Fetal Medicine UK Infertility Package
Infertility is heartbreaking. Even a family already has a child, it can still be very upsetting when family plans don’t happen. Dr. 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:
- initial consultation (only 1 is required throughout the investigation process)
- planning of investigations and treatment
- prescriptions for medications required throughout treatment
- high-quality, professional care from Dr. Penman, Consultant Fetal Medicine Specialist
Only one consultation is required to begin the investigation process into why you are not getting pregnant. Following this consultation, Dr. Penman will contact you via email to inform you of test outcomes and advise you on the next steps.
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?
Dr. Penman, Consultant Fetal Medicine Specialist, will guide you through the investigations into your infertility. This includes giving the consultation, explaining the results, and helping you to plan the next steps in the process. There is only one consultation needed to start the infertility investigation process.
Dr. 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.
Dr. 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 performed at the Spire Alexandra Hospital (£79.50) or arrange this with their GP and have the results forwarded to Dr. Penman. If the results are low, Dr. Penman will refer your husband/partner to a urologist for further investigations and treatment.
A hysterosalpingogram is a test performed in the outpatient department by Dr. Penman.
A dye is blown through the fallopian tubes. Dr. Penman observes the dye via x-ray to check that both tubes are inflated and that 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, Dr. 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 costs £2461.
4. Discussion of results
Following the HSG, if nothing abnormal is found, Dr. 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, Dr. Penman will discuss the various options.