Fertility MOT-More and more women these days, whether in a relationship or single, are choosing to check their fertility status with a Fertility MOT.

Whatever your individual circumstances, the Zita West Fertility MOT has been specially developed to help you get a better understanding of your reproductive status and potential, including your likely responsiveness to IVF, providing you with a unique opportunity to consider the most important aspects of your health, medical history and lifestyle which can impact on your chances of conceiving successfully.

How it works

The Zita West Fertility MOT consists of a comprehensive AMH blood-test, which we combine with your answers to a brief Fertility Questionnaire, followed by a 30 minute consultation with a Zita West Consultant Midwife/Fertility Nurse, either by ‘phone or in person. During the consultation we will discuss the results of your tests and provide you with a predictive overview of your fertility status, as well as guidance on next steps.

Details of the test, the questionnaire and the consultation are provided below.

The MOT costs £170 + p&p (includes cost of test, questionnaire and consultation). If you decide to have a Vitamin D blood test as well, this will cost an additional £47.50 + p&p (see details below for the benefits of Vitamin D testing).
Please note:

There are 4 easy steps you’ll need to follow:

Step I

Order your Fertility MOT pack on-line (just click on "add to cart" at the top of this page).

If you would like both an AMH and a Vitamin D test done, you will need to order each test separately. You will, however, only be sent one test-kit, as we only need one blood sample to conduct either or both tests.

Please note: For the moment, we can't offer a Vitamin D test by itself. Only if it is taken alongside an AMH test.

Step 2

You will receive your Zita West Fertility MOT pack in the post. This includes a simple questionnaire for you to complete, along with instructions on how to obtain the blood sample required. The pack also includes a "vacutainer" (air-tight plastic tube) for the sample, a syringe , a pre-paid return envelope and a test request form.

You will need to arrange to have the blood taken by your GP practice nurse or GP, or at any private clinic or hospital. Most GP practices in the UK will be happy to do this for a small charge (some may do it for free). Practices in Rep. Ireland will also charge a fee.

The sample can be taken at any time in your menstrual cycle.

Step 3

Once the sample has been obtained, simply post it back in the pre-paid envelope along with the completed Fertility Questionnaire and the completed Request Form.

Step 4

When you have returned your Fertility MOT pack, including the sample, completed Questionnaire and Request Form, call us (020.7224.0017) to arrange your 30 minute consultation appointment. The consultation can be done by ‘phone, or in person if prefer to visit one of our clinics. We have a permanent clinic based in Central London, and regular visiting clinics in Dublin and Cork. Please allow 2 weeks from the time you send back the pack to your appointment date.

For 'phone consultations for clients based in the UK, your consultant will 'phone you at the time agreed. For clients based outside the UK, we ask for you to call us.

AMH (Anti-Mullerian Hormone) Test

The relatively new Anti-Mullerian Hormone (AMH) test is thought to be the most accurate predictor available of the number of eggs a woman has (her ‘ovarian reserve’) which, in turn, provides an indication of her fertility potential, both for the present and the future. The test is a more constant predictor of ovarian reserve than the more commonly used FSH test, as it provides consistent results within any day of a woman's cycle, as well as from cycle to cycle, whereas an FSH test does not. Many women have FSH tests that do not accurately reflect their underlying fertility potential.

The AMH test results provide you with a number (measured in pmol/l) and a category, which show your egg reserve to be either "optimal", "satisfactory", "low" or "very low/undetectable". As women are born with all of their eggs and the egg pool declines with advancing age, the results of the test are very much age-dependent. However, it also provides a measure of whether your reserve is average or below or above the average for your age. As AMH is produced by the ovarian follicles, women with polycystic ovaries (PCOS) are likely to have a very high level of AMH, so the test identifies women with possible PCOS as well (a condition commonly associated with difficulty conceiving).

If you are thinking about having IVF, the test also gives you an indication of how you are likely to respond to treatment.

You will be required to complete the questionnaire which you will find in your pack. The answers you provide will help to paint a complete picture of your current health and lifestyle and any aspects of your medical history that may be relevant to your fertility. Many of our clients tell us that just filling out the questionnaire alone can be a revealing and valuable exercise!

Consultation

We'll use your questionnaire, combined with results of your test, as the basis of your consultation, at the end of which we’ll provide you with advice and guidance based on whether you are planning on having a baby now or possibly considering it in the near future.

During the consultation we’ll check through the areas of your health and well-being that are most critical to your reproductive status, pointing out, if necessary, where some changes might be desirable, and identifying possible or potential fertility issues, should they exist.

If you are actively trying to get pregnant, we’ll also look to see whether all the most important pre-conception checks have been done and aim to ensure you are aware of the most fertile time of your cycle (which can vary from one cycle to the next). The consultation also provides an opportunity to consider the relevance of any other blood tests, scans, therapies or treatments which you may require.

If we identify any issues that require further medical assistance, we would always advise you to go to your GP, or we can refer you to a private gynaecologist or fertility specialist if you wish (London based).

Following the consultation we will send you (either by email or post) the results of your AMH test.

We are not able to provide a written report of any guidance and advice given during the consultation, so it may be useful for you to have a pen and paper handy with which to take notes.

We also offer an optional Vitamin D test which can be taken at the same time as that for AMH. We are not able to offer the test by itself at present. If you are thinking about trying to get pregnant in the near future, have been trying to get pregnant for a while without success, or are about to have IVF, then it may be something you’d like to consider.

Vitamin D deficiency is common in women with ovulatory problems such as PCOS. It has also been associated with IVF failure, particularly at the implantation stage, as well as with miscarriage and pregnancy complications, such as pre-eclampsia and prematurity. Deficiency also appears to be common amongst women of African and Asian origin. The main source of Vitamin D is the sun, so it’s not surprising that we identify a deficiency in over 50% of those of our UK clients who are tested.

Your consultant midwife/fertility nurse will give you the results of both your Vitamin D and AMH tests during your 30 minute consultation. They will also be emailed to you after the consultation.

If you would like to order your Vitamin D test-kit on-line, this will need to be ordered separately from your order for an AMH test, by selecting it from the previous "shopping" page. The cost of the Vitamin D test is £47.50 + p&p

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