Diagnostics

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.

How do diagnostics work in detail?

first meeting

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.

Clarification of the causes of the unfulfilled desire for children

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.

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, which also 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 tube 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.

Examination of male fertility: spermiogram

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.

Do you value personal advice? Arrange an initial meeting with us.