Investigations – Fertility
The first step to fertility investigations is a thorough examination of a couple’s medical history and an in-depth review of their reproductive history.
We recognise that some aspects of your health may be sensitive and difficult to discuss, please let Dr Kretowicz know if that is the case, these can always be investigated further during subsequent visits.
Female patients should also expect a physical examination during their first visit which may include a PAP smear and vaginal swab collections. Again, some patients may prefer not to be examined for a variety of reasons which we are happy to discuss and formulate a plan of management if needed.
Checking family history through siblings and parents about the presence of any genetic disorders that could affect the health of your unborn child, infertility and other gynaecological conditions such as endometriosis and early menopause is very important.
A number of tests are usually required to investigate further, including:
- Hormone levels
- Thyroid function tests
- Anti Mullerian Hormone level (also known as “egg count test”)
- Screening for infectious diseases or genetic disorders such as Cystic Fibrosis.
The number, shape and movement of sperm is measured to assess male fertility. Additional sperm investigations may be required depending on the initial assessment of male partner.
Ultrasound or Xray
A test to check for Fallopian tube blockage may be required and can be done through an X-ray (Hysterosalpingogram) or an ultrasound type procedure (Hy Co Sy).
Other possible investigations
- Laparoscopy (Key hole surgery)
Do you need more information?
Dr Kretowicz consults at two locations in Brisbane: the Alexandra Building on Wickham Terrace and at the Ramsay Consulting Suites at North West Private Hospital.
“Laparoscopic excision of endometriosis plays an important role in management of patients with infertility. A number of women will conceive spontaneously once their endometriosis has been treated.”
DR EVA KRETOWICZ