Fertility and Recurrent Miscarriage
Trying to conceive can be an emotional journey, particularly when pregnancy has not happened as expected or you have experienced the heartbreak of miscarriage.
At West Wales Women’s Wellbeing, we offer consultant-led gynaecological assessment and specialist investigations to help you better understand your reproductive health and explore the options available to you.
Whether you are experiencing difficulties conceiving, have experienced recurrent miscarriage or would like further information about your fertility, our Consultant Gynaecologist can assess your concerns and help guide the next steps.
What can we help you with?
We offer assessment and investigations for a range of fertility and early pregnancy concerns, including:
- Difficulty conceiving – investigate possible factors affecting your ability to become pregnant.
- Recurrent miscarriage – discuss your pregnancy history and explore whether further investigations may be appropriate.
- Uterine concerns – assess the uterus for findings such as fibroids or other abnormalities that may be relevant to fertility or pregnancy.
- Fallopian tube assessment – investigate whether your fallopian tubes appear open using HyFoSy tubal patency testing.
- Ovulation and menstrual concerns – explore irregular periods or other symptoms that may affect ovulation and fertility.
- Male fertility assessment – arrange semen analysis to assess sperm-related factors that may affect conception.
- Fertility investigations – consider appropriate blood tests, ultrasound imaging and other investigations based on your individual circumstances.
Fertility can be influenced by several factors, and sometimes more than one investigation is needed to build a clearer picture. Your consultant will help determine which assessments may be suitable for you and your partner.
What fertility investigations do we offer?
ExEm Foam HyFoSy – fallopian tube patency testing
ExEm Foam HyFoSy (Hysterosalpingo-Foam Sonography) is an ultrasound-based procedure used to assess whether the fallopian tubes appear open.
A specialist contrast agent, such as ExEm Foam, is introduced through the cervix while ultrasound is used to assess its passage through the uterus and fallopian tubes.
HyFoSy may be recommended as part of a fertility assessment to investigate tubal patency. Your consultant will explain the procedure, its suitability, preparation and any potential risks before you decide whether to proceed.
Fertility investigations are not just for women. Semen analysis assesses a sample of semen to examine factors such as sperm concentration, movement and shape.
The results can provide useful information about male fertility and help identify whether further assessment may be appropriate.
Including semen analysis in the fertility assessment can help ensure that potential male and female factors are considered rather than focusing on one partner alone.
Ultrasound can provide information about the uterus, ovaries and other pelvic structures that may be relevant to fertility.
Depending on your symptoms and medical history, imaging may help assess the appearance of the uterus, identify fibroids or other abnormalities, and evaluate the ovaries.
Blood tests and other investigations
Depending on your circumstances, your consultant may recommend blood tests or other investigations to assess aspects of reproductive health. The appropriate tests will depend on your menstrual history, previous pregnancies, symptoms and the questions that need answering.
Recurrent miscarriage: understanding your options
Experiencing more than one miscarriage can be deeply upsetting, and it is understandable to want answers.
A consultation with our Consultant Gynaecologist provides an opportunity to review your pregnancy history, discuss your concerns and consider whether further assessment may be helpful.
Depending on your circumstances, investigations may include an assessment of the uterus, relevant blood tests or other investigations guided by your history and clinical needs.
Not every miscarriage has an identifiable cause, and investigations cannot always explain why pregnancy loss has occurred. However, an appropriate assessment may help identify relevant factors, clarify available options and guide discussions about future pregnancy planning.
What happens during your consultation?
Your consultant will take time to understand your medical and reproductive history, including how long you have been trying to conceive, previous pregnancies, menstrual patterns, relevant medical conditions and any investigations you have already had.
Based on this assessment, your consultant will discuss which investigations may be appropriate and explain what they can and cannot tell you.
You will have the opportunity to ask questions, understand your options and consider a plan tailored to your circumstances. Where appropriate, this may include ultrasound, HyCoSy, blood tests, semen analysis or referral for additional specialist assessment.
Book your consultation
If you have been trying to conceive, have experienced recurrent miscarriage or would like to explore your fertility, our Consultant Gynaecologist can help you understand the investigations available and the next steps that may be appropriate for you.
You do not need to know which tests you need before booking. Your consultant can guide you based on your individual history and concerns.