During consultations, she conducts a comprehensive history-taking process to understand each patient’s unique circumstances thoroughly. Dr Huang then tailors an investigation and treatment plan accordingly.

For general fertility and gynaecological patients, Dr Huang typically suggests the following investigations.

• First line fertility investigation in sub-fertile female
  • Pre pregnancy serology:
    • Full blood count
    • Blood Group and antibodies screen
    • Hepatitis B surface antigen
    • Hepatitis C antibodies
    • HIV 1/2 antibodies
    • Syphilis serology
    • Rubella IgG
    • Varicella IgG
    • Vitamin D level
    • Ferritin or iron studies
    • TSH
  • AMH – antimullerian hormone
  • Pelvic ultrasound
  • (optional, appropriate in some cases) Fallopian tubal patency testing (either at the same time as a specialised gynaecological pelvic ultrasound or HSG hysterosalpingogram)
• First line fertility investigation in sub-fertile male
  • Semen analysis
  • (optional, appropriate in some cases) sperm antibodies
  • (appropriate in some cases) – other screening if associated sexual dysfunction including Thyroid function testing, baseline hormonal workup, diabetes and other chronic condition screening)
• Gynaecology
  • Baseline ovarian reserve quantification
    • AMH – antimullerian hormone
    • Antral follicle count on ultrasound
    • Day 2-3 of period FSH level
  • Confirming ovulation
    • Luteal phase progesterone – taken 7-13 days before expected period (day 21 in a 28 day cycle)
  • PCOS investigations (or irregular periods)
    • Pelvic ultrasound
    • AMH
    • Oestradiol, FSH, LH, Progesterone
    • HCG-titre
    • Prolactin
    • TSH
    • Testosterone, SHBG, free testosterone
    • DHEAS
    • 17-OH-Progesterone
    • Androstenedione
    • Vitamin B12
    • (Baseline risk factor screening for diabetes and cardiovascular diseases if investigating PCOS) – cholesterol and lipid profile, fasting blood glucose, HbA1c