Our standard tests and examinations typically include AMH, PRL, TSH, fT4, blood type, Rh factor, STD screening, ultrasound examinations, PAP tests (cytology), semen quality evaluation, followed by a thorough discussion and evaluation of your results with the physician.

1. AMH levels

The Anti-Müllerian Hormone (AMH) blood test measures ovarian reserve (how many eggs you have left) and can show if your ovaries are ageing prematurely. A low AMH level indicates low ovarian reserve and potentially a lower chance of IVF success.

2. Prolactin levels

The PRL test measures the level of prolactin in the blood. This hormone is responsible for stimulating milk production in pregnant and breastfeeding women as well as suppressing fertility to prevent the mother falling pregnant again too soon. Too much prolactin (hyperprolactinaemia) when trying to conceive can prevent ovulation by blocking the production of FSH (follicle-stimulating hormone) and cause irregular or absent menstrual periods.

3. TSH and fT4 levels

A thyroid function blood test measures thyroid-stimulating hormone (TSH) and free thyroxine (fT4) to see if your thyroid is producing the right amount of hormones. Low or high thyroid hormone levels can affect reproductive hormones and disrupt the menstrual cycle.

4. Sexually Transmitted Disease screening, both partners

Blood screening includes the following: HIV-1 & 2 antibody test and antigen test (p24), hepatitis B antigen test (HBsAg) and antibody test (anti-HBc), TPHA and RRR test for syphilis.

5. Ultrasound examination

The baseline ultrasound includes both abdominal and transvaginal scans in order to assess the pelvic organs (cervix, uterus, endometrium and ovaries) before initiating IVF treatment. If fibroids, polyps or cysts are found, they must be treated before ovarian stimulation can commence.

6. PAP test (cytology)

The cervix is swabbed to check for cervical cancer, abnormal precancerous cells and HPV (human papillomavirus). You should avoid sexual intercourse, spermicide and douching in the days leading up to your smear.

7. Sperm quality evaluation

Semen analysis assesses sperm count, motility (how well sperm can swim), morphology (size and shape), leukocytes, anti-sperm antibodies (ASA) and the quantity and quality of seminal fluid. These tests can establish the cause of male infertility and the course of appropriate treatment. Men should abstain from sexual activity for at least 2 days but no longer than 7 days before providing a semen sample.

8. Sperm freezing – eligibility

Before sperm can be cryopreserved (frozen), men must undergo STD testing and submit a semen sample for analysis (see above). Sperm count, motility and morphology are assessed to see if sperm banking is a viable option. Poor quality sperm may not be suitable for freezing.