Diagnosis

Basic Infertility Evaluation

  • Exact medical history with regard to disorders of the menstrual cycle, past PIDs (Pelvic Inflammatory Diseases) or surgeries.
  • Hormonal check
  • Evaluation of fallopian tubes
  • Andrological check with evaluation of sperm

The hormonal check helps to diagnose abnormalities in the levels of the sex hormones which can interfere with the normal process of growing and ovulating an egg. For example high levels of prolactin can cause cycle disorders and anovulation. Treatments to decrease prolactin levels generate pregnancies in many cases.

The evaluation of fallopian tubes can be performed with a hysterosalpingogram (HSG) or with laparoscopy and Chromopertubation and hysteroscopy.

A hysterosalpingogram (HSG) is an X-ray test that determines whether there is a blockage in the fallopian tubes, which would prevent the union of a sperm and egg. It may also be used to detect irregularity or scarring of the lining of the uterus. The HSG is performed in the 2nd week of the menstrual cycle (i.e. after menstrual bleeding has stopped but before ovulation).

The laparoscopy with chromopertubation enables a careful inspection of the ovaries, uterus and Fallopian tubes using a small telescopic device. It can detect and give sometimes opportunity to treat pathological findings like adhesions, myomas or endometriosis.

Hysteroscopy offers a direct examination of the uterine cavity with a viewing instrument. This allows any adhesions, sub mucosal myomas or polyps to be seen and, if necessary, removed.

The andrological check excludes pathologies like tumors or varicocele as a cause of low sperm parameters and male infertility. The Semen Analysis (Spermiogram) is an Assessment of sperm count, motility and morphology (shape) carried out on fresh semen.

In the Fertility clinic

According to the diagnostic findings which will be assessed by our specialists, each patient will have individual requirements. So your treatment will be unique to you.