Fertility services

We offer counseling session which allows you to have the opportunity to have an in-depth understanding on the implications of the treatment suggested as well as necessary information, guidance and support.
Counseling aims to help you understand exactly what the treatment will involve and how it might affect you and your family.

• Counseling allows you:
• The opportunity to talk freely and openly without being judged.
• To have in-depth understanding of the factors that may be contributing to your difficulties before and after your pregnancy.

Anything you share with your counselor will be treated as private and confidential.

Tracking ovulation is the best way to identify the appropriate time to get pregnant.

Accurately predicting ovulation can be a little trickier than figuring out when day 14 is for you. Ovulation can be irregular or it can be affected by diet, stress or illness.

Ovulation is triggered by a surge of Luteinising Hormone (LH) from the pituitary gland. LH also stimulates the ovary to begin producing the hormone Progesterone. This surge normally occurs 24-48 hours before ovulation and can be tracked more accurately with blood tests and ultrasounds.

• Women having regular cycles, who have been trying to fall pregnant for several months without success.
• Women having irregular cycles, to help determine the best time to conceive.

Hysterosalpingo-contrast-sonography (usually called HyCoSy) is a straightforward procedure which is used to assess the patency of the fallopian tubes using advanced ultrasound to test for common symptoms such as blocked fallopian tubes. HyCoSy can also be used to check for abnormalities of the uterus and ovaries.

HyCosy is a much safer alternative to older methods as it does not use X-rays or any kind of radiation. Instead, a contrast agent is passed into the uterus via a fine catheter, and the doctor tracks this agent using ultrasound.

The HyCoSy procedure is recommended for women who would like to test the patency of the fallopian tubes. Blocked fallopian tubes are a common cause of infertility, and is why HyCosy is one of the most commonly used investigations for infertility.

There are a number of conditions which may increase the risk of occlusions in the fallopian tubes, including endometriosis, pelvic infection and appendicitis. Women who wish to undergo inter-uterine insemination (IUI) are also advised to undergo a HyCosy before going through the IUI, to make sure that the sperm will be able to meet the egg.

The HyCoSy procedure takes approximately half an hour. You will have an internal scan first; the doctor will take measurements of the uterus (womb), endometrium (lining of womb) and ovaries.

Under ultrasound guidance a thin tube will be passed into the womb through the neck of the womb and a small amount (5-10 mls) of fluid (normal saline) is injected into the womb to observe the presence of any abnormalities (polyp, fibroids etc) in the lining of the womb. A sulphur based medium called Sonoview is then passed into the womb and the fallopian tubes to assess the tubes.

The levels of pain for the HyCosy test varies from woman to woman but it is likely that you will feel some discomfort during the procedure similar to that of period pain.

The average woman’s cycle is 28 days long. But anything within a few days of that can be considered normal, as long as those cycles are consistent. For example, a woman who has a 33-day cycle one month, a 31-day cycle the next, and a 35-day cycle after that, is probably having “normal” periods.

But a woman whose cycles vary so greatly that she can’t even begin to estimate when her period might arrive is experiencing irregular periods. This can be related to hormone issues, or to polycystic ovarian syndrome (PCOS). Both of these can contribute to infertility.

2. Painful or heavy periods

Most women experience cramps with their periods. But painful periods that interfere with your daily life may be a symptom of endometriosis.

3. No periods

It’s not uncommon for women to have an off month here and there. Factors like stress or heavy workouts can cause your period to temporarily disappear. But if you haven’t had a period in months, it’s time to get your fertility checked.

4. Symptoms of hormone fluctuations

Signs of hormone fluctuations in women could indicate potential issues with fertility. Talk to your doctor if you experience the following:

• skin issues
• reduced sex drive
• facial hair growth
• thinning hair
• weight gain

5. Pain during sex

Some women have experienced painful sex their entire lives, so they’ve convinced themselves it’s normal. But it’s not. It could be related to hormone issues, to endometriosis, or to other underlying conditions that could also be contributing to infertility.

A man’s fertility is also linked with his hormone health. Changes in virility, often governed by hormones, could indicate issues with fertility.

2. Testicle pain or swelling

There are several different conditions that could lead to pain or swelling in the testicles, many of which could contribute to infertility.

3. Problems maintaining erection

A man’s ability to maintain an erection is often linked to his hormone levels. Reduced hormones may result, which could potentially translate into trouble conceiving.

4. Issues with ejaculation

Similarly, an inability to ejaculate is a sign that it might be time to visit a doctor.

5. Small, firm testicles

The testes house a man’s sperm, so testicle health is paramount to male fertility. Small or firm testicles could indicate potential issues that should be explored by a medical practitioner.