The Women's Clinic

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One-Stop Fertility Diagnosis

Treatment of infertility depends on the cause, but too often a comprehensive and systematic investigation may not be done. Since pregnancy rate drops sharply with age, some couples may unknowingly lose their chances to have a family. At The Women's Clinic we have designed a single visit one-stop fertility diagnosis program to fast track diagnosis and maximize success by minimizing the time delay within one physiological cycle.

Investigation Items	One-stop Fertility Diagnosis (Appropriate for Age over 20)
Detailed Medical History
Laboratory Tests
Haematological Tests (CBC, Blood Group & Rh)
Sex Transmitted Diseases Screening (VDRL, HIVab)
Fertility Diagnosis
Biochemical Tests (E2, FSH, T4, LH, Prolactin, DHEA-S,  TSH)
Pelvic Scan with Doppler
Contrast study with 3D Ultrasound Scan (tubal patency) - HSG
Detailed Semen Analysis
Assessment & Explanation of Suitable Treatement
Doctor's Consultation

It is recommended when appropriate and indicated by our specialist, and additional fee is required.

Schedule

1. Patient needs to call for appointments (D2/3 registration, D7-11HSG) on D1
   Tel: 2523 3007
   Address: Room 318, 3/F., Central Building, 1-3 Pedder Street, Central.
   *** should mention any drug allergy to our staff
2. D2/3:
   1. blood test (CBC, Blood Group & Rh, VDRL, HIVab, E2, FSH, LH, Prolactin, DHEA-S, T4, TSH) ;
   2. Semen Analysis;
   3. pick up medication for HSG
      1. Register and make payment at the clinic
         Mon-Fri 9-10am; 2:30-3pm
      2. Pick up laboratory forms (one for wife and one for husband) for blood test & semen analysis and a sample container for semen collection
      3. Pick up medication for HSG
      4. Proceed to laboratory, Central Diagnosis Clinic (Room 320, 3/F., Central Building, 1-3 Pedder Street, Central) for blood test and provide a semen sample
         
         Produce a Semen Sample:
         • Patient can collect a container from our clinic in advance, and produce a semen sample at home on D2/3. Semen should be kept at room temperature and brought into the laboratory Central Diagnosis Clinic (Room 320, 3/F., Central Building, 1-3 Pedder Street, Central.) within 1.5 hours.
         • Wash both your hands and genital area 2-3 times and then dry thoroughly with paper towels.
         • Semen should be obtained by masturbation only.  Lubricants and condom must not be used during the production of the sample.
         • Try best to avoid contact of the penis with the inside of the specimen sample container as this may contaminate the semen.
         • Refrain from sex for 3-5 days prior to semen collection.
         • Semen sample should arrive laboratory during Mon-Fri: 9:00am- 3:30pm (open during lunch hour)
3. D7-11 HSG, and see Doctor for consultation (please take medication accordingly)

Cost

HKD5,000 will be paid at clinic in the D2/3 visit
HKD 81 will be charged for HSG medication when picking up the medicine.

Remarks

According to the guideline from the Council on Human Reproductive Technology
(Tel: 2961 8952，Email: hrtc@dh.gov.hk), patient should be able to:

• Produce HKID/ valid passport
• Produce Marriage Certificate
• Sign relevant consent forms

before starting of any fertility treatment

HSG (Saline Infusion Sonohysterography) - Patient’s Fact Sheet

What is HSG (Saline Infusion Sonohysterography)?

HSG (Saline Infusion Sonohysterography) consists of imaging the uterus, uterine cavity and fallopian tubes using ultrasonography while sterile saline is instilled into the uterine cavity.  The purpose of sonohysterography is to detect abnormalities of the uterus, endometrial (uterine) cavity, and patency of fallopian tubes.

Why is HSG (Saline Infusion Sonohysterography) performed?

The usual indications for HSG are infertility; abnormal uterine bleeding; recurrent spontaneous miscarriage; congenital abnormalities of the uterus; suspected blockage of fallopian tube(s); preoperative and postoperative evaluation of the uterine cavity; suspected intrauterine adhesions (synechiae or scar tissue); and further evaluation of uterine abnormalities suspected during routine ultrasonography.  HSG should not be performed in women who are pregnant or who are suspected to be pregnant.  HSG should also not be performed in women with an active pelvic infection or unexplained pelvic tenderness.

How is HSG performed?

HSG is usually performed in the first part of the menstrual cycle after menstruation.  The procedure begins with a transvaginal ultrasound examination.  After this is completed, a narrow tube is placed through the cervix into the uterine cavity, and the ultrasound examination is continued while sterile saline is instilled into the uterine cavity.  The uterine cavity is filled with sterile saline in order to improve detail of images of the uterine cavity.  Space-occupying abnormalities such as endometrial polyps and intracavitary fibroids are usually very well visualized with this technique.

What are the risks and complications?

A HSG is a very safe procedure.  It may cause mild cramping, spotting, or discharge.  Some women may experience cramps for several hours.  The most common serious complication with HSG is pelvic infection; however, this occurs less than 1% of the time and usually occurs in the presence of preexisting tubal disease.  If spasm occurs during the examination, a false tubal patency result may be given, and that will be reconfirmed with a x-ray hysterosalpingography.  You should call your doctor if you experience pain and/ or fever within one or two days of the HSG.  Some physicians will prescribe pain medication and/ or antibiotics before the procedure.

 

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