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JIVA Fertility

Fertility Evaluation

A Consultation with a leading Reproductive Medicine Consultant and appropriate tests for evaluation of your reproductive health, whether you are planning for a family now or in the future.

Why choose JIVA Fertility?

About 1 in 7 couples in the UK have difficulty conceiving and require assistance to achieve their dream of becoming parents. Choosing the right fertility clinic and supportive team can be a difficult decision for you to make.

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At JIVA Fertility, we offer comprehensive care delivered by experts, who have knowledge and many years of experience in reproductive medicine, to support you on your journey to parenthood. Our team will put you at the heart of your personalised treatment programme and support you at every stage of your journey.

Do I need a referral?

A referral letter either by your GP or any specialist is helpful but is not essential. Your GP may be able to support you by arranging some of the infertility investigations on the NHS before your appointment. If you have already had some tests, we advise you to bring a copy of the results for your first appointment. After your clinic appointment, we will send you a clinic letter summarising the consultation and we encourage you to send a copy of the letter to your GP.

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We encourage you to attend the clinic appointment with your partner if you are in a relationship.

What happens at your First Consultation?

We appreciate that coming to a Fertility Clinic for the first time can be daunting. The following information will help you familiarise with the process:

During your first consultation, we conduct an in-depth review of your medical and fertility history for a comprehensive understanding of your health that will helps us to identify potential factors affecting fertility and we tailor diagnostic tests accordingly.
Check your height and weight and measure the Blood Pressure.
We will conduct a detailed transvaginal (internal) ultrasound scan (if this is not included in the chosen Assessment Package, addition fees apply)
If there are no contra-indications, a tubal patency test (HyCoSy) will be performed if included in the Assessment Package. Sometimes, this may be deferred until the next appointment.
We will discuss the results of any fertility tests that you have already had either through JIVA Fertility or elsewhere. If you have chosen one of our Assessment Packages, these tests would have been arranged for you at least TWO WEEKS before your appointment.
Further tests may be needed to reach a diagnosis, which will be discussed with you and requested/arranged, as appropriate. We have designed our Assessment Packages in such a way that in most circumstances we will be able to advise you on the same day of your appointment, of your future options.
We will answer all your queries in detail to ensure that you leave feeling informed and reassured.
We offer patient support counselling to assist you in your journey recognising emotional challenges of infertility and fertility treatment.

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To book your first consultation, please email hello@jivafertility.co.uk or complete the form on our website - A member of our team will get back to you.

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Please refer to our Fertility Assessment Packages for more details.

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What are the various Fertility Assessment Tests for the Female Partner?

‍Trans-vaginal (Internal) Ultrasound scan (TVS) of the pelvis:

- For 3D assessment of the uterus (womb) and identify any pathologies affecting your ability to conceive or carry a pregnancy

- Counting Antral follicles (AFC) for egg reserve. AFC is highly predictive of eggs number at IVF/ICSI or egg freezing

- Assess womb lining (endometrium)

- Identify Endometrial polyps, Fibroids, Ovarian cysts or Adenomyosis

- Polycystic Ovarian Morphology (PCOM)

- Detection of hydrosalpinx (fluid in the fallopian tubes)

- Premature Menopause or Premature Ovarian Insufficiency

- Perform procedures such as Saline infusion sonography (SIS) or Hysterosalpingocontrast sonography (HyCoSy).

- During fertility treatment: IVF, ICSI, Egg Freezing, Ovulation Induction, IUI, Frozen embryo transfer or egg donation

- For monitoring of follicles (egg containing sacs) development and lining of the womb thickness during natural cycle or fertility treatment‍

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‍Blood Tests:‍

- Anti-Mullerian Hormone (AMH), a good marker of of your egg reserve

- Various Hormones & metabolic markers to rule out PCOS

- Tests for Thyroid problems, Anaemia, Vitamin D deficiency, and high Prolactin hormone.

- Additional tests in certain circumstances: testing for Rubella antibodies, haemoglobin electrophoresis for abnormal haemoglobin, karyotype to check for your chromosomes, antibodies screening and genetic tests such as Fragile X gene mutation screening.

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Infection screening:

- Chlamydia screening

- Testing for HIV, Hepatitis, Syphilis before certain fertility treatments and before and after gametes/embryo storage.

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‍Evaluation of Fallopian Tubes:

- Hysterosalpingo-Contrast Sonography (HyCoSy) is an outpatient procedure we perform for women who are low risk for tubal disease

- Some may need a day case surgical procedure called Laparoscopy and dye test under general anaesthesia

What are the various Fertility Assessment Tests for the Male Partner?

Semen Analysis:

- Semen analysis provides information about semen volume, sperm count, percentage of sperm motility (movement), and morphology (shape) and any markers of infection.

- You will be asked to produce the semen sample by masturbation after 2-5 days of absteinance.

- Occasionally, you will be allowed to produce the sample at home and bring it to the clinic within 60 minutes for evaluation.

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Further investigations:‍

- If sperm abnormality is identified in the initial semen analysis, you will be asked to repeat the test.

- For persistent severe sperm abnormality, you will need a blood test for hormone profile, karyotype (to assess chromosomes) & genetic test (to rule out cystic fibrosis & Y chromosome microdeletions), and an ultrasound scan of the scrotum to assess reproductive organs.

- Sperm DNA Fragmentation Index is a measure used to assess the integrity of DNA within sperm cells may be useful in certain circumstances. Your consultant will advise about this.

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What Happens Next?

Personalised Treatment: Based on the results of the evaluation, we develop a personalised treatment plan tailored to each individual or couple's unique needs. This plan may include lifestyle recommendations, surgical treatments options, ovulation induction or assisted reproductive technologies (ART) such as intra-uterine insemination or in vitro fertilization (IVF) or intra-cytoplasmic sperm injection (ICSI).

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Our goal is to optimise your chances of having a baby by addressing any identified issues & by providing the most appropriate intervention.‍

Expectant Management - in some situations, it is reasonable to 'do nothing' for a period of time
Ovulation Induction Treatment will be provided at JIVA Fertility at Living Care, Thorpe Park Clinic, Leeds
Surgical interventions will be provided on a self-funded basis at Nuffield Hospital, Leeds. You can request your GP to refer you to local NHS Hospital.
Fertility treatment (IUI or IVF or ICSI or Egg Freezing) will be arranged in co-ordinated by JIVA Fertility, but you will attend one of the partner IVF clinics located in Yorkshire for treatment related procedures.

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We encourage you to take the time you need to review all your options before moving forward with the option that feels most comfortable for you.

What are JIVA Fertility One-stop Fertility Assessment Packages?

At JIVA Fertility, we have created various, comprehensive Fertility Assessment Packages to help you, as individuals and couples, to understand your reproductive health that will enable you to make informed choices.

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We have also created packages for assessment of Polycystic ovary syndrome (PCOS) and Recurrent Miscarriage.

Who should consider Fertility Assessment?

- If you are planning to start/extend your family

- If you are experiencing difficulties conceiving

- If you are considering fertility preservation (freezing eggs or sperm due to social or medical reasons)

- You simply wish to know about your fertility health.

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Why Choose our Fertility Assessment Package?

- You will benefit from the expert guidance of a Reproductive Medicine specialist

- With 'Complete' Packages, you will get the answers you are looking for at your FIRST Consultation (second visit for your tests)

- Gain clarity and confidence in your family planning journey

- Affordable when compared to doing the tests individually

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What is included?

All the Fertility Assessment packages have the descriptions of what is included in them – please read them carefully and ask us any questions you may have before booking any appointment.

Who is eligible?

Any of JIVA Fertility patients (New or Existing) can make use of these packages at any point during their assessment.

How does these assessment packages work?

Fertility assessment packages are designed to be accessible and affordable. To make it easier for you, we have created most of our packages as ONE-STOP assessment packages, so that you can get answers on the day of your appointment with our Consultant.

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Once you book the appointment either through our website or by telephone our clinic, our dedicated team will contact you to ensure that the assessment package is appropriate for you. We will advise you of the costs and arrange an initial visit for the investigations.

Once all the investigations are complete (generally two weeks later, but some may take longer), you will have your appointment with one of our consultants, who for most of you, will be able to discuss further management options on the day of your appointment.

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At JIVA Fertility, we are committed to providing expert medical care, emotional support, and tailored treatment plans to help you achieve successful pregnancy.

Come & Visit Us

New York, NY 10001

123 Main Street

Apt 4B

Contact: +123 456-7890

Los Angeles, CA 90012

456 Elm Avenue

Suite 300

Contact: +122 555-1212

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