Unfulfilled desire to have children - Clarification

The procedure for infertility assessment/treatment in our practice is as follows. At the beginning there is the first interview, at which the partner is preferably present. In this, the required steps are explained and initiated.The following appointments are usually necessary:

• Hormone status -> cycle day 1-5. Blood test for a hormone analysis
• Fallopian tube patency test -> cycle day 8-14 contrast ultrasound
• Spermiogram of the man -> collaboration with lab Medica

After receiving the results, another interview will take place. An individual therapy plan tailored to you is drawn up. You will be informed and instructed about the therapy methods.

These examinations must take place on named cycle days, but it is also possible to spread the examinations over 2 or more cycles.

Please call on the 1st cycle day (CD) to make appointments. The 1st menstrual day (1st CD) counts as the day on which the bleeding persists from morning to evening.

a. Hormonal status of women

There will be a meeting on cycle day 2-5 The following hormones are determined from the blood on the day of the cycle. This can either be done with us in the practice or in an external laboratory.

• FSH and LH: These hormones are produced in the pituitary gland (pituitary gland) and control the ovaries. An increase in FSH at the beginning of the cycle indicates a decline in ovarian function.LH rises by leaps and bounds in the middle of the cycle, triggering ovulation.
• AMH (anti-Müllerian hormone): This hormone corresponds to the egg cell reserve. The measurement is cycle-independent.
• E2: The main sex hormone in women, is produced by the maturing follicle in the ovary.
• Testosterone: Male sex hormone, which is also present in small amounts in women. An excess of it leads to increased hair growth, impure skin or even masculinization, a deficiency possibly to a lack of sexual desire.
• DHEA (dehydroepiandrosterone): is the precursor for both male and female sex hormones.
• Prolactin: Controls the production of breast milk during pregnancy and breastfeeding. Outside of pregnancy, an excess of prolactin is harmful and inhibits ovulation. The production is stress-dependent.
• Ferritin: iron

b. Contrast sonography to check patency of the fallopian tube

During this special ultrasound examination, a liquid is injected into the uterus using a fine tube. It can be used to determine whether the fallopian tubes are open. At the same time, the uterine cavity is assessed. This examination is useful both diagnostically and therapeutically, as it can open up the smallest adhesions in the fallopian tubes by flushing . This can also increase the chance of pregnancy. The examination is painless and does not require anesthesia. You can then return to your everyday life normally and are fully able to work.

c. Spermiogram in men

Your husband's semen is examined for the number, shape and motility of the sperm and for the presence of inflammation. For this examination, we refer patients to external laboratories and, if necessary, to a specialized urologist if further clarification would be necessary.