You may be prescribed medication for your thyroid even though you do not show any symptoms. The thyroid gland provides signals to your body to produce TSH or thyroid stimulating hormones. If your thyroid production is high TSH is suppressed. If your thyroid production is low TSH is increased to boost production. Hyper- and hypothyroidism are associated with infertility.

These are benign growth in the uterus and are extremely common in women with little or no symptoms. These symptoms include:

• Pain in the pelvis
• Dysmenorrhoea or pain during intercourse
• Excess menstrual bleeding

These fibroids might create blockages in the tubes restricting movement of the sperm and reduce blood flow to the endometrium, affecting implantation rates.

Subserous fibroids (which are near the outer layer of the uterus) do not impact fertility. But Submucous fibroids (which are next to the endometrium) adversely affect fertility. At IVF Access, the size and count of fibroids is assessed using our technology to check if there is a high risk. Some women may require treatment for fibroids including surgical removal. Most women, without symptoms, do not need intervention

Uterine polyps are tissues in the lining of the uterus that can impact fertility. Women with polyps may experience abnormal bleeding. Although most polyps are benign, we will evaluate the uterus and recommend surgery. This is a quick outpatient procedure and takes less than 15 minutes.

Cysts in the ovaries contain fluid or tissue. These are common and go away on their own. In some cases, a simple surgery can be performed to remove them. However certain cysts can contribute to infertility. These are:

• Endometriomas – are dark cysts which cause pain during cycles and dysmenorrhoea.
• Cysts owing to PCOS – these are follicles which are not released and convert into a cyst