Fetal Medicine UK Infertility Package
Infertility is heartbreaking. Even if a family already has a child, it can still be very upsetting when family plans don’t happen. Mr. Penman’s infertility package is designed to uncover, and treat, the common causes of infertility.
What’s Included in the Infertility Package?
The Infertility Package includes:
- One consultation (only 1 is required throughout the investigation process)
- During this consultation, Dr Penman will discuss the planning of investigations and treatment.
- He will also discuss the prescriptions for medications that may be required throughout treatment and explain the medication in detail.
- High-quality, professional care from Mr. Penman, Consultant Fetal Medicine Specialist.
- Email communication for delivery of results or alteration to medication only.
Only one consultation is required to begin the investigation process into why you are not getting pregnant.
Following this consultation, Mr. Penman will contact you via email to inform you of test outcomes.
PLEASE NOTE – Mr Penman prescribes ovulation stimulation medication to be taken exactly as prescribed, should you change this, he cannot be responsible for the outcome. Hyperstimulation syndrome is a very serious condition and recommended dosages are given to control ovulation and ensure this does not happen.
PLEASE NOTE: The Infertility Package does not include the cost of medication, blood tests, HSG
How long will it take to find the likely cause of my infertility?
From the initial consultation to the outcome of tests is a maximum of 3 months.
When can I start infertility investigations?
You can begin infertility investigations at any point during your menstrual cycle – you don’t have to have a regular period.
Who takes me through the infertility Investigations?
Mr. Penman, Consultant Fetal Medicine Specialist, will guide you through the investigations into your infertility during the consultation. He will explain the likely tests and investigations you may require depending on your particular circumstances. There is only one consultation needed to start the infertility investigation process.
Please be aware that if you have questions and other issues during the infertility process, this will require you to book a further outpatient appointment (£140). Mr Penman cannot conduct consultations through email. The email service is only to advise on test results and alterations to medication.
Mr. Penman has over 25 years experience as a Consultant Gynaecologist and Fetal Medicine Specialist. He has a fully private baby scan and gynaecology clinic based in Kent, England, and specialises in numerous areas, including prenatal screening and diagnosis of fetal abnormalities, recurrent miscarriage, and infertility.
Mr. Penman will conduct the consultation, take your and your partner’s medical history, and will fully explain the next steps in investigations to you.
What are the steps to find and treat the cause of my infertility?
1. Day 21 progesterone estimation
This is to find out whether or not you are ovulating.
If you have irregular periods, Norethisterone can be prescribed to bring on a period, after which a day 21 progesterone estimation can be taken.
2. A semen analysis
Your husband/partner will have a semen analysis so they can be ruled out of further investigations. They can have this arranged through the Spire Alexandra Hospital (£220) or arrange this with their GP (free, please ask them to send the results to Mr Penman, we are unable to ascertain these results on your behalf). If the results are low, Mr. Penman will refer your husband/partner to a urologist for further investigations and treatment.
3. Hysterosalpingogram (HSG)
A hysterosalpingogram is a test performed in the outpatient department by Mr. Penman. (£357)
A dye is injected into the uterus. Mr. Penman observes the dye via x-ray to check the dye passes completely through the fallopian tubes, showing that they are capable of transporting sperm through to fertilize the released egg. If it’s not possible to perform a hysterosalpingogram, or if there are other issues where a laparoscopy is required, Mr. Penman can carry out a laparoscopy and dye. This is the same process as before, but with observation through a laparoscope rather than ultrasound. (This is performed as a day-case under anaesthetic and incurs further costs .. approximately £2500)
4. Discussion of results
Following the HSG, if nothing abnormal is found, Mr. Penman will suggest continuing to try for a pregnancy for a further 4-5 cycles. Should a pregnancy not occur, further consultation is recommended to discuss the various options. If an abnormality is found, Mr. Penman will discuss the various options.
5. What Do I Do If I Have Questions Or Need Further Advice?
Please do not use the email for results that Mr Penman will give you to ask questions. He cannot answer questions from this email. If you have questions, please email his secretary, Helen, on helenfmu@gmail.com. She will advise you on the best information, which may be booking an appointment to go back to see Mr Penman.