Questions regarding examinations

Why is a Chlamydia test necessary?

The investigation of the tubes can result in a Chlamydia infection if they are present in the cervix during the investigation. Therefore a negative Chlamydia test is necessary before examination of the tubes. The Danish National Board of Health says that every woman has to be tested for Chlamydia before any fertility treatment is initiated.

Why do the Fallopian tubes (salpinges) occlude??

Most often, the reason is a sexual transmitted infection, especially Chlamydia. The woman does not necessarily have had symptoms, as 50% of Chlamydia infections are asymptomatic. Beyond this, an ectopic pregnancy or a severe appendicitis can destroy the passage in the tubes.

Should occluded tubes be surgically removed before fertility treatment?

Scientific investigations have proven that it is beneficial to remove hydrosalpinges (salpinges filled with fluid) before fertility treatment. If hydrosalpinges are present, they reduce the chance of obtaining a pregnancy with 50 %. Therefore we recommend their removal before fertility treatment is started. It is normally done by laparoscopy.

Why must hormones be analysed on a specific day of the menstrual cycle?

The gonadotrophic hormones FSH and LH vary throughout the menstrual cycle. Therefore, only analyses obtained on cycle day 2 or 3 can be used for fertility evaluation.

What does the FSH value say?

FSH is an abbreviation for “Follicle Stimulating Hormone”. FSH tells us about the egg reserve in the ovaries.

The lower the FSH value is, the more eggs are left. Normal FSH values are between 3 and 10 IU/l.

FSH values fluctuate during the cycle. Therefore they must be analysed on the womans 2nd or 3rd day of menstruation. FSH is also dependent on the blood levels of Oestradiol. Therefore it is important to have Oestradiol measured simultaneously.

If the woman is 40 or older and her FSH is above 10 IU/l, it is not sure we can offer treatment.

What does AMH mean?

AMH stand for “Anti-Müllerian Hormone”. It tells us about the ovarian reserve and the number of eggs in the ovaries. AMH can be measured on either day of the menstrual cycle. If AMH is below 10 picomol/l or 1.4 ng/ml your ovarian reserve and your fertility is reduced. With an AMH value below 3 picomol/l or 0.3 ng/ml your fertility is critically reduced.

Who can have treatment with IVF for free?

For having this treatment for free in a hospital, the couple must not have common children or shared custody. Only women under 40 years are treated and the couple must have lived together for a certain period of time.