If a woman is not ovulating by herself then ovulation induction may be required. The most common causes of failure to ovulate are stress, weight fluctuations and Polycystic Ovarian Syndrome (PCOS). Other causes may include disorders of the pituitary gland, thyroid gland and raised prolactin levels. In some cases failure of ovulation is due to the ovarian failure. This may occur following treatment for cancer or may be the start of the menopause - premature ovarian failure.
If a woman has an irregular menstrual cycle, monitoring with ultrasound scans (follicle tracking) and hormone assessments may help to identify the fertile time of the month and so improve the chances of natural conception.
Before ovulation problems can be treated it is important to undertake certain tests to establish the cause. These tests include an ultrasound scan of the ovaries and womb and blood tests to measure a range of hormones including thyroid, prolactin, FSH, LH, Testosterone and other androgens (male hormones). It is also important to ensure that the ovary is capable of responding to the drug treatment. One possible cause of failed ovulation is ovarian failure more commonly known as the menopause. If the FSH (> 10) concentration level is high and the AMH concentration is low when measured at the start of a period, ovarian failure is likely. In such cases fertility treatment is less successful.
If ovulation does not occur, then medications may be administered with the onset of menstruation to stimulate egg production. If tablets are not effective then more powerful fertility injections may be necessary to stimulate egg production in the ovaries.
Ovulation is induced using one of two main drug regimens:
The response to any drugs given is monitored by ultrasound scans. When follicles have reached an appropriate size intercourse is advised, or an injection of HCG is given to facilitate the timing of intercourse or IUI. Individual responses to treatment can be unpredictable and if, during the monitoring, the response is insufficient or too strong, the cycle may have to be cancelled and restarted as appropriate. If the response to the drugs is satisfactory, treatment usually continues for 6 cycles; treatment cycles can be carried out consecutively without a break. Potential side effects are mainly related to the drugs. Multiple pregnancies are a risk of ovulation induction treatments. Twins can result in up to 10% of cases with Clomiphene treatment, and 20% with gonadotrophins. Triplets may also occur in around 1% of cases. With careful monitoring the risk of multiple pregnancies is reduced but not eliminated.
Women with PCOS who are not ovulating are normally given Clomid as first line treatment and usually respond very well to this. Two other treatment options may be used:
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There are over 30 blood test service locations in and around Coventry. Most clinics have appointments to book in advance online. Click on the map for details of the clinic most convenient for you.
Click on the map for information about phlebotomy clinics in Coventry. You can book an appointment online at the locations in red.
You can also download a leaflet at this link.
We strongly advise all patients use our new online appointment system before attending for a blood test to avoid any disappointment. The new service helps patients, their carers and family members to plan their hospital visit better, helping to reduce clinic waiting times and enabling patients to be seen much more quickly.
Walk-in appointments remain available dependent on availability, however you may have to wait for the next available appointment time. Please note that walk-in patients will be given an approximate time slot and this may vary.
Location: Outpatients Department, on the ground floor. Opening hours: 8am-4.45pm, Monday to Friday (excluding bank holidays).
Based on demand we are only able to see a set amount of patients per day so, once we have filled all allocated slots we can no longer accept walk-ins. This may mean you will need to revisit the site to have your blood test on another occasion or book online for another site.
Patients from Rugby and the surrounding areas are able to access the Friends Blood Taking Unit at the Hospital of St Cross.
Referrals for blood tests can be from GP's, practice nurses or from hospital consultants. Patients are also able to leave other samples, such as urine, which have been collected at home, at the hospital's Pathology Reception.
Location: Near Brookfield House, just off North Road - map here. Opening hours: The blood taking clinic sessions for adults and children are listed below:
Monday -Friday 7am-8am Appointment only
Monday – Friday 8am-4.45pm *Appointments and walk-in available
Wednesday Evening 5pm-7pm Appointment only
Saturday Morning 7am-10pm Appointments only
* While we offer a walk in service, we highly recommend booking an appointment to save patients from waiting. If all walk in slots are filled, we may need to ask patients to attend again on another day, or to book online for another site.
Children under 16 years old will need to book online here.
Address: Stoney Stanton Road, Coventry CV1 4FS Location: Access is via the main doors, the Phlebotomy team are in Area A. Opening hours: Monday to Friday (excluding bank holidays). 8am–4.45pm - Based on demand we are only able to see a set amount of patients per day so, once we have filled all allocated slots we can no longer accept walk-ins. This may mean you will need to revisit the site to have your blood test on another occasion or book online for another site.
Glucose Tolerance Test (GTT)
Specialist Tests - There are a small number of specialist tests where blood needs to be taken on a hospital site as the sample must be transferred to the laboratory rapidly for the test to be undertaken. Click here for a list of these specialist tests and to find out more.