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:
All these blood tests can be done with one needle
- Blood test for Oestradiol, LH, FSH & AMH
- Blood test for Hepatitis B & C, HIV, Syphilis and
Rubella or German Measles.
- Blood test for Hepatitis B & C, HIV and Syphilis
- An ultrasound scan of your uterus or womb and ovaries
- Height & weight measurement to work out your BMI (body mass
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
Information for patients who have been referred
for infertility investigations prior to infertility or assisted
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
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
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
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
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.