) This test result gives an indication of the number of eggs remaining in a woman’s ovaries. It is an important guide in treatment planning. Cost reduced to €50 if completed on the day of the first appointment (Normally €100
Recurrent miscarraige Testing (if recommended – Female & Male Partner Some clients may have a history of previous miscarriages. In such cases a comprehensive blood screening assessment may be offered to detect a possible cause. Occasionally a blood clotting disorder may be detected, which requires medication to be taken during your treatment cycle and in pregnancy. No charge if part of your first appointment
Sperm DNA Fragmentation Testing (Male only)

This test examines the degree of DNA damage within the sperm. This can have an effect on the sperm’s ability to fertilise the egg and has been linked to miscarriages. This damage is not visible in the semen analysis and requires specialised testing.

A sample of sperm is frozen and shipped to private testing laboratories where the degree of fragmentation is measured.

Cost reduced to €250 if completed on the day of the first appointment (Normally €350)

Please note: This test can only be completed if Bio-Screen results are available and negative.

 

STEP 5: Treatment Plan

Following a review of your test results at your first appointment, the consultant may recommend a simple approach such as lifestyle changes or minor interventions. In cases where further testing or investigations are recommended, a follow-up appointment is usually arranged to discuss the results and treatment options. Our consultant will determine a suitable treatment plan to address any conditions identified.

It is widely accepted that fertility treatment can be stressful for some. If treatment is recommended for you, our approach at Galway Fertility Clinic is to provide professional and compassionate care to all our clients. Our team is available to you at all stages of treatment, to provide support as necessary.

Please visit our website for more information on investigations, treatments, health promotion advice and supports available to you.

 

Payment Terms and Conditions

Accepted methods of payments are as follows:

  • Debit / Visa Card, Cash or Cheque
  • Credit cards are accepted but these incur a 2% supplementary charge, to cover charges levied by the processing bank.
  • Fertility costs are not normally covered under private medical insurance (e.g VHI etc) or by the HSE. Please check with your insurance provider for clarification.
  • Costs may be claimed against income tax at the end of each financial year using a MED.1 form with your receipts. You can download these forms from www.revenue.ie

> DOWNLOAD our 5 Simple Steps guide