Testing for female infertility
Diagnosis of female infertility
There can be various reasons why women fail to conceive naturally. Various tests need to be done before we can start to address female infertility. Our assisted reproduction experts will help you decide which method is best for you.
Medical history
Before embarking on IVF, we ask our clients about their health, so that we have a clear idea of their medical history. The patient’s medical history should include serious illnesses, allergies, surgeries, current medication and other information about the course and length of the menstrual cycle. Your medical history may reveal the causes of your infertility. It is only then that we can recommend the appropriate tests and examinations.
Ultrasound examination
An ultrasound examination is essential to examine the internal reproductive organs. It is completely painless. The doctor will use ultrasound to check the size and shape of the uterus, the thickness of the uterine lining (endometrium), the ovaries and fallopian tubes. An ultrasound reveals all the changes that can cause a woman's infertility and the reason why she cannot conceive naturally.
Blood test
The aim of a blood test is to determine the level of hormones during the first days of the menstrual cycle. The levels of luteinising hormone (LH), follicle-stimulating hormone (FSH) and Anti-Müllerian hormone (AMH) are measured. Female hormones affect the ability of the ovaries to produce good quality eggs.
Endocrinological examination
Endocrinology deals with the diagnosis and treatment of hormonal disorders. This involves a number of medical procedures that can reveal possible disorders in your body’s hormonal regulation, which could hinder successful pregnancy.
Test of fallopian tube patency
If the fallopian tubes are obstructed, there is little chance of natural conception. Even intrauterine insemination (IUI) will not increase the chances of pregnancy in this case. Therefore, the only solution for women with obstructed fallopian tubes is IVF, where the embryo is transferred directly into the uterus. For this reason, an examination of fallopian tube patency is one of the basic tests conducted in women who can’t conceive.
Hysteroscopy
Hysteroscopy is an endoscopic procedure that allows the examination of the inside of the uterus and sampling of the endometrium (uterine lining) for microscopic analysis. A hysteroscopy can detect, for example, congenital defects of the uterus or uterine (endometrial) polyps.
Genetic testing (screening)
We recommend genetic testing for couples who have a history of genetic disorders in the family. However, genetic testing can also reveal possible predispositions to genetic disorders that have not yet been diagnosed.
You will first talk to a geneticist who will go through your family and personal history. This is followed by the collection of a blood sample to determine karyotype and for chromosome analysis. We will then recommend the best method of treatment based on these results.
Immunological examination
Some women can’t conceive because their bodies produce antibodies to their partner's sperm, as well as their own eggs or embryos. An immunological examination will reveal whether your body produces these antibodies. In these cases, in vitro fertilisation is the best solution. Tests are performed on a blood sample, so this is a routine medical procedure.
ERA test
This test helps us determine the right moment for embryo transfer and reception to increase the chances of a successful pregnancy.
EMMA test
The EMMA test provides a complete picture of the composition of endometrial microbiota and allows us to recommend the appropriate steps to restore optimal conditions.
Alice test
The ALICE test is a fast and inexpensive test that accurately detects pathogens associated with chronic inflammation using molecular biological methods - PCR (polymerase chain reaction) on the basis of which we can choose appropriate antibiotic treatment.