Some people get pregnant quickly, but for others it can take longer. If you’ve been having this issue for over a year, it would be a good idea to visit Pall Mall where we can help find the issue.
Some people get pregnant quickly, but for others it can take longer. If you’ve been having this issue for over a year, it would be a good idea to visit Pall Mall where we can help find the issue.
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There are many possible causes of infertility, and fertility problems can affect either partner. But, you have to be aware that not all cases can identify the cause.
Common causes:
Include:
Age
Weight
Sexually transmitted infections
Smoking
Alcohol
Environmental factors
Stress
A low number of sperm or other problems with sperm.
A history of testicular, prostate or sexual conditions.
Had treatment for cancer such as chemotherapy.
Had hernia surgery.
Testicles that are smaller than the typical adult size, or swollen veins in the bag of skin that holds the testicles, called the scrotum.
Had infertility with a partner in the past.
Relatives with infertility problems.
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Samples of your blood can be tested for a hormone called progesterone to check whether you’re ovulating.
An ultrasound scan can be used to check your ovaries, womb (uterus) and fallopian tubes. Certain conditions that can affect the womb, such as endometriosis and fibroids, can prevent pregnancy. If the ultrasound suggests a possible blockage, we have procedures that can help with this including Hystero Contrast Sonography (HyCoSy).
Laparoscopy (keyhole surgery) involves making a small cut in your lower tummy so a thin tube with a camera at the end (a laparoscope) can be inserted to examine your womb, fallopian tubes and ovaries. Dye may be injected into your fallopian tubes through your cervix to highlight any blockages in them. Laparoscopy is usually only used if it's likely that you have a problem – for example, if you've had an episode of pelvic inflammatory disease (PID) in the past, or if scans suggest a possible blockage of one or both of your tubes.
A HSG is a special x-ray examination which looks at the inside of your uterus (womb) and fallopian tubes. It aims to show whether your uterus is normal and if your fallopian tubes are damaged, swollen, blocked or if there are any adhesions around the tubes.
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A common test carried out for patients struggling with infertility is a blood test which looks for a hormone, called progesterone, to check whether you are ovulating.
The timing of the test is based on how regular your periods are. If you have irregular periods, you'll be offered a test to measure hormones called gonadotropins, which stimulate the ovaries to produce eggs.
Most common tests can have results returned within 24 - 48 hours, though some tests can take longer than others. We can advise you on the likely time to receive results upon booking or please enquire online.
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HyCoSy, stands for Hystero Contrast Sonography. This test is done to find out if your fallopian tubes are open. It can also help detect some problems with the womb (uterus) and its lining (endometrium).
Most patients have this test if they have difficulty conceiving. Having open tubes is necessary for natural conception to be achieved as it allows the sperm and egg to meet.
The procedure is carried out in the outpatient department. An internal (transvaginal) ultrasound is carried out first. A medical instrument called a speculum is then placed in the vagina while you are awake and lying on your back, and a thin plastic catheter is passed through the neck of the womb. A further internal ultrasound is then carried out and a dye is flushed through the catheter at the same time. The procedure itself lasts about 20 minutes.
Pelvic infection: 0-3%; if you develop an offensive vaginal discharge or high temperature, please contact our medical team as you may require antibiotics.
Inconclusive procedure: due to discomfort or technical difficulties.
Perforation of the womb: less than one in a 1,000
Allergic reaction to the dye: less than one in 100
No NHS GP referral needed
If you're having a laparoscopy to diagnose a condition, it usually takes between 30 and 60 minutes. It'll be longer if you're having surgery to treat a condition.
The surgeon will make a small cut, usually near your belly button.
Air is pumped into your tummy through the cut so the surgeon can see inside your tummy more easily.
A thin, flexible tube with a camera inside (a laparoscope) is then put into the cut so video images of the inside of your tummy can be shown on a screen.
If you're having surgery, more small cuts may need to be made in your tummy for the surgeon to pass their tools through.
When it's finished, the air is let out of your tummy and the cuts are closed with stitches or clips, and a dressing is placed on top.
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You will be asked to lie down on the x-ray table in a similar position to that used for a smear test. An instrument called a speculum will be inserted into your vagina (as in a smear test). A fine tube is inserted through the cervix into the neck of the uterus and held in position with a small balloon.
A small amount of colourless dye is then injected into the uterus and fallopian tubes. This dye is visible on x-ray so images will be taken at this time.
The examination normally takes 10 minutes but sometimes may take a little longer – you should allow for 30 minutes which includes time to change into your gown, the test itself, and changing afterwards.
At Pall Mall we care about healthcare. Taking care of you is what we do. We’re here to ensure you receive the highest levels of professional care, where and when you need it - without delay, without compromise, and without the need for a referral. We’ll ensure you have the best possible treatment to meet your personal needs. And we’ll explain it all to you in clear, uncomplicated language, so that you know exactly what’s happening, and why.
Pall Mall Cosmetics is proud to have experienced GMC registered surgeons who have been trained in the most current techniques and procedures, so you know you're getting the best care available when you visit us for a Gynaecology appointment.
Mr Maiti, Consultant Gynaecologist
When I started to experience irregular periods coupled with increasingly bad pain, I was really worried so I booked an appointment with my NHS GP hoping to get some answers. Sadly, I was told my symptoms weren’t that bad, so if I wanted to see a gynaecologist I’d be on a waiting list for at least 12 months – I couldn’t believe it!
My friend recommended Pall Mall because their Consultant Gynaecologist and Obstetrician Mr Maiti can carry out the necessary test and scans on the same day unlike other clinics where multiple appointments would be needed. Mr Maiti was so kind and reassuring, he spent loads of time asking me questions and then did a really comprehensive assessment and investigation.
The results came back a few days later and Mr Maiti recommended a simple treatment plan, and I was back to normal within a couple of weeks! Such amazing service and care – I’d recommend to anyone!”
A member of our team will be in touch with you to discuss your requirements.
Our expert team are always here to help, advise and arrange appointments with our specialist consultants.