ACRM

Should You Consider Fertility Screening?

Fertility issues are more common than people realise. In fact, 1 in 6 couples face issues with fertility.

For some, positive lifestyle changes is all that’s needed to get pregnant – and that’s wonderful!

Unfortunately, others are not so lucky. When should a couple seek medical help?

In this article, you’ll get the answers to these questions:
When should you consider fertility screening?
Why should you and your partner get screened?
What does fertility screening include and how much does it cost?
Other commonly asked questions

When should you consider fertility screening?

Younger couples (under 35) should seek medical advice if they have been trying to conceive for a year without success, advises Dr Lim Min Yu, ACRM’s Medical Director.

Couples over 35 years shouldn’t put off seeing a fertility doctor longer than 6 months into trying for a baby.

Why should you and your partner get screened?

Fertility screening lays the groundwork for couples to either try for a baby with confidence or seek help quickly and early.

“Going for fertility screening at an earlier stage helps identify problems and rectify them early,” says Dr Lim. “These include structural issues like polyps found in the uterine cavity, or endometriosis, which have been known to impair infertility. In such cases, surgery can improve conception rates.”

If no issues are found during fertility screening, then age alone is the infertility risk factor. This frees you to decide when you want to try for a baby.

Screening helps bypass the stressful and demoralising experience of trying for years without knowing what’s wrong.

Here’s the basics of what fertility screening entails

Fertility screening at ACRM falls into 3 key buckets:

  1. A conversation about your medical history. This determines if there are any risk factors that would increase the chance of infertility.
  2. An examination of both male and female partners. This includes a pelvic ultrasound scan for the female and a semen analysis for the male.
  3. A test to determine your reproductive hormone profile. This includes an estimation of ovarian (egg) reserve.

 

At ACRM, we offer 2 fertility screening packages, Essential and Comprehensive.

The key difference between the two is screening for infectious diseases. The Essential package does not test for any diseases. While the Comprehensive package tests for Rubella, Chicken Pox, Hepatitis, Syphilis and HIV.

If a woman is not immune to Rubella (German measles) or Chicken Pox, she may consider getting vaccinated before trying for a baby. This prevents infection while pregnant, which could have implications for a developing pregnancy.

For couples who may be considering assisted reproduction treatment, the infection screening (comprehensive package) is recommended as these tests are legally required before a couple starts treatment.

Read on for a detailed breakdown of each package.

Essential Fertility Screening Package – $688
For Both

First Consultation: Find Out About Your Medical Histories, Including Any Significant Conditions Or Previous Operations.

For Her

Pelvic Ultrasound: Examine The Uterus And Ovaries, To Exclude Fibroids, Polyps, Cysts And Other Conditions

Hormone Profile: Blood Tests Of The Hormones That Are Important In Your Monthly Cycle

Anti Mullerian Hormone:Estimate Your Egg Reserve

Chlamydia PCR: Exclude A Common Sexually Transmitted Infection

For Him

Semen Analysis: This Looks At The Sperm Count, Their Motility As Well As An Assessment Of Their Appearance (Morphology)

Comprehensive Fertility Screening Package – $1,188
For Both

First Consultation: Find Out About Your Medical Histories, Including Any Significant Conditions Or Previous Operations.

Hepatitis B & C Screen: Learn If You Are A Carrier For These Viral Infections

Syphilis Screen: Exclude This Sexually Transmitted Infection

HIV Test: Check Your HIV Status

Thalassemia Screen: Find Out If You Are Carriers Of This Common Genetic Condition

Rubella IgG: Confirm If You Are Immune To This Infectious Disease (German Measles)

Thyroid Screen: Check If Your Thyroid Gland Is Functioning Normally

Blood Group: Know Your ABO Blood Group

For Her

Pelvic Ultrasound: Examine The Uterus And Ovaries, To Exclude Fibroids, Polyps, Cysts And Other Conditions

Hormone Profile: Blood Tests Of The Hormones That Are Important In Your Monthly Cycle

Anti Mullerian Hormone: Estimate Your Egg Reserve

Varicella Zoster IgG: Check If You Are Immune To Chicken Pox

Chlamydia PCR: Exclude A Common Sexually Transmitted Infection

For Him

Semen Analysis: Looks At The Sperm Count, Their Motility As Well As An Assessment Of Their Appearance (Morphology)


Other commonly asked questions

Can I do fertility screening by myself (without my partner)?
Yes you can, however, we always encourage a couple to be screened at the same time as the cause of infertility is approximately one third female, one third male and one third both female and male.
Are there subsidies for fertility screening?
No, MediSave cannot be used for screening tests.
Is it cheaper to do fertility screening in a public (government/restructured) hospital?
If you choose to go to a public hospital, you may be able to have some of the investigations at a subsidized price.

However, you will be giving up continuity and quality of care. Chances are you will not see the same doctor each time at the subsidized clinic. This means less continuity of care and the likelihood of having to answer the same questions over and over every time you visit. The wait times between and during each visit are also much longer.

How long does it take to get results?
At ACRM, we have an in house lab where reproductive hormone profile and semen analysis results can be known within 2 hours of taking the test.

Other results will be available within 1 week, unless specialised tests have to be ordered.

What happens if the fertility screening uncovers issues?
Your doctor will discuss the results of the tests with you, and go over the options available to you.

I’m not ready to go for fertility screening, is there anything else I can do to improve my chances?
Yes! We’ve written articles on research-backed fertility tips and myths, which you can read about below.

Final takeaways

Fertility screening is best thought of as the first step to uncovering the causes for failing to conceive. It manages expectations and gives you answers, which then let you explore treatment options if necessary.

Not all infertility causes require treatment in the form of medication or surgery. In some cases, infertility is caused by hormonal imbalance due to stress, and lifestyle changes might be all that’s necessary.

At ACRM, we believe that having information about your fertility is empowering. It helps relieve a lot of the stress and tension that comes with not knowing, and lets you make an informed decision about your reproductive options.

Book Your Consultation Today