Treatment
Infertility Assessment
Understanding Your Fertility
The essential first step. A structured diagnostic workup that gives you a clear, evidence-based picture of where you stand — so we can build the right plan together.
What is an infertility assessment?
The foundation of every treatment plan
An infertility assessment is a comprehensive evaluation of both female and male reproductive health. It is the first step in understanding why pregnancy has not occurred — and what can be done about it.
At Angel Baby Clinic, our assessment covers hormone balance, ovarian reserve, uterine health, and sperm quality. Early and thorough diagnosis allows us to identify the cause, avoid unnecessary treatments, and recommend the most appropriate path forward — whether that is timed intercourse, IUI, IVF, or further investigation.
Male factors contribute to approximately 30–40% of infertility cases. That is why we assess both partners from the beginning — not as an afterthought.
Who should get tested?
When to consider an infertility assessment?
You should consider testing if
- You have been trying to conceive for 6–12 months without success
- You are over 35 and have been trying for 6 months
- You have irregular or absent menstrual cycles
- You have a history of recurrent miscarriage
- You have known conditions (PCOS, endometriosis, fibroids)
- You are planning IUI or IVF treatment
Male partners should test if
- Planning to conceive with their partner
- Trying for 6–12 months without success
- History of varicocele or reproductive disorders
- Previous difficulty with conception
- Age over 40 (sperm quality may decline)
- Undergoing fertility treatment (IUI or IVF)
What to bring
- Original passports of both spouses
- Marriage certificate (scanned copies accepted)
- Any previous fertility test results
- List of current medications
- Previous medical imaging or reports, if available
The assessment process
What we test and why
Female Infertility Testing
Hormone Blood Tests
- AMH — ovarian reserve
- FSH — ovarian function
- LH — ovulation regulation
- Estradiol (E2) — ovarian activity
- Prolactin — elevated levels affect ovulation
- TSH — thyroid function influences fertility
- Testosterone — androgen levels
Transvaginal Ultrasound
A specialised probe scans the uterus, cervix, and ovaries to detect structural issues including uterine fibroids, endometrial polyps, ovarian cysts (including endometriomas), and ovarian tumours. Also used to monitor follicle development and antral follicle count (AFC).
Hysteroscopy
A thin camera is inserted through the cervix to directly examine the uterine cavity. Identifies polyps, intrauterine adhesions, congenital abnormalities (e.g. septum, bicornuate uterus), and submucosal fibroids that may interfere with implantation. Scheduled between days 7–11 of the cycle.
Male Infertility Testing
Semen Analysis
- Sperm count (total number)
- Sperm concentration
- Sperm motility (movement quality)
- Sperm morphology (shape and structure)
- Assessed using WHO 2021 guidelines (6th edition)
Preparation
- Abstain from ejaculation for 2–4 days before test
- Avoid alcohol and smoking prior (ideally 1 month)
- Inform doctor of any medications
- Do not use condoms for collection (spermicides affect results)
- Private collection room available at clinic
Common Causes of Male Infertility
- Low sperm count (oligospermia)
- Poor motility or abnormal morphology
- Azoospermia (no sperm present)
- Varicocele or transport blockages
- Sexual dysfunction or ejaculation disorders
- DGC sperm selection included at no extra charge
Hysteroscopy at ABC
Diagnostic & operative options
Flexible Hysteroscopy (3 mm)
- Diagnostic examination only
- No anaesthesia usually required
- Minimally invasive, short procedure
- Used for: abnormal bleeding, infertility evaluation, recurrent miscarriage
- Mild discomfort or light discharge may follow
Operative Hysteroscopy (8 mm Resectoscope)
- Diagnosis and treatment in one procedure
- Performed under anaesthesia
- Removes polyps, fibroids, adhesions, septum
- No abdominal incision required
- Cold knife technique available for precise, low-damage removal
After Hysteroscopy
- Mild vaginal bleeding is normal
- Rest at clinic for 30–60 minutes post-procedure
- Light activity acceptable; intense exercise after 1–2 weeks
- Avoid sexual intercourse for approx. one week
- Contact clinic if heavy bleeding or severe pain occurs