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I've already been referred for IVF - What happens next?

Your GP or Consultant has referred you to the Department of Reproductive Medicine to investigate why you may not be getting pregnant and to try to help you become pregnant.

In order to give you the most accurate advice, our doctors require you both to attend for the following tests:

Female Partner

Male Partner

  • Blood test for Oestradiol, LH, FSH & AMH
  • Blood test for Hepatitis B & C, HIV, Syphilis and Rubella or German Measles.
All these blood tests can be done with one needle
  • Blood test for Hepatitis B & C, HIV and Syphilis
  • An ultrasound scan of your uterus or womb and ovaries
  • Urine test for Chlamydia
  • Urine test for Chlamydia
  • Semen analysis
  • A blood pressure check

  • Height & weight measurement to work out your BMI (body mass index)



You may already have had some of these tests performed, but these can change over time and therefore need to be repeated.

We also need up to date (within last 2 years) viral screening results.


Available leaflets:

Information for patients who have been referred for infertility investigations prior to infertility or assisted conception treatment

Screening for infectious diseases prior to treatment for assisted conception


When do I come for these tests?

We ask that the female partner rings the nurses on the first day of her period (the day you wake up bleeding).  We will aim to call you back by telephone within 72 hours to invite you to attend for tests, which can be undertaken up to day 5 of your cycle.  You should already have received an initial letter from the Department which gives the number to call and further details.

So as not to cause delay it is preferable for both partners to attend on the same day for blood tests.  The male partner will be given a subsequent appointment for his semen analysis by the Andrology Department.


Where do I go for the tests?

The Department of Reproductive Medicine is based in old Saint Mary's Hospital building.  Our entrance is on Oxford Road opposite Whitworth Park.  Please note that you cannot access the Department through the new hospital building.  Click here for directions to the hospital.

Please report to the reception desk when you arrive.  You can then go to the blood room which is on the ground floor and down the corridor on the left as you entered the building.  Scans are carried out on the first floor. The Andrology Department is also on the first floor; turn right at the top of the stairs.


How is the scan done?

The ultrasound scan is done vaginally and carried out by a sonographer. All our sonographers are female.

You may still be menstruating when you attend for the scan.  You must remove any tampons prior to having your scan, and you will also need to have an empty bladder.

The scan should not take any longer than 10 minutes and is not painful. Your partner can accompany you if you wish.


What is AMH?

AMH stands for Anti-Mullerian Hormone and is produced by the ovarian follicles.

It is measured by taking a blood sample, and all women referred to The Department of Reproductive Medicine will have their AMH level checked. The test takes around 21 days to process.

AMH, along with performing an ultrasound scan in which the number of antral follicles are counted, is a used to help predict a woman's response to an IVF cycle as it gives an indication of ovarian reserve, or function.  AMH can range between 0 to more than 100.  A result showing 'satisfactory fertility' would be between 21-40.  It is thought a woman with an AMH between these levels should respond well to treatment ie, is likely to produce around 8-10 eggs as part of her IVF cycle.  A woman who has a lower AMH and has lower numbers of antral follicles will be advised that she may not respond as well and could produce fewer or no eggs.  These issues will be discussed with you at your clinic appointment.

It is worthwhile to note that different clinics use different scales to measure AMH levels and so some patients may have had a previous result taken elsewhere that does not match the result from Saint Mary's.

If your treatment hasn't started within 6 months of being seen in clinic, you will be asked to have this test repeated so the doctors can more accurately set the dose of stimulation drugs for your treatment.


You've had your baseline investigations - What happens next?

Once all the necessary baseline investigations are complete, your results will be looked at by a clinician you will be asked to attend a clinic appointment together.  You will be given the earliest available appointment.  Please be aware this could be up to 12 weeks after attending for your baseline investigations.  IVF isn't the only assisted conception treatment offered in our Department so at your appointment the Clinician will discuss what type of treatment will suit you best.

Also, should your baseline results identify that you first need additional treatment such as surgery, you will be given a gynaecology appointment or your surgery will be arranged.  If men have a problem with their sperm or no sperm are found in the sample, they will be referred internally to our Andrology clinic to be seen by one of our Andrologists for further management. Once you are both deemed suitable for assisted conception you will be referred internally.  Your clinician will then tell you when you are able to request treatment.