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Fertility blood testing

Fertility blood testing

Private Fertility Blood Test London

Welcome to Blood London, where you can access a wide range of accurate and detailed blood tests related to assessing and improving fertility. We understand that navigating the complexities of fertility and reproductive health can be challenging, which is why we offer a comprehensive range of blood testing services designed to support you at every stage of your reproductive journey. 

Our Fertility Test services cover a broad spectrum of reproductive health concerns, from puberty and menstrual cycle assessments to infertility diagnosis and management, as well as age-related changes in hormonal balance. At Blood London, we use cutting-edge diagnostic pathology to provide you with accurate and timely results, empowering you with the details required to make informed decisions about your reproductive health.

Explore our fertility testing options, which include:

Menstrual Cycle and Pregnancy Testing

Monitoring fertility and pregnancy health across all trimesters.

Ovarian Reserve Testing

AMH and FSH Blood Testing indicating the size of the ovarian reserve and Ultrasound screening also available

Infertility Testing

Identifying potential causes of infertility in both men and women to aid in effective treatment.

Ageing

Evaluating hormonal changes during menopause and andropause for comprehensive reproductive care.

Whether you are just starting to investigate your reproductive health or have been facing challenges along the way, Blood London is here to support you with expert care and personalized testing solutions.

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Reproductive health

The tests in this section cover menstrual cycle/pregnancy, infertility and ageing, and are drawn from all disciplines of diagnostic pathology.

The menstrual cycle/pregnancy

This cycle controls female fertility and is influenced by hormone levels which impact bone health and many other aspects of female physiology. Pregnancy lasts 40 weeks and is divided into trimesters.

First Trimester (week 0–13):

confirmation of pregnancy and associated tests may include:

  • Pregnancy test (urine)
  • Quantitated Beta HCG (serum)
  • Ectopic Pregnancy assessment (Beta HCG and Progesterone)
  • Recurrent Miscarriage Profile 
  • Antenatal Screen 
  • Nuchal Scan with Free Beta HCG and PAPP-A or Non-Invasive Prenatal Test (Harmony) for risk assessment of Downs Risk (a DRP request form must be enclosed with samples, see back of guide, and an image of the scan attached to the request form). Contact Blood London for details of Non-Invasive Prenatal Testing (NIPT)
  • Chorionic Villus Sampling (CVS) for chromosomal analysis (PCR for Rapid Trisomy and karyotyping for the rarer abnormalities)
  • Toxoplasma/Varicella Zoster/Parvovirus/CMV
First Trimester (week 0–13)

Second Trimester (week 14–26):

testing is primarily directed at evaluating the actual and potential development of the baby and may include:

  • Downs Risk Profile (Triple Test +)
  • Amniocentesis for chromosomal analysis (AmnioPCR for Rapid Trisomy and karyotyping for the rarer abnormalities)
  • Glucose and Protein (urine or serum)
  • Pre-eclampsia Screen
Second Trimester (week 14–26)

Third Trimester (week 27–40):

testing for foetal wellbeing and the health of the mother may include:

  • Glucose and Protein (urine or serum)
  • Toxoplasma
  • Atypical antibody screening
  • Group B Strep (From 35 weeks – rectal and low vaginal swabs)
  • Chlamydia
Third Trimester (week 27–40)

Infertility

Infertility and its management is increasingly implicated in growing numbers of clinical disciplines. More recently, greater emphasis is being given to male infertility. Recent data suggests that approximately 40% of all infertility is ascribed entirely, or in part, to male factors, 40% to female factors with an additional 20% unexplained. Testing at the outset of infertility treatment can reduce some of the emotional and financial costs, as well as allowing couples to pursue other possible options. 

  • Hormones
  • Infection
  • Lifestyle/Environmental
  • Chromosomes/Genetics
  • Ovarian Reserve
  • Polycystic Ovary Syndrome
  • Unexplained Infertility/Implantation failure
  • Recurrent/Spontaneous miscarriage
  • Male Factors
Infertility

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Ageing

Reaching menopause and andropause is a gradual process with modulating hormones as ovarian function declines in women, and the more gradual, less defined and highly variable effect in men. Testing may include:

  • Hormones (Menopause/Andropause Profile)
  • Testosterone/Free testosterone/Bioavailable testosterone
  • SHBG
  • DHEAs
  • Thyroid function
  • Osteoporosis/Bone Markers 
Ageing

Hormones

Female Male
FSH – day 2/3 Testosterone/Prolactin/FSH/LH
LH Sex Hormone Binding Globulin
Oestradiol Inhibin B (male)
Antimullerian Hormone (AMH) Male Hormone Profile
Progesterone – day 21 Andropause Profile
Female Hormone Profile Insulin Resistance
Prolactin Erectile Dysfunction
Impotence Profile
hormone levels

Infection

Female Male
High Vaginal swab Investigations for prostatitis/urethritis
Cervical swab Mycoplasma Genitalium
Bacterial Vaginosis screen Ureaplasma
Toxoplasma Chlamydia/Gonorrhoea
Chlamydia/Gonorrhoea Chlamydia in Semen
CMV Hep B sAg/Hep B Core Abs/Hep C/HIV 1&2
Hep B sAg/Hep B Core Abs/Hep C/HIV 1&2 Herpes Simplex I/II by PCR
Herpes Simplex I/II by PCR Semen culture
STI Profiles Syphilis
Infection screening by PCR STI Profiles
Infection screening by PCR
Infection

Lifestyle/Environment

Female Male
Well Person Profile DL6 Fit for Fertility Male Profile
Zinc, Lead Well Person Profile DL6
Trace Metal Profile (blood) Trace Metal Profile (blood)
Antioxidant Activity Antioxidant Activity
Thyroid Profiles Thyroid Profiles
Vitamin Profiles Vitamin Profiles
Vitamin D (25 OH) Vitamin D (25 OH)
Folate Folate
Selenium Selenium
Omega 3/Omega 6 Zinc
Omega 3/Omega 6
Oxidative Stress (ROS) in Semen
Lifestyle/Environment

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Chromosomes/genetics

Female Male
Chromosome/Karyotype (parental) Chromosome/Karyotype (parental)
Fragile X (female) Male Hormone Profile
Cystic Fibrosis Screen Y-Chromosome microdeletion
Tay Sachs Fragile X Male
Jewish Carrier Profile Cystic Fibrosis Screen
Inherited disorders (specific) Tay Sachs
Jewish Carrier Profile
Inherited disorders (specific)
Chromosomes/genetics

Unexplained infertility/implantation failure/recurrent miscarriage

Female Male
Recurrent Miscarriage Profile Chromosome/Karyotype (parental)
Reproductive Immunophenotyping (CD 3/4/8, CD 5/19, CD 16/56/69) Y-Chromosome microdeletion
NK Cell Profile Sperm DNA Fragmentation
Antiphosholipid Antibodies Sperm aneuploidy
Lupus anticoagulant and Anticardiolipin antibodies Infection screening
Thrombotic Profile Heavy Metals (Blood)
Antinuclear antibodies Male Recurrent Miscarriage Profile
Anti-Thyroglobulin antibodies Oxidative Stress in Semen (Reactive Oxygen Species)
Chromosome/Karyotype (parental)
Infection screening
Unexplained infertility/implantation failure/recurrent miscarriage

Ovarian tumour

Female
Antimullerian Hormone (AMH)
CA 125 / HE4

Polycystic ovary syndromer

Female
Polycystic Ovary Profile

Sperm health

Male
See Andrology

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Andrology

Andrology division focuses on the single most important factor determining a man’s fertility potential – the production of healthy sperm.

A semen analysis, which provides information about sperm count, motility and morphology, has classically been used as the marker of male fertility potential. However, there are other parameters given in a semen analysis that are often neglected or overlooked; these may indicate important pathologies, such as infection, prostatic disease, immunological infertility, retrograde ejaculation, malformation or obstruction of the genital tract, tumour, and congenital or endocrine disorders.

Early diagnosis of the male factor is important in order to detect any underlying pathology, to determine the extent of infertility, and to ensure appropriate treatment. It may also avoid unnecessary investigations for the female partner, particularly if her age is a limiting factor.

For men who have had a vasectomy, clearance should only be given when there is no evidence of presence of sperm in two consecutive semen samples. It is therefore vital to ensure that results are reported according to best practice guidelines. Special clearance may be given at the doctor’s discretion when there are persistent non-motile sperm present.

Ageing