Fertility Tests for Women
Fertility is a medical issue and screening is both essential and empowering. We know fertility levels decline with age, but fertility is still individual. Accessing your fertility data through simple tests will give you a wealth of information on your hormones and number of eggs (your “ovarian reserve”), your unique fertility timeline, and our suggestions for a plan of action. Backed with the latest scientific evidence, you can make informed decisions about your future plans.
When Should You See A Fertility Specialist?
Protecting your fertility by having health checks at a fertility clinic must become as routine as general health checks, whether you are actively trying for a baby or not.
If you want to check in on your fertility, we offer basic and in-depth fertility testing:
Basic Fertility Check: An AMH blood test and a detailed phone call with a fertility nurse specialist – €120
In-depth Fertility Check: An AMH blood test, pelvic ultrasound scan and a detailed 1-to-1 consultation with our fertility specialists – €275
If you are trying for a baby, see a specialist if:
- You are under 35 and have been trying to conceive for 12 months
- You are over 35 and trying to conceive for 6 months
- You are over 40 and trying to conceive
If you are part of a same sex female couple or are single, we recommend seeing a specialist as soon as you are ready to start your family.
An in-depth consultation with a fertility consultant – €250
To get the most out of your consultation, we recommend you have some blood tests taken prior to your appointment to investigate your AMH level and Hormone Profile. These blood tests can be taken at our clinic, or you may prefer to visit your GP. See our price list for details. At your consultation, you will also have a transvaginal ultrasound scan, to explore the health of your ovaries and pelvis (this is included in the cost).
You may not need any treatment. It is our ethos to always provide honest advice, and sometimes couples simply need information on when in the cycle to try so that they can conceive unassisted. Your combined results will guide the consultant: male fertility issues are as common as female fertility issues, and sometimes the cause is ‘unexplained’.
At Waterstone Clinic, we believe in using the least invasive treatment and a large proportion of our patients only need simple fertility treatment to conceive their families. Care at Waterstone Clinic is individualised and you will build your plan with our clinical team.
We know that female age is the most predictive factor of the ability to conceive, and this ability declines rapidly with age.
Increasing age is one of the most significant causes of subfertility in women. The number of eggs in the ovaries provides information we can use to consider proactive steps such as egg freezing, or fertility treatment. The younger you are, the more likely your eggs are healthy and normal. As you age, the quantity of those eggs decreases and so does the number of eggs that are normal and could produce a pregnancy.
Alcohol, smoking, drug use, and excess weight can all be detrimental to fertility. Adopting a healthy lifestyle is the first step to helping you become pregnant, and is the main thing you can change to increase your chance of pregnancy.
To become pregnant, the complex processes of ovulation and fertilisation need to work just right. Stress, anxiety, excessive weight loss/weight gain and strenuous exercise may all cause irregular ovulation. Hormonal imbalances such as high levels of the hormone Prolactin may also affect ovulation. Polycystic Ovary Syndrome (PCOS) is a common female health problem in which there is an imbalance in a woman’s hormone levels. It is characterised by the presence of small cysts on the ovaries and greater than normal levels of male-type hormones in the body. Women with PCOS usually experience irregular ovulation which reduces chances of pregnancy.
The Fallopian tubes allow the transport of the released egg from the ovary into the womb. Anything that blocks these tubes can result in fertility difficulties. Causes of blockage include scarring of the tissue inside the tubes from previous surgery or from Pelvic Inflammatory Disease (PID).
Endometriosis is a condition where the endometrial tissue, found in the lining of the womb, grows in areas outside of the womb. This tissue can be found on the ovaries, in the Fallopian tubes, on the bowel and in the pelvic cavity. Each month, hormones released by the body cause this tissue to build up causing pain, inflammation and scarring.
Some women experience involuntary tightening of the walls of the vagina during sex. This is called ‘vaginismus’. Vaginismus can interfere with sex by causing pain and soreness during penetration, and for some women it can make penetrative sex impossible.
Sometimes it is a combination of these factors that leads to subfertility. In many cases however, no reason can be detected.