At the beginning of each individual therapy, the hormonal system will be thoroughly examined in order to diagnose and treat malfunctions of thyroid gland or male hormonal secretion.
The real surveillance of the menstrual cycle generally begins between the 3rd and the 5th day after menstruation has set in. To do so, we use ultrasound technology and a blood test. Further treatment depends on the initial hormonal situation; the aim of the treatment is to induce ovulation when the follicles are ripe, and to thus state the best time for fertilization. For patients with only minor disorders, this will already be a sufficient treatment to become pregnant.
Assessing tubal patency by using imaging contrast agents is an almost painless method to determine whether the fallopian tubes are penetrable or not. The procedure is carried out as an outpatient treatment and should be performed a few days before ovulation, as the mouth of the uterus is open at this time so that the catheter for delivery of imaging contrast agent may be inserted.
Spermiogram and Andrological Examination At the beginning of the therapy, the male seminal fluid (ejaculate) will also be examined. A microscope is used to determine how many semen cells are contained in the ejaculate. Furthermore, the mobility and the shape of the sperms are examined.
In addition to the examination of the ejaculate, we advise a medical examination of the man by an andrologist. He will examine the male sex organs for a curable disorder, e.g. chronic infections or varicose veins on the testes. In case you have not been examined for these disorders, we can recommend a specialised urologist for this examination.
After the first results are available, we will discuss these with you. Together, we will then draw up a plan for further diagnostics and therapy, to which you should contribute your own ideas and needs.