His & Hers Fertility Test

His & Hers Fertility Test

Worried or anxious about your current or future fertility? Why not put your mind at rest and take our ‘His & Hers’ fertility test?

 
The Sims IVF 'His & Hers' fertility test has been designed for couples and individuals who have recently started trying to conceive or who are considering trying for a baby in the future. For most couples it will give you the all clear, for some the results may not be completely normal and will then allow you to focus in on those issues at an early stage.
 
The Sims IVF 'His & Hers' fertility test is a panel of tests which is designed to give you an overview of your current fertility status as a couple. We also invite women without a male partner to attend for testing. The cost of this panel of tests is €300 for a couple, €160 for individual females and €150 for individual males. The tests will be performed in a single visit, subsequently you will receive a scheduled phone consultation with one of our specialist consultants to discuss the outcome of testing, and then copies of your test results will be issued to you and your GP within 10 working days. To book an appointment, you will need to complete the registration form below (this will take approximately 10 minutes) then press the “submit” button. You will then be contacted by a member of our patient co-ordination department who will assist you with scheduling your appointment. At this time, a non-refundable booking deposit of €100 is payable by credit/debit card. The balance will be due on the day of your appointment.
 

What does it include?

 
  • Anti-Müllerian Hormone (AMH)
  • Thyroid Stimulating Hormone (TSH)
  • Prolactin Hormone
  • Semen Analysis
  • Phone Consultation with one of our consultants to discuss results
  • Copies of Test Results
 
 

Anti-Müllerian Hormone (AMH or “egg count”)

AMH is produced only in small ovarian follicles and blood levels have been used to attempt to measure the size of the pool of growing follicles in women.  Research shows that the size of this pool of growing follicles is heavily influenced by the size of the pool of microscopic follicles you developed as a baby.  Therefore, AMH blood levels are thought to reflect the size of the remaining egg supply - or “ovarian reserve”.  With increasing age the size of the pool of remaining microscopic follicles decreases.  Likewise, blood AMH levels and the number of ovarian follicles visible on ultrasound also decreases.  Women with many small follicles, (such as those with polycystic ovaries) have high AMH hormone values while women that have very few remaining follicles and those that are close to menopause have low anti-mullerian hormone levels.  It should be remembered that measuring AMH alone cannot predict whether a woman is able to become pregnant – there are other important factors that have to be taken into account including lifestyle, past medical history, anatomic and genetic abnormalities, quality of sperm and other male factors - but it is still considered the best hormone to help identify your potential long term fertility.
 

Thyroid Stimulating Hormone (TSH)

Thyroid hormones are essential and primary regulators of the body’s metabolism and imbalances can affect virtually every metabolic process in the body, including significant effects on mood and energy levels. Thyroid function has a profound impact on overall health via:
  • Modulation of carbohydrate, protein and fat metabolism
  • Vitamin utilisation
  • Mitochondrial function
  • Digestive process
  • Muscle and nerve activity
  • Blood flow
  • Oxygen utilisation
  • Hormone secretion
  • Sexual and reproductive health
  • Many other physiological parameters

These imbalances may elicit fatigue, depression, coldness, constipation, poor skin, headaches, PMS, dysmenorrhea, fluid retention, weight gain, anxiety/panic attacks, decreased memory and concentration, muscle and joint pain, and low sex drive.  The TSH test is the test of choice for evaluating thyroid function and/or symptoms of hyperthyroidism (overactive) or hypothyroidism (underactive).

 

Prolactin

Prolactin is a hormone produced in the pituitary gland. An imbalance can impact of fertility.

 

Semen Analysis

 
Where and when should a sample for semen analysis be produced?
 
A sterile sample pot should be bought from your local pharmacy or one can be collected from the clinic in advance. Samples should be produced at home and brought into the clinic for analysis. 
 
Samples are generally produced by masturbation or if a sample cannot be produced in this manner, by intercourse using a special condom without a spermicide (provided by the clinic if requested). Regular condoms or any kind of lubricant MUST NOT BE USED when producing the sample as these can contain spermicides which can kill the sperm.
 
A semen analysis should be carried out following 2-3 days of abstinence from intercourse or masturbation. Shorter or longer periods of abstinence could result in a misrepresentative result. (e.g. if your appointment is on Thursday you should ejaculate on the Monday or Tuesday and not again until producing the sample).
 

What is assessed in a semen analysis?

 
The volume of the sample:
The WHO (1999) quotes 2 milliliters (about half a teaspoon) or more as the normal volume for an ejaculate.
 
The number of sperm that are present in the sample:
This figure is often described as the ‘count’, although it is actually the ‘concentration’ of sperm, i.e. the number of sperm in each milliliter of the sample. The WHO (1999) quotes 20 million sperm per milliliter or more as a normal count.
 
The percentage of the sperm in the sample that are swimming (the motility) and how well the sperm are swimming (the progression):
The WHO (1999) states that in a normal sample, half (50% or more) of sperm or more should be actively swimming.
 
The proportion of sperm that have normal size and shape (the morphology):
Morphology can be assessed by different methods and routine semen analysis involves examining a fresh sample. In a normal sample, 35% or more of the sperm would be expected to show a normal morphology (shape).
 
The presence of anti-sperm antibodies on the sperm:
The WHO (1999) defines binding of anti-sperm antibodies to 50% of sperm as clinically significant, with a potential impact on fertility.

Test Results

 
Following 'His & Hers' testing, you will receive a scheduled phone call with one of our specialist consultants to discuss the test outcomes. The consultant will make recommendations regarding your fertility planning or ways to improve your fertility for the future. Copies of your test results will then be posted out to you and to your GP (with permission). Please ensure you supply us with your GP details if you would like copies of results to be referred onto them.
 
 

Register Now

 

New Patient Appointment Form

General Information

Please do not supply your GP's details below if you do not wish for a copy of your results to be sent to your GP.

Your Partner

Female Patient Medical History

Please complete this form to the best of your knowledge. If there are any question you are uncertain about, do not worry. The details will be discussed with the doctor at the first appointment. The form will take some time to complete. if you have any questions or queries, please do not hesitate to contact us.

If you have further information, medical records or otherwise, please bring them to the first appointment so that your doctor can review them.

Have you ever undergone an operation? (If so, please give details including the year).










Social History

Family History

Menstrual History

Gynaecology History










Obstetric History

If the answer is yes, please provide any information you can below.

Previous Treatment

Male partner Medical History (If Applicable)

Fertility / Andrology

Social History

Surgical History










Additional Comments