Infertility diagnosis -

Infertility diagnosis

The problem of infertility in Poland has become a concern for a growing number of couples. Unfortunately, some of them are unaware of their problem. Delay in undertaking the treatment resulted in a significant reduction in the effectiveness of the medical procedures. Therefore, early diagnosis is so important in the treatment as well as incorporated therapy in due time.

One of the most significant principles of infertility diagnosis, is the principle of diagnosing both partners simultaneously.

One of the most significant principles of infertility diagnosis, is the principle of diagnosing both partners simultaneously.

Ultrasound Imaging Diagnostics

Ultrasound evaluation of tubal patency USGHSG

Preserved fallopian tubes is a prerequisite for getting pregnant naturally and in the case of assisted reproductive techniques using natural insemination. Patency can be verified in several ways, and one of them is histerosalpingosonography or patency assessment using ultrasound. This treatment involves administration of contrast medium into the uterine cavity under ultrasound control and the simultaneous observation of the contrast flow to the fallopian tubes.

The treatment is performed after finishing menstruation but before ovulation. Before the treatment, please check the cleanness of the vagina, take prophylactically antibiotic, analgesic and diastolic drugs according to the scheme, which you will be informed by the physician. At the appointed hour of treatment you must report with a full bladder, it will facilitate the treatment's implementation. The procedure itself should not be painful, but if you feel at that time a high degree of pain or discomfort, the test can be stopped at any time. You can also perform this procedure under general anesthesia.

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Cycle Monitoring

   At the time of ultrasound monitoring of the cycle we evaluate growth and ovulation of Graafian follicle and the thickness and structure of the mucosa uterus or endometrium. In order to complete the necessary evaluation of the menstrual cycle at least three visits combined with ultrasound are required.

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Laboratory Diagnostics

Sperm DNA fragmentation

Infertility is a major clinical problem resulting largely from the male factor. It is estimated that in nearly 20 percent of patients with idiopathic infertility (one which causes could not be established up to now), it results from elevated levels of sperm DNA fragmentation. The quality of sperm in the genetic material is increasingly regarded as a prognostic parameter of efficacy of conception, pregnancy development and giving birth to a healthy child, and the incidence of genetic diseases, including cancer in later generations.

Standard rating of semen does not provide all the necessary information required to determine a man's fertility, with particular emphasis on the quality of sperm chromatin. In the era of assisted reproduction techniques that bypass the process of natural selection of sperm, it becomes even more relevant to know the quality of the sperm cell's genetic material entered directly into the egg. Embryos obtained as a result of fertilization of the ovum sperm with abnormal (high) level of DNA fragmentation have poor prognosis already at the stage of blastocyst development. Administered to the uterus they are accepted much worse, and the pregnancies achieved through it, may end up in miscarriages, abnormalities and increased susceptibility of the offspring to suffer from cancer.

Fertility Clinic INVICTA as the first medical facility in Poland, introduced in 2008 examination of sperm's DNA fragmentation in their own medical laboratories.

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Anti-AMH, Mullerian, Hormone - Assessment of ovarian reserve

AMH Anti-Müllerian Hormone is a hormone produced in women and men. In women, AMH is produced in the alveoli (antral follicles) in the ovary cells surrounding the ova ready for growth. The level of AMH does not depend on women's menstrual cycle therefore it may be tested on any day of the cycle. Its level decreases with the woman's age, therefore it is a very good marker of fertility decline, including the premature expiration of ovarian function. And in patients with PCO (Polycystic Ovarian Syndrome) AMH is significantly elevated.

Fertility Clinic INVICTA as infertility is the first medical facility in Poland, which introduced in 2007 examination measuring the level of AMH in the woman's serum with simultaneous interpretation of the findings in the course of in vitro fertilization program, performed in their own medical laboratories.

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Sperm antibodies

Examination for the presence of sperm antibodies is carried out in the patient's blood serum or her partner's, in the cervical mucus or in semen. Two types of tests are feasible: indirect (performed with anonymous donor sperm) and direct (performed with the partner's sperm). Each test allows to estimate the percentage of three antibodies classes: directed against sperm cells.

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Post-coital Test (PTC)

Allows you to evaluate the viability of sperm in cervical mucus and to determine their ability to penetrate cervical mucus. This test should be performed during the "fertile days" (confirmed by ultrasound and / or hormonally), after 6-8 hours from sexual intercourse. In the examined sample of cervical mucus the number of motile and non-motile sperm cells is assessed.

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Complete Hormonal Diagnosis

Implementation of the full profile of hormonal tests can detect hormonal disorders, which may contribute to the malfunctioning of the reproductive system, and consequently lead to infertility. Hence, these examinations are a very important element of Infertility Diagnostics. They can generally be divided into two groups, surveys, performed during menstruation, and examinations that are conducted during different phases of the menstrual cycle. Examinations from the beginning of the cycle are the most "universal", i.e. their values remain valid even for a few dozen cycles. Therefore there is no need to repeat them in every cycle. Conducting a full hormonal diagnosis is obviously expensive, but we must remember that if it is discontinued at the beginning of the diagnostic- therapeutic process may occur to be false economy. Failure to recognize certain hormonal disorders and not including them in the therapy may reduce the efficiency of such a treatment. Whereas, the scope of the hormonal treatment of the ovulative and luteal phase depends on the medical treatment. The test results relate only to the cycle in which they are performed. Therefore, it often happens that we have to repeat them in subsequent cycles of treatment.

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Examinations that help to determine the causes of infertility should be initiated a year after having regular sexual intercourses. Women with irregular menstrual cycle, as well as those above 35 years of age, should seek medical attention even earlier. There exists a perception that the chances of women above 35 years of age to become pregnant decline at an accelerating pace. In the light of recent research and based on the results of treatments at our clinic, we can identify this landmark age rather at the end of 37 years of age. Therefore, delaying the commencement of treatment by women in their adulthood may reduce the chances of conception.

Diagnostic investigations typically begin with a specific inquiries regarding previous pregnancies (miscarriage, pregnancy), Illnesses (diabetes, thyroid disease), surgery (removal of the appendix, interventions on the ovaries, uterus, and the use of contraceptives and other drugs and a full gynecological examination (vaginal ultrasound, cytology, breast examination).

Fertility Clinic INVICTA as the only one in Poland uses its own full-profile medical laboratories guaranteeing patients the highest quality of treatments performed.

Contact us

INVICTA WARSAW
Złota 6, tel. +48 22 892 93 60
klinika.warszawa@invicta.pl

INVICTA GDANSK
Rajska 10, tel. +48 58 585 88 09
klinika.gdansk@invicta.pl