Ebendorferstraße 6/4, 1010 Vienna, phone +43 (0)1 402 53 41

Diagnostics for unfulfilled desire to have children

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DIAGNOSTICS - FINDING THE CAUSE

You would like to know why your desire for children is still unfulfilled after a long time? It is important for you to find the reason why pregnancy has not occurred to you so far? Are you considering taking advice and help from a fertility clinic and would you like to know what awaits you?

Our goal is to provide you with optimal medical and human support through your desire to have children.

We want to do the best we can to fulfill your wish for a baby.This includes:

  • Sufficient time for you to get to know us, ask your questions and express your concerns.
  • A detailed diagnosis according to the latest medical knowledge.
  • Comprehensive and understandable information on all possibilities and measures that are suitable for you.
  • The thorough discussion of the best treatment for your indivual case and the subsequent precise coordination

We always have an open ear and strive to meet your needs and concerns.

Dr. Brunbauer, YOUR DESIRED CHILD EXPERT IN VIENNA

OVERVIEW DIAGNOSTIC PROCEDURE

1. First meeting

2. Clarification of the causes

3. Determination of the hormonal status

4. Ultrasound examination

5. Verification of fallopian tube continuity (HYCOSY)

6. Examination of male fertility: Spermiogram

The first step to the desired child is always a detailed initial consultation. Appointments can be scheduled any time. We take one hour for each couple so we:

  • get to know each other,
  • Clarify your medical history (anamnesis) and
  • develop a strategy for further treatment.

You can contribute to the success of your first consultation with us by bringing all your medical reports with you. With the first appointment we lay the foundation for the further steps. Therefore, it is good if we can involve both partners from the beginning. If your time permits, it is beneficial to attend the initial consultation as a couple. This first appointment gives you the opportunity to address topics and questions that you are dealing with. Likewise, you can formulate your expectations and express your wishes.

It is important to us that you feel well advised, best treated and overall comfortable with us. The first interview offers you the first opportunity to bring forward all the thoughts that are important to you. We listen and ask questions that help us to understand your situation better. Of course we will treat your information with the necessary sensitivity.

Each fertility treatment starts with the clarification of possible reasons. Man and woman are included in this diagnosis. With various investigations we get to the bottom of the causes for the unfulfilled desire for children.

Depending on the individual situation, we carry out one or more different examinations. We discuss all procedures in detail with you and inform you about their course.

Arztzitat - Dr. Mathias Brunbauer

Dr. Maria Röthlisberger

Deputy medical director | SPC for gynecology and obstetrics | IVF expert | ÖGUM level II

"A careful clarification of the causes of the unfulfilled desire for children is the first milestone on the way to your desired child."

Ultrasound examination of the woman

The gynecological ultrasound allows a fast, pain-free and reliable diagnosis. Through this vaginal, sonographic examination, we can find out if there are abnormalities of the uterus, ovaries or the Fallopian tubes. In addition, ultrasound allows us to assess the uterine wall and uterine lining more accuaretly. The ultrasound is combined with a palpation examination, whichalso serves to detect abnormalities, such as thickening. If necessary, a smear will be made during the examination.

We remove secretions from the vagina with a cotton swab. This sample is tested in the laboratory for bacteria and fungus spores. A smear is only necessary if the last swab was taken more than nine months ago. With these investigations we gain indications of possible illnesses and can draw first conclusions.

 

Determination of the hormonal status of the woman

To determine if your hormone production is in order, we carry out what are known as endocrinological examinations. This allows us to clarify whether the interaction of your hormones in the monthly cycle is working.

The regularity of your cycle can be a first clue. A cycle covers the period from the first day of menstration to the last day before the next menstruation. This period usually takes 28 days. If your cycle matches this pattern, everything is usually fine. Frequent bleeding or an irregular cycle, however, indicate hormonal imbalances.

 

Verification of fallopian tuve continuity (HYCOSY)

For getting pregnant successfully, it is important that the Fallopian tubes are open and functional. If the path of the sperm or fertilized ovum to the uterus is blocked, the desire for a natural pregnancy remains unfulfilled. Therefore, it is of great importance for the fertility treatment to check the patency of the Fallopian tubes.

This can be carried out by ultrasound examination, the so-called Hydro Contrast Sonography (HyCoSy) - an almost risk-free and gentle examination. A catheter is placed in the vagina to inject a contrast agent into the uterus. This contrast agent runs from the uterus into the Fallopian tubes and shows very clearly whether both tubes are open or a blockage afftects the patency.

In some women, this study has not only diagnostic effects, but also therapeutic ones: After this "flushing" there is an increase in the natural pregnancy rate in the subsequent three months.

 

The fertility of a man depends on his sperm. With a semen test (spermiogram) we check the fertilization ability of the sperm.

In a consultation before the examination, we analyze the medical history and explain the course of the investigation:

  • Two to three days before the semen test you should have no ejaculation.
  • You can obtain the semen sample in our clinic via masturbation. A space with the necessary privacy is available.
  • The sample is examined directly in our laboratory.

The spermiogram gives us information about the number of sperm, their mobility and their shape. We also check the ph value and some other criteria. If the test results are outside the normal range, further examinations can clarify or initiate necessary therapies. Often there is no evidence of limited fertility in the results. Nevertheless, the spermiogram helps us to fulfill your wish for a child.

The sum of the various examination results will determine which treatment or method of artificial insemination is suitable for you.

 

Fertility check in man

FREQUENTLY ASKED QUESTIONS

Just ask us.

We have compiled the most common questions for you. For further information, please visit our comprehensive FAQ section. If you have additional questions or need personalised advice, feel free to contact us by phone at +43 (0)1 402 53 41. Our team is always happy to assist you.

The initial interview serves to get to know each other, to clarify your medical history and to develop a strategy for your further treatment. Contribute to the success of your first conversation with us by bringing all existing findings. Use our "Initial interview checklist" for your preparation. This first appointment with us gives you the opportunity to address topics and questions that you are dealing with. You can formulate your expectations and express your wishes.

It is important to us that you consult us well, are treated well and feel well overall.

That depends on your individual situation.

Man and woman are included in the diagnosis. We discuss all necessary examinations in detail with you and inform you about the procedure. Possible investigations include an ultrasound examination of the woman, the determination of the hormone status of the woman, the examination of the tubal patency (HyCoSy) and a semen test (spermiogram) in men.

As a rule, we conduct an ultrasound examination on the woman during the initial interview in order to gain a first insight into your situation.

The so-called Hydro Contrast Sonography (HyCoSy) is an almost risk-free and gentle examination. It lasts around five to ten minutes. This may cause mild, menstrual pain that quickly fades away.

No, the examination is performed on an outpatient basis without anesthesia.

We examine the spermogram quickly. Usually you get the results after 30 minutes.

In principle, this would be possible, but we prefer if the semen sample is obtained from us in the Wunschkind-Klinik. We provide you with a discreet space in which your privacy is maintained. The main reason is that no more than 60 minutes should elapse between ejaculation and examination of the sperm. The temperature also plays an important role. In addition, only special containers may be used to prevent contamination of the semen sample.

In the clinic, the optimal conditions are met to enable a precise semen findings.

Wir untersuchen das Spermiogramm zügig. In der Regel erhalten Sie die Ergebnisse nach 30 Minuten.

According to the WHO, an unfulfilled desire for a child exists if no natural pregnancy occurs after one year of regular sexual intercourse without contraception. From then on, you should clarify the causes. This includes a spermiogram.

You can find the costs for a spermiogram as part of a desired child treatment here. We will be happy to inform you about the prices, financing and subsidies through the IVF Fund.

We use a spermiogram to assess male fertility. In doing so, we evaluate the quality of your sperm according to various criteria. These include the number of sperm in the ejaculate, the shape, motility, liquefaction time, volume of the ejaculate, viscosity (whether the semen sample is viscous), pH, color and vitality (how many live sperm are contained in the ejaculate).

First, we will inform you in detail and make an appointment with you. You should be sexually abstinent for at least three days before this date. You should not have a cold, inflammation or fever on the day of the spermiogram, as this may affect the result. In our clinic, we have a discreet room where you will use masturbation to obtain the semen sample that we will examine. We will discuss the results and subsequent treatment recommendations with you and your partner in a follow-up appointment.

If the result of your spermiogram is not due to a previous disease or has genetic reasons, you should think about a lifestyle change. Smoking, drinking a lot of alcohol, being overweight and excessive stress have a negative effect on sperm quality. Healthy diet, regular exercise and emotional well-being help to improve sperm quality.

A complete sperm production takes 96 days. In principle, a spermiogram can be made after cancer treatment after about 12 weeks. However, the regeneration of fertility depends on various factors, such as the level of the treatment dose or the age of the patient. Often, the spermiogram is already limited before cancer treatment. Seek the advice of your treating physician before scheduling a spermiogram. Especially in the case of testicular tumor, full recovery can take up to three years, and in certain cases up to nine years.