The diagnostic methods - which fertility tests we use - are individually adapted to each person. Your medical history plays an important role in understanding your fertility status. A detailed consultation helps define which fertility tests are right for the woman or the man
Understanding changes in the menstrual cycle, how long you've been trying to conceive naturally, previous operations or illnesses help form an accurate diagnosis. The next step is fertility testing. Couples struggling to conceive can start thinking about which points might be important for the fertility clinic in advance. For example, the woman's age is a factor because egg quality decreases after the age of 30. For men, sperm quality often determines the ability to conceive.
One common fertility test is the AMH-Test. The AMH value is an indicator of the ovaries' capacity and ovarian activity.
Cycle monitoring can identify irregularities. If testing indicates a hormonal cause of fertility issues, this cycle monitoring provides additional information about the correct diagnosis and possible treatment options for infertility.
If there is suspected damage or irregularity in the fallopian tubes, imaging examination procedures can be applied. Imaging procedures may include the Hysterosalpingogram (HSG) or Hysterosalpingo-Contrast-Sonography (HyCoSy).
A Hysteroscopy can be used to diagnose uterine malformations, fibroids or alterations of the endometrium.
Sperm analysis is often the first step in male fertility testing. A microscopic lab examination will reveal sperm numbers and mobility. A good chance of natural pregnancy requires about 15% of sperm to be well shaped and about 25% to be fully mobile.
If a patient has already had several unsuccessful implantations, or multiple miscarriages, without any other obvious causes, immunological testing is recommended. This diagnosis involves testing of the concentration of Natural Killer cells (NK cells) and plasma cells in a specialist laboratory.
There is only a short space of time in which an embryo is able to successfully implant in the uterine lining (endometrium), the so-called 'implantation window'. The ERA test (endometrial receptivity array) involves a genetic examination of the uterine lining and provides information about the receptivity of the mucosa.
A trophectoderm biopsy (TEB) is used where there is a suspected genetic defect that could result either in miscarriage or stillbirth, or the embryo having a severe genetic disease. It involves a biopsy of those cells - the 'trophectoderm' or 'trophoblast cells' - of the embryo which develop into the placenta.
In prenatal diagnostics, 3D sonography (ultrasound) is now routinely offered as an additional service: the three-dimensional close-up of the growing fetus is something very special for many parents-to-be and a highlight during pregnancy. But 3D sonography can also be used as part of fertility treatment to monitor the maturation of the follicles during hormonal stimulation.
Genetic disorders often impair fertility. Our team of fertility experts provide consultation on genetic questions, concerns and testing on a case-by-case basis.