Infertility assessment couple
If you are a couple and want to be examined for involuntary infertility, then it is appropriate if you get together for an appointment with the gynecologist by booking 2 consecutive hours the same day. This also applies if same-sex couples want children together. Both must be considered before one can apply further for IVF if it becomes relevant.
Infertility assessment woman
Normally, the fertility check contains the following examination, but they are adapted to your needs:
Mapping of medical history, medication use (including contraception) and menstrual cycle
Blood tests (including hormones)
Ultrasound examination of the uterus and ovaries
Examination of the uterine pocket and fallopian tube function (Water scan, HysCos) with or without contrast fluid
Infertility assessment man
Normally the infertility test includes the following examination, but they are adapted to your needs:
Medical history (including if you have had mumps) and medication use.
Referral to semen analysis at the hospital. More information about how the analysis takes place at the hospital can be read here: https://oslo-universitetssykehus.no/behandlinger/sedanalyse
If the semen analysis shows reduced sperm quality, you proceed with hormone tests. It's a blood sample that the man takes at one of Furst's sampling stations. The gynecologist you were with will contact you and request the tests if this needs to be done.
Sometimes the testicles, spermatic cord and prostate gland will also be examined for infection or nodules.
Where do I take blood samples?
You can take the blood samples at one of Furst's test stations (https://www.furst.no/globalassets/pdf/kart.pdf), at the GP's office or at the laboratory at the hospital. This is done after you have had an infertility check with one of our gynecologists at Dr.Dropin Medical Center. Some tests require that you perform them at certain times in the cycle and the gynecologist at Dr.Dropin will plan this with you.
What blood tests are needed for the woman?
The gynecologist will make an individual assessment of which blood samples should be taken at which time. Below is a list of current samples.
Metabolism (TSH and Free-T4)
Testosterone and SHBG
Infection tests including HIV and Hepatitis status
What blood tests are needed for the man?
Infection tests incl. HIV and Hepatitis Status
How long does the report for infertility last?
The actual consultation per person only takes about 20-30 minutes. You will be followed up after the consultation if you continue with a sperm sample or blood samples. You will receive answers and advice about what you are wondering about and a plan for the way forward.
What happens next if you have to go on to in vitro fertilization (IVF)?
On the basis of findings and wishes of the person / persons seeking help, the doctor will be able to refer you to IVF after the necessary assessment has been performed. The gynecologist is obliged to assess whether all criteria for fertility treatment are met, including an examination of both parties.
The gynecologist at Dr.Dropin will help fill out the standard referral form for IVF and send with all necessary examinations that have been performed. A referral to IVF requires a police certificate. Read more about the assessment for IVF at Oslo University Hospital: https://oslo-universitetssykehus.no/behandlinger/ufrivillig-barnloshet-infertilitet.
What is a fallopian tube examination?
Ovarian examination (water scan, HysCos) is performed to see if the fallopian tubes are open. This is done at a specific time in the cycle (days 8-11) and an appointment is made for this if necessary after an initial infertility assessment by a gynecologist.
It is also possible to order the examination separately from another examination, if this is the only thing you need to examine. It is mainly not necessary to perform a fallopian tube examination if you do not have a desire for children in the near future, want a referral to IVF due to suspicion of infertility or have undergone a disease that indicates that the fallopian tubes may be clogged. The gynecologist can help you decide this.