fertility MOT

More women than ever before are choosing to undergo a fertility MOT. Helping them to establish their chances of conceiving, as well as identifying any potential issues, these fertility assessments can prove invaluable for those thinking of starting a family.

So, what exactly is a fertility MOT and why might you choose to have one? Below, you’ll discover everything you need to know about these assessments and their benefits.

What is a fertility MOT?

A fertility MOT is medically referred to as an Antral Follicle Count (AFC) or anti-Müllerian hormone (AMH) test. It basically looks into your chances of getting pregnant.

The tests look into how many eggs you have and assess the health of the ovaries, ovarian follicles and the uterus. You can use home testing kits or have a fertility MOT at a specialist clinic. The latter is typically the best option as you’ll know the results are correct and it often takes just an hour to get the results back.

The tests involve blood samples along with ultrasound scanning depending upon which one you are undergoing. They can look into fertility hormone levels, your eggs and they can potentially detect certain conditions too.

What benefits can it provide?

The main benefit of undergoing a fertility MOT is it will show you how many eggs you have. This can help you to plan when to start a family. However, it is worth noting here that it doesn’t tell you the quality of your eggs, just the amount.

There is also the chance these tests can detect potential health problems. Identifying any potential fertility issues early is crucial for those looking to become pregnant. These are the main benefits of taking a fertility MOT.

When should you undergo a fertility MOT?

It’s common for women over the age of 35 to undertake a fertility MOT. However, even younger patients could benefit from taking the test early. The trouble is, when you leave it until you are older, your fertility is already lower due to it naturally deteriorating over time. So, if any problems are detected, it’s going to be much harder to rectify them.

Undergoing a fertility MOT when you’re in your twenties, for example, allows you to plan ahead and detect issues early. Many women have no idea that their fertility starts to drop up to 10 years before the menopause. They also don’t realise that they can lose up to 30-40 eggs per menstrual cycle.

While the rate at which fertility does decline isn’t catastrophic, it is certainly something more women need to be aware of. Attending fertility MOT tests each year can help you to keep track of your fertility health and make any necessary plans as early as possible to address any detected issues.

Even if you aren’t planning on getting pregnant in the near future, keeping an eye on your fertility is a good idea. This will prevent you from experiencing potential heartbreak in the future, while also helping you to keep tabs on fertility health. Contact us for more information.

miscarriage risk factor

A new study has revealed that disability could be a miscarriage risk factor. Published in the Journal of Women’s Health, the study was carried out by researchers across several universities and the National Institute of Public Health.

Miscarriages are devastating to go through, especially for couples who are trying to conceive via IVF. So, understanding the risk factors can be really useful in preventing a miscarriage from occurring. Here, we’ll look at what this most recent study revealed, alongside other risk factors to be aware of.

Understanding the study

The study included data from 3,843 women who had suffered a miscarriage within the last five years. The researchers discovered that those who had disabilities were more at risk of suffering a miscarriage than those who didn’t.

Interestingly, it also revealed that those who had an independent living disability were at a higher risk of suffering two or three miscarriages. Women with disabilities were found to be offered more services to prevent miscarriages than women without them. So, this shows healthcare providers are aware of the increased risks.

Although this new study did reveal a link between a higher prevalence of miscarriage and disabilities, further research is required. Researchers will need to look deeper into the issue to discover why those with disabilities carry an increased risk.

What other risk factors can lead to miscarriage?

The latest study is one of the first to really look into the disabilities and miscarriage link. However, there are so many other risk factors women need to be aware of.

Risk factors can apply to both mother and baby. For example, if the mother is taking certain medications, this could increase the risk. If baby has chromosomal abnormalities, this can also increase the risk of miscarriage. It is thought that the majority of miscarriages are caused by chromosomal abnormalities. The risk of this increases as women age, making pregnancies for those aged over 35 more susceptible to miscarriage.

Other risk factors to be aware of include previous miscarriages, infections during pregnancy and lifestyle choices such as smoking and drinking excessive amounts of alcohol.

What can you do if you’re concerned about the risks?

If you are concerned about your risk of miscarriage, talking through your concerns with a GP is recommended. You could also book an early pregnancy scan or opt for NIPT which can detect chromosomal abnormalities early on.

While it isn’t always possible to eliminate the risks of miscarriage, you can prepare and take steps to reduce the risks. If you do have disabilities, it doesn’t automatically mean you will suffer a miscarriage, just that your risks are increased.

Suffering a miscarriage at any point of a pregnancy can be extremely difficult to deal with. Therefore, this new research is crucial to give patients an idea of the risks involved if they have disabilities. Talking through your concerns with a healthcare practitioner will help you to determine what your risk levels are and whether you can do anything to bring them down.

ovarian cancer test

A large new study has revealed that an ovarian cancer test could be a lot more effective than previously thought. Experts claim these new results will have implications on the diagnosis of the condition within general practice.

Ovarian cancer is notoriously difficult to diagnose early. Here, we’ll look at what the study revealed, why it matters and what it means to patients.

What did the study involve?

The study was one of the largest of its kind, assessing data from 50,780 women. The women had attended a GP appointment in England for potential ovarian cancer symptoms between 2011 and 2014.

Each patient had undergone CA125 ovarian cancer testing, with 10% of them who did have high CA125 levels, shown to have been diagnosed with the condition. This figure is higher than previously thought, showing how effective the test can be. In 2011, NICE guidelines suggested that detection rates with the test would be approximately 1%.

The research was presented at the annual conference of the National Cancer Research Institute in Glasgow. GPs have welcomed the research, claiming it will now help them to improve their diagnostic rates in patients over the age of 50.

Ovarian cancer one of the most challenging to diagnose

Ovarian cancer is known to be one of the most challenging cancers to diagnose. It also has a low life expectancy rate due to frequently being diagnosed in the later stages. Smear tests have so far been one of the main tools used to detect the cancer, but it isn’t a diagnostic tool.

The cancer is known to be three times more likely to occur in women over 50. Around 17% of patients included in the trial over 50 who showed abnormal results, were diagnosed with other types of the disease such as womb, lung and pancreatic cancer.

What the results mean for patients

Now that GPs know how effective the CA125 test can be, it can be more widely used as a diagnostic tool. This could help to diagnose patients much earlier, improving the chances of survival.

The test itself is very easy to access for GPs and is minimally invasive. If abnormal results are detected, more invasive testing can be carried out. The test would prove especially beneficial for women over the age of 50.

Clinical guidelines can also be updated to reflect the recent findings. Due to how large the study was, it gave researchers to look at each patient in more detail, gathering a much better picture of how effective the test is at detecting ovarian cancer and other types of the disease.

Overall, this new research is an exciting and crucial development. It can be used to potentially diagnose ovarian cancer much earlier than it currently is. The life-changing effects this can have on a patient are substantial. Patients who are concerned they may have ovarian cancer should request the CA125 blood test. Although it cannot always diagnose the condition, it is ten times more effective than doctors previously thought.

To arrange your ovarian cancer screening, call us on 07835 736627 to arrange a consultation.

gender pregnancy scan

Finding out you’re pregnant is a joyous and exciting time, particularly if you’ve been trying for a while. Understandably, you might be excited to discover the sex of the baby as soon as you can. The question is, how soon can you find out whether your little one is a boy or a girl?

Here, you’ll discover everything you need to know about learning the sex of your baby and how early it can be done.

When can baby’s sex be determined?

The majority of women discover the sex of their baby at their 20-week scan. However, it may be possible to determine baby’s sex before this. There are different types of pregnancy scans and tests available, and some may be able to tell you the sex as early as nine weeks.

However, you need to keep in mind that if you do opt to undergo an earlier scan or test, there is no guarantee the sex will be determined. It all depends upon baby’s position on the day of the test if you’re undergoing an ultrasound scan.

Another thing to keep in mind with an ultrasound scan, is that boys and girls can look very similar up until 14 weeks into the pregnancy. So, as difficult as it may be, it is worth waiting until your 20-week scan to get a more accurate idea of baby’s sex.

Can I find out during NIPT?

Non-Invasive Prenatal Testing (NIPT) is a simple blood test which is carried out to test for chromosomal abnormalities such as Down’s Syndrome. It can be done as early as 10 weeks into the pregnancy.

The test looks for male sex chromosomes, which can ultimately tell you if you’re having a baby boy or girl. The test is usually only offered to women with a high-risk pregnancy. However, you can choose to have the test even if you have a low-risk pregnancy by discussing it with your healthcare provider.

Be aware that this type of testing isn’t always 100% accurate. So, you’ll want to confirm the sex at your 20-week ultrasound scan.

What about NUB development?

There is a theory that all embryos have a small genital nub which is fixed during conception. Testosterone for baby boys starts to develop at seven weeks, which causes the nub to grow a scrotum and penis. In baby girls, the nub grows a clitoris and labia.

Genital nubs can be spotted on ultrasound scans. However, during your first scan it can be very difficult to find this nub. There is also a large chance it may be identified incorrectly. So, it is recommended you don’t rely upon this method to tell you the sex.

Overall, as excited as you may be to learn whether you’re having a boy or a girl, it is best to wait until your 16 to 20-week scan. This will provide you with the most accurate indicator of the sex of your baby. However, earlier scans can be useful to undergo anyway as they can tell you whether baby is developing at a healthy rate.

To arrange your pregnancy scan, call us on 07835 736627 to arrange a consultation.

male fertility check

Recent reports into the male fertility crisis have revealed that the Western diet was responsible for the increasing problem. However, scientists have now discovered that the issue may actually start in the womb.

Now it seems, infertility issues can occur while male babies are still in the womb as their reproductive organs are produced. Here, we’ll look at this latest discovery scientists have made and what it means for the male fertility crisis.

Issues in womb can reduce sperm count

Recent studies have shown that poor sperm count and quality, could be down to problems experienced in the womb. When the male reproductive system is being developed in the womb, it requires a lot of delicate processes. If any of these processes are disrupted, it may cause damage which can impact fertility later in life.

One study is being carried out by the professor of paediatrics at the University College London, Alastair Sutcliffe. He is looking at data taken from 200,000 men which is currently being stored by the Human Fertilisation and Embryology Authority. His research is being carried out to determine whether infertility issues are caused by early reproduction system issues.

Male infertility also highlights disease risk

Discovering the cause of the male fertility crisis is key, not just for the population but for male health too. Numerous studies have revealed a link between those suffering from male infertility and an increased risk of serious diseases.

The Lund University in Sweden studied data taken from a staggering 1.2 million men. They discovered those who became a father via fertility treatments, were more likely to develop prostate cancer than those who produced a child naturally.

These findings have led experts to recommend men get screening tests for prostate cancer and other serious illnesses within fertility clinics. As the risks of serious disease are increased for infertile men, more screening needs to be offered to detect potential issues early on.

Lifestyle still plays a role

So, if poor sperm quality and count are linked to issues which occurred during the womb, does that mean lifestyle changes would prove useless? While some damage may be unfixable via lifestyle changes, they can still prove useful in many cases.

Many studies have been carried out recently, which have shown the effects the Western diet is having on male fertility. Processed foods are particularly linked to poor sperm quality. Obesity is another risk factor, alongside heavy drinking and drug use. So, lifestyle changes may still prove effective at boosting fertility.

Those who are experiencing fertility issues should book a consultation with a fertility specialist. Even if the problems were caused during the womb, there are still treatments and techniques available which can enable those suffering from male infertility, to have a healthy baby. However, discovering the cause of the problem is still crucial to scientists being able to come up with a solution to this growing issue. One solution they are currently looking into is reducing air pollution. This has been linked to reproductive issues developed while the baby is in the womb.

If you’re concerned about the state of your fertility, call 07835 736627 to arrange a fertility health check.

menopausal symptoms

According to new research, women going through the menopause are being wrongfully prescribed antidepressants. Worryingly, it also revealed that women are becoming more reluctant to go to their doctor about menopausal symptoms because they feel they won’t get the right level of support.

Here, we’ll look at what the new research revealed and why menopausal women aren’t receiving adequate care and treatment.

Understanding the new research

The new research carried out via a survey entitled “What Women Want at Menopause”, revealed more than a third of women who visit their GP with menopausal symptoms are offered antidepressants. Out of these patients, a staggering 80% believe the antidepressants are an ineffective treatment.

In some cases, antidepressants are even making menopausal symptoms worse. The typical symptoms experienced by the majority of women going through the menopause include mood swings, hot flushes, anxiety, a reduced sex drive, headaches and insomnia. These are just a handful of symptoms that can be experienced. While antidepressants can help to tackle mood swings and help with insomnia, they don’t address the wider symptoms experienced.

The research also discovered that 84% of women don’t feel their GP sufficiently answered their questions regarding the menopause. Just three in ten women also stated they were satisfied with the care received by their GP.

This highlights the issues regarding not just diagnosis and treatment, but with the amount of information provided to patients.

Why are women being wrongfully prescribed antidepressants?

Antidepressants are great for combatting depression and potentially helping with insomnia. However, as they don’t address the other symptoms, why are they being frequently described for menopausal women?

According to some experts, it’s a shortage of HRT which is leading GPs to issue alternative treatments. However, other than HRT, there are very few treatment options available to combat the symptoms of the menopause. So, antidepressants are being prescribed to target the mood-related issues the menopause delivers.

The trouble is, even for treating the mood swings and depression side of the menopause, antidepressants aren’t overly effective. Many women report that antidepressants haven’t helped them at all with their symptoms. If anything, they just left them feeling numb or disconnected from the world around them.

Whatever the reason women are being prescribed antidepressants for menopausal symptoms, it’s clearly not working.

Is HRT the answer?

HRT is the best treatment for managing menopausal symptoms. However, it has come under a lot of scrutiny over the years regarding its safety. Long-term use of the drug is known to link to various cancers such as breast cancer. However, the risk of this is small, particularly for those who don’t go through the early menopause.

So, HRT is the more effective treatment, it’s just difficult for women to get it when they need it. This recent research shows that more education needs to be provided to GP’s in order to answer patient questions and help them find the best possible treatment options.

Women who feel like they are experiencing menopausal symptoms can book a menopause health check. If it is revealed they are going through the menopause, insisting on HRT treatment may be required.

12 week rule in pregnancy

For years women have been following the 12-week rule in pregnancy. Avoiding telling people you’re pregnant until the 12-week mark is said to protect you in case anything goes wrong with the pregnancy. However, some experts claim this has an insidious effect on women, making them feel more alone and scared during those initial early weeks.

So, where does this 12-week rule come from and should women really follow it? Below, we’ll look at why the unwritten rule exists and whether it’s still relevant today.

Where did the rule come from?

Pinpointing when the 12-week rule in pregnancy started isn’t easy. However, we can establish why it began in the first place.

Largely, women stopped telling people they were pregnant in the early weeks due to the risk of miscarriage. It was considered easier to tell people about the pregnancy once the risk of miscarriage had been reduced. That way, if they lost the baby, they wouldn’t need to go through the heartache of telling other people.

However, it isn’t just the heartache of losing a baby that prevents women from revealing their pregnancy earlier. It’s also the attitude many people have over early miscarriages. There’s a view that early miscarriages don’t really count because the foetus wasn’t yet fully developed. If women are met with this attitude while they are grieving, it can make the experience even more devastating.

So, the 12-week rule appears to have been set up to protect women if a miscarriage occurs. However, what it can actually do is cause women and couples to suffer in silence.

Why could it prove damaging to women?

While the intentions behind the 12-week rule may be good, unfortunately, it can cause additional pain and suffering.

Going through a miscarriage at any stage of the pregnancy can be devastating. This is especially true if the couple has been trying to have a baby for a long time. In order to heal and deal with the miscarriage, women need to be surrounded by a good support system. So, if they haven’t told anybody about the pregnancy, they are going to be left dealing with it alone.

Suffering in silence can lead to a lot of additional problems. It can lead to depression and isolation which can both be detrimental to health and wellbeing. So, while some women may feel more comfortable not discussing their pregnancy until later on, it’s equally important for women to feel comfortable if they do want to disclose it.

More awareness needs to be developed

The debate over the 12-week rule is a great way to start raising awareness over the negative implications it can have. Ideally, it should be down to personal choice whether or not a woman wishes to disclose her pregnancy before the 12-week mark.

From a medical standpoint, the 12-week mark is where couples have a 97% chance of having a live baby. However, it’s also important to realise that miscarriages can happen at any stage of pregnancy. There also needs to be more awareness regarding the impact an early miscarriage can have on women. There needs to be a change in attitude, identifying that even before 12 weeks, the loss of a baby can have the same devastating impact as it can later on.

Overall, women shouldn’t feel like they can’t reveal their pregnancy before 12 weeks if they want to. Even from 8 weeks, the chance of having a live baby is said to be 92%. If anything were to go wrong, it also makes it easier for women to be surrounded by support from friends and family.

diagnosing endometriosis

The BBC has recently discovered that thousands of women are being left in crippling pain due to delays in the diagnosis of Endometriosis. The condition, said to affect 1.5 million women in the UK, can be excruciatingly painful and have a significantly negative impact on their lives.

This latest study shockingly revealed that it takes over seven years on average for the condition to be diagnosed. Here, we’ll look at the results of the latest study and what it means for those who do suffer from the condition.

Understanding the latest Endometriosis study

The new research carried out by the BBC, saw 13,500 women take part. The Endometriosis UK charity helped to collect responses to surveys, which saw half report they had experienced suicidal symptoms.

The majority of respondents also said the condition has had a negative impact on their careers, relationships and mental health. It can also have a devastating impact on fertility. By the time a diagnosis is made, the symptoms are often at their worst, and the damage caused to the body is significant.

As a result of this latest study, MPs are set to launch an enquiry into the experiences of women living with the condition.

Why does it take so long to receive a diagnosis?

Considering how many women suffer from Endometriosis, it is shocking that a diagnosis isn’t reached for an average of seven years. Part of the reason is said to be down to a lack of knowledge regarding the condition. Physicians and caregivers could use a lot more education into the condition and the effects it can have.

The symptoms of the condition can also be mistakenly diagnosed as being normal. For example, pain during menstruation is considered normal and given that everyone has a different pain tolerance, it can be difficult for GPs to establish what is normal for patients. The symptoms can also be confused with other conditions.

So, it’s a combination of a lack of awareness about the condition and the symptoms it produces which can cause delays in diagnosis. Some women are also reluctant to talk about the symptoms due to their intimate nature.

What can you do if you suspect you have Endometriosis?

Although this new research highlights how much needs to be done to improve Endometriosis diagnosis, there are things patients can do.

Undergoing a gynaecological exam can help to diagnose the condition. If you don’t have confidence in your GP to diagnose the condition, these scans can be carried out by private clinics such as here at SureScan. These clinics tend to have a lot more knowledge of the condition and how it presents.

While there isn’t a cure for Endometriosis, there are effective treatments which can be used to reduce the symptoms. The earlier these treatments are sought, the less impact the condition will have both on a patients physical and mental health. This latest research highlights the desperate need for GPs and health practitioners to become more knowledgeable on the condition and the effect it can have on patient’s lives. Call 07835 736627 to arrange your appointment.

recurrent miscarriage treatment

Recurrent miscarriages can have a devastating impact on couples trying to have a baby. However, hope for a cure has been provided thanks to a new trial carried out by the University Hospital Coventry and the University of Warwick.

Scientists discovered that an underlying infection could be the cause of recurrent miscarriages. Now, they’ve been given the funding required to find out if medication to cure the infection could be the cure they’ve been looking for.

Understanding the latest recurrent miscarriage trial

The new trial is following on from research carried out by the scientists from the Warwick and Coventry universities. Their initial research showed that recurrent miscarriages could be caused by endometritis, where the lining of the womb becomes inflamed. It’s also known to cause pain and bleeding.

The condition could be treated with antibiotics. The US and Germany are already treating Endometritis with antibiotics, but as of yet no trial has been carried out to establish whether they could also cure recurrent miscarriages.

The Medical Research Council has given the scientists £1.9 million to fund the trial and they are now currently seeking 7,000 couples to take part. The recruitment process is going to take a couple of years due to its large size. If it proves successful, antibiotics could be used to prevent up to half of the women who suffer from recurrent miscarriages.

Cure could be provided before pregnancy

One of the most exciting things about this new discovery is that a cure could be provided before pregnancy. So, it’s a preventative option, rather than a treatment. By treating the inflammation prior to pregnancy, it eliminates the chance a recurrent miscarriage could occur due to Endometritis.

What else could cause miscarriages?

Although this new discovery is a major breakthrough, it’s important to note that it’s only going to help those suffering with Endometritis. There are numerous reasons recurrent miscarriages can occur and Endometritis is just one of them.

Miscarriages tend to occur within the first trimester of pregnancy. In many cases, what caused the miscarriage isn’t known. Recurrent miscarriages are diagnosed when a woman has experienced three or more miscarriages. They also increase the risk of experiencing another one by around 40%.

As well as inflammation and infections, recurrent miscarriages can be caused by:

  • Genetic issues
  • Uterine fibroids
  • Abnormal hormone levels
  • Cervical problems

It’s estimated around half of those who do experience recurrent miscarriages do so because of inflammation of the womb lining. So, the new trial could prove extremely promising for these patients. However, due to other causes, it is crucial patients seek an accurate diagnosis. That way, the best course of treatment can be recommended.

Recurrent miscarriages can be devastating. This new trial provides hope for those experiencing recurrent miscarriages due to infection and inflammation. If antibiotics could be used to eliminate the chances of recurrent miscarriages, it would change the lives of thousands of patients. However, it’s going to take years to establish whether or not antibiotics are a viable cure.

Non-Invasive Prenatal Testing

The screening test, Non-Invasive Prenatal Testing (NIPT), is designed to look for genetic and chromosomal abnormalities. However, before undergoing this relatively new type of screening, it’s a good idea to familiarise yourself with what it is, how it works and any potential complications or risks it might present.

To help you decide whether or not it’s right for you, below you’ll discover everything you need to know about Non-Invasive Prenatal Testing.

1. What is NIPT?

NIPT is a simple blood test which analyses tiny fragments of DNA which circulates throughout the body when you’re pregnant. Sometimes referred to as NIPS (Non-Invasive Prenatal Screening), it can determine whether the foetus is likely to be born with genetic abnormalities. The fragments tested aren’t found within the cells like most DNA. Instead, they float around freely.

The bloodstream in pregnant women contains DNA from both the mother and the placenta. The placenta is what links the foetus to the mother and it contains the same DNA as the foetus. Therefore, analysing the placenta DNA through NIPT gives a good indication of whether genetic abnormalities are present.

The test is largely used to detect the presence of Down’s Syndrome, Trisomy 18 and Trisomy 13. It can also be used to screen for additional abnormalities caused by copied or deleted parts of the chromosomes. It’s also starting to be used for genetic issues that are caused by variants within single genes.

2. Does Non-Invasive Prenatal Testing pose any risks?

There are no risks associated with NIPT. It’s a non-invasive blood test, producing the same side effects as any blood test. There’s no risk to the baby and it can be carried out quickly. This is largely what drives the popularity of the test.

3. Are NIPT results accurate?

There’s a lot of misconceptions over the effectiveness of NIPT. The first thing patients need to realise is that the test doesn’t diagnose chromosomal abnormalities. Instead, it reveals the chances your baby would be born with an abnormality. So, it’s not necessarily definitive if the foetus is found to have some abnormalities.

In terms of how accurate the test is, for Down’s Syndrome it has been discovered to be 99% accurate. That being said, false positives can occur so it’s advisable a follow-up amniocentesis or a CVS is carried out to confirm the result.

As for other abnormalities, the accuracy rates vary. So, if you do get a high-risk result back, it’s always worth discussing the risks with your doctor. They’ll be able to schedule follow-up testing to confirm whether the NIPT was accurate.

4. When can I undergo Non-Invasive Prenatal Testing?

If you want to undergo NIPT, you can have it any time after 10 weeks into the pregnancy. It’s a good idea to undergo the test before going for your first Nuchal scan. You can book a NIPT here at SureScan. Call 07835 736627 to arrange your appointment.

Overall, NIPT is a great non-invasive way of determining whether or not your baby has any chromosomal abnormalities. However, it’s important to make sure you understand what the testing involves and what it can and can’t detect.