Causes of infertility in women
How do we uncover the cause of infertility in women
Some cases are quite easy to solve, while others demand a more complex diagnostic. In order to provide a suitable care, we examine both partners because infertility is always a matter of couple.
The initial examinations starts with an interview of the couple. During this time, we ask about any health complications and overall medical state in the family and in eas partner's life. This allows us to uncover possible causes related to impairment of fertility.
After an initial, painless ultrasound examination, we obtain information about the internal genitals (uterus, ovaries, fallopian tubes). This allows us to detect changes that could negatively affect your ability to conceive a child. Appropriate timing will also allow us to assess the ovulatory function of the ovaries.
We check the cervix and uterus with the help of a thin flexible camera (2,8 mm). This examination is performed without anaesthesia, however you can always ask for it.
Standard laparoscopy and transvaginal hydrolaparoscopy are modern surgical methods, which are irreplaceable in gynaecology. They allow us to directly observe the pelvis minor and immediately address abnormal observations.
Using a variety of genetic tests is a real breakthrough in the treatment of infertility and congenital anomalies. Genetic testing is an integral part of the examination of couples suffering from infertility. This examination may explain the cause of reduced fertility in women and in men, and its outcome could have a significant impact on future treatment. The aim is the birthof a healthy child without risk of genetic disorder.
We use immunological tests in order to determine whether the infertility is caused by an immune reaction of the woman's body. In this test we distinguish:
Woman with the inability to maintain pregnancy - often, these women successfully become pregnant, but during the pregnancy complications occur, which make it impossible for the woman to give birth to a viable fetus.
Women with fertility disorder - these women are unable to conceive spontaneously. Therefore, in this type of examination of the cause, we are looking at the very beginning of the process - the time when there should be a contact between the sperm and egg.
basic blood tests
Besides other factors, in blood we focused on:
levels of hormones that affect pregnancy success,
AMH (Anti-Müllerian hormone),
Examination of thyroid function (TSH, T3-thyronine, T4-thyroxine, anti-TPO),
Sexually transmitted diseases (hepatitis B and C, HIV, syphilis).