Infertility is heartbreaking. Even a family already has a child, it can still be very upsetting when family plans don’t happen.
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.
Dr Penman offers an Infertility Package that does not require waiting for the right point in your menstrual cycle for the next phase/test results. The Infertility Package can be followed whether your menstrual cycle is erratic or regular.
How Much Is The Infertility Package?
The cost of the Infertility Package is £190 and includes:
- Initial consultation
- Planning of investigations and treatment
- Prescriptions for medications required throughout treatment (PLEASE NOTE: The Infertility Package fee does not include the cost of any necessary medications – you will need to take the prescription to a pharmacy and pay the appropriate fee)
How Many Consultations Will I Need?
One consultation is all that is required to start the ball rolling.
Following this consultation, Dr Penman will contact you via email to inform you of test outcomes and advise you on the next step.
What Are The Steps To Find And Treat The Cause Of My Infertility?
1. A day 21 progesterone estimation
This is to ascertain 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).
IF YOU ARE OVULATING:
Begin Hysteosalpingogram (HSG) – more information below.
IF YOU ARE NOT OVULATING:
Dr Penman will recommend commencing Clomiphene. Following this, another day 21 progesterone estimation will be conducted. If ovulation has occurred, the HSG is then carried out.
If ovulation has still not occurred, the Clomiphene dose will be increased. Day 21 progesterone repeated.
If ovulation is still not happening following the higher dose of Clomiphene, Dr Penman will offer recommendations for further treatment
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 result 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 hysteosalpingogram 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 for some reason it’s not possible to perform a hysteosalpingogram, 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.
Following the Hysteosalpingogram
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, a further consultation is recommended to discuss the various options.
If an abnormality is found, Mr Penman will discuss the various options.
Causes Of Infertility
Through the various tests performed through the infertility package, certain causes for the infertility can be detected. One such cause for infertility is Polycystic Ovary Disease or PCOD.
It may be that Dr Penman suggests surgery to treat Polycystic Ovary Disease using a laparoscopy and ovarian drilling (ovarian capsular cautery). This costs £3488.
For more information on the Infertility Package Dr Penman offers, please click the button below.
You can book an appointment with Dr Penman by clicking on the blue appointment button below.
Alternatively, please visit the Contact Us page and ring the hospital of your choice.