The diagnostic methods are individually adapted to couples wishing to have children. In order to choose the right types of fertility tests for you, we conduct a detailed interview, because both of your medical histories play an important role.
Changes in the menstrual cycle, how long you've been trying to conceive naturally, previous operations, or illnesses are also decisive factors. Couples struggling to conceive can start thinking about which points might be important for the fertility clinic in advance. The age of the woman is a decisive characteristic because, from the age of 30, the quality of the ova continuously decreases. In men, on the other hand, it must be clarified whether the sperm quality is still sufficient or to what extent it’s limited.
The concentration of Anti-Mullerian Hormone (AMH level) in the blood plasma is an indicator of the ovarian reserve.
If cycle irregularities indicate a hormonal cause, a hormone test in women provides information about the causes and treatment options for the unfulfilled desire to have children.
If there is any suspicion of damage or changes in the fallopian tubes, imaging tests can be used. (Hysterosalpingography (HSG), HYCOSY (contrast sonography) and Laparoscopy)
When performing the diagnostic and endoscopy, it can be determined whether fibroids or polyps are found in the uterus
A sperm analysis is often the first step in the diagnostic stage of fertility treatment. Through a microscopic examination in our laboratories, we examine and assess the number of sperm cells per millilitre of semen, the shape of the sperm and their motility. If less than 15 percent of the sperm is regular in shape and less than 25 percent have normal motility, natural pregnancy is unlikely.
The genetic advice from our experts provides you with comprehensive and individual information on all genetic questions and discusses the possibilities of Pre-implantation Diagnostics on a case-by-case basis.
In women with repeated unsuccessful IVF attempts or increased miscarriages, an increased concentration of NK cells or plasma cells was found in both the blood and the lining of the uterus. If a patient has already had several unsuccessful IVF attempts or if there have been repeated miscarriages without any other apparent cause, our doctors recommend an immunological examination of the woman. A piece of uterine lining is removed between the 19th and 21st day of the cycle and examined in a specialist laboratory for the concentration of NK cells and plasma cells.
The ERA test enables the so-called implantation window to be precisely determined: the genetic examination of the uterine lining can be used to determine its “receptivity”. The ERA (Endometrial Receptivity Array) method examines a group of 238 genes in the lining of the uterus. The condition of these genes provides information about the receptivity, i.e. the receptivity of the mucous membrane, on the day of the examination. In this way, it can be determined exactly on which cycle day the uterine lining is ready for implantation.
While Polar Body Diagnostics (PBD) only remove the polar bodies of the egg cell for genetic testing, a TOBI examines the embryos. It is not the cells from which the child will later develop (the so-called embryoblasts) that are biopsied, but those that are involved in the formation of the placenta. The genetic makeup of these trophectoblasts is usually identical to that of the embryoblasts. In this way, a comprehensive diagnosis of chromosomal maldistribution is possible at a very early stage of pregnancy without the embryoblasts being manipulated.