INFERTILITY
this concerns couples trying to conceive without success:
after 1 year of natural attempts
or after 6 months if woman is over 35 years old
the investigation includes:
Male factor investigation based on medical history
male partner should have 3-5 days of abstinence from sexual activity before the test.
it tests for:
- the number of spermatozoa (concentration)
- their mobility
- their morphology
- evidence of inflammation (presence of leukocytes)
it can be done along with semen analysis.
it tests for the genetic integrity of the sperm that is necessary for the formation and development of a normal embryo
it is a factor that can be improved depending on the cause, combined with antioxidant vitamins
the test for identifying microbes in the semen
it can be treated with the relevant antibiotic treatment
thorough PCR testing to check the normal flora and detect pathogenic microbes
recommended based on medical history, such as:
karyotype
cystic fibrosis
microdeletions of the Y chromosome
in cases of abnormal semen analysis
Gynaecological examinations we perform based on history
at the beginning of the cycle
checking for ovarian reserve and assessing cystic formations
basic investigation of the uterus
within 2nd to 4th day of the cycle
FSH, LH, E2, Prg, TSH, and PRL
a radiological examination to help us assess the patency of the fallopian tubes
in the first half of the cycle
the examination to check the patency of the fallopian tubes and disorders of the endometrial cavity carried out in the doctor’s office using ultrasound guidance.
by injecting a hypoallergenic foam contrast agent into the uterine cavity while monitoring the flow into the fallopian tubes
No special preparation is required.
checks for the state of the uterine flora and possible endometrial pathogenic microbes affecting the implantation of the embryo
it is carried out during hysteroscopy or through biopsy via a pipelle in the doctor’s office
results are available in 7-10 days
treated by the administration of antibiotics and probiotics based on the microbial load and lactobacillus levels
important test for the investigation of infertility
a diagnostic procedure in which we examine the inside of the cervix and uterus in great detail through video imaging
therapeutic intervention for the treatment of pathologies of the intrauterine cavity such as uterine septum/polyps/adhesions and fibroids
it must be carried out in all cases and in particular before any attempt at assisted reproduction
Two methods:
Office Hysteroscopy
in our office
without anaesthesia and pre-operation testing
similar effectiveness
low cost
Hysteroscopy in the clinic
under anesthesia and after the pre-operation testing
its necessity is based on the patient’s history
it is carried out by entering the camera into the patient’s abdomen in order to diagnose and check various pathological conditions such as endometriosis, uterine fibroids, adhesions, cystic morphomas and determine the patency of fallopian tubes
based on couple’s history
Karyotype for both
Cystic fibrosis
Fragile X chromosome testing in female patients with Premature Ovarian Failure
Microdeletions of the Y chromosome