Fertility Assessment Clinic
If you are trying to conceive and are having difficulty or you wish to have some initial investigations, at this clinic we will perform an Ovarian Assessment and Semen Analysis and arrange for an assessment of your fallopian tubes. This will allow you to make an informed choice of the options available to you.
Many women are postponing having their family until their late 30’s and finding it difficult to conceive.
Unfortunately, when a woman is older and makes the decision to have a child, it is often harder to conceive and her chances of miscarriage are greater. This is because the number and quality of the eggs in the ovaries declines rapidly from about 35 years of age. This is a biological trend we can do nothing about.
The effects of these changes are best illustrated by the national IVF figures, provided by the HFEA’s most recently published data, showing that the success of IVF also declines with increasing age (Figure 1).
Figure 1. Live birth rate per IVF cycle (HFEA 2005-06 )
Here at the CRGW we offer fertility preservation whereby the woman goes through the IVF treatment process to the point where her eggs are retrieved from her ovaries and they are then frozen prior to fertilisation.
The technology is relatively new but the results are encouraging, such that units around the world are achieving 25% pregnancy rates using cryopreserved (frozen) mature eggs. This compares favourably with the success rates of IVF at the same age (see Figure 1, above). The number of babies born following these procedures is increasing all the time (nearly 500 reported by the end of 2006).
It is important to realise that the decline in fertility is due to the "age of the eggs" and therefore fertility preservation should apply only to women who are less than 36 years of age. There are exceptional circumstances (e.g. a higher than average level of AMH) when it may be a viable option up to the age of 38 years.
If you feel that fertility preservation might be for you and would like to learn more then please click HERE for a factsheet, or call us on 01443 443 999.
Assessment of Ovarian Reserve
The term "ovarian reserve" refers to a woman's current supply of eggs, and is closely associated with reproductive potential. In general, the greater the number of remaining eggs, the better the chance for conception. As a woman ages, her supply of eggs gradually declines over time. Although we expect the ovary to age in a certain way, there are times when it doesn't behave as predicted.
Measuring a woman’s ovarian reserve may provide vital information about whether she could defer trying for a baby for a few years or whether her reproductive life span is so reduced that she should not delay.
A woman's chronological age is the single most important factor in predicting a couple's reproductive potential. However, age alone doesn't tell the whole story.
The ovarian reserve test at CRMW also includes:
- Measurement of AMH
- Measurement of the FSH hormone level and of the FSH:LH hormone ratio
- A consultation with a fertility consultant
- An ovarian ultrasound scan to perform an antral follicle count
Recurrent miscarriage clinic
One in one hundred couples trying for a baby experiences recurrent miscarriage, usually defined as three or more miscarriages in a row.
Many couples who have been through a miscarriage are anxious to find out why it happened, especially if that information can improve their chances of success in their next pregnancy.If a couple has had three or more consecutive miscarriages, statistics show that there is more likely to be a underlying cause or causes. This does not necessarily mean that a cause or causes will be found.
If you do undergo investigations for recurrent miscarriage, it is possible, therefore, that many of the tests performed will be reported as normal and a clear cause for the miscarriages will not be found. This can be frustrating although it does mean that there is a very high chance of the next pregnancy being successful.
Repeated miscarriage requires expert, individual investigation, which we provide at CRMW. We will then advise if any treatment or special monitoring is required before you try to conceive again.
This is an operation requiring general anaesthetic to correct situations where the sperm/egg transport mechanism through the tubes is disturbed known as "tubal infertility". Such operations are done to repair a blocked or damaged fallopian tube, or to divide adhesions or remove lumps in the pelvis which may be distorting or interfering with the course of the tube.
This operation is performed under general anaesthesia and using a microscope to help to rejoin your tubes.The success of the surgery is determined by the extent of the damage.