Problems with getting pregnant could be an alarm signal, pointing at some latent health problem. However even the partners with regular sexual life, and no negative health factors may suffer from childlessness. The statistic says: Every fifth couple experiences problems with conception. An astonishing fact is that 25% of all the patients coming for professional aid at family health centers are really infertile. In most cases an expert fertility counseling and diagnostics and tests help to eliminate the problem with reproduction.
Top destinations for infertility testing
Germany, Switzerland and Austria are the world front runners in reproductive health technologies. Currently about 580 specialized family planning centers in Germany, 280 in Austria and 150 in Switzerland are geared to assist the childless patients with the whole scope of modern traditional and alternative methods.
The most advanced diagnostic equipment and highly professional teams of physicians are the distinctive features of German, Swiss and Austrian fertility centers. Urology, andrology, gynеcology and obsterics departments of European centers attach great importance to maximum medical quality and diagnostic accuracy. Pregnancy scores are monthly reported to the Medical Institute of Reproduction. Every year they are published at the State IVF Register. The rate of successful pregnancies after IVF treatments in Germany make up 45-50% (in women younger than 45 years old), which is 1,5 times as high as in the USA or Canada.
Infertility in women
According to the WHO, the syndrome of polycystic ovaries (PCOS) is the Number 1 cause of poor fertility function in females. This condition demands sophisticated testing methods, offered only at the best European clinics.
Pathological findings in the tubes are in charge of approximately 24% of all childless cases. Scars after surgery or inflammatory conditions block the tubes and make it impossible for the еgg to get into the womb. Another serious condition, which leads to childlessness, is endometriosis. The abundant tissues may distort the course of the egg development, which in most cases leads to extrauterine pregnancy. The thyroid diseases or chronic pathologies also top the list of infertility causes in women.
Fertility problems in men
The most notorious problem in man is deficient spermatogenesis. The insufficient maturation of sperms directly affects the male reproductive function. Besides varicose veins on testicles (varicocele) can cause the poor sperm quality. Other health problems, affecting sperm are: metabolic imbalances, operated tumors or congenital pathologies such as damage to the genetic material (chromosomal abnormality).
Of course there are many more causes of childlessness than the listed above. It is important not to postpone the infertility tests and diagnostics, and to find an appropriate specialist, you trust to.
Female infertility: tests and diagnosis
Infertility tests and diagnosis demand scientific and holistic approach. During the first counseling session the doctor will collect the relevant information, asking questions on age, physical condition, previous contraception or pregnancies. Various diagnostic methods are available at the European clinics to find out the reasons of fertility problems. Among the most informative are:
- Physical examination
- Cycle observation
- Hormone tests
- Special ultrasound examination
- Laparoscopic screening
After a detailed discussion of anamnesis, the female patient is examined physically. During the palpation of the organs the first indications of possible pathological processes may be found out. The further step is urine examination, to exclude the risk of higher inflammatory markers or chronic ailments such as diabetes or renal failure.
Malformations of the fertility organs (womb, оvaries and tubes) can be detected within ultrasound testing. The ultrasound image test is informative for tracking changes in the pelvic cavity (such as fibroids, polyps and scarring) and help to exclude the premature ovarian failure diagnosis. It also shows flows of contrast liquid through the fallopian tubes.
To determine the tubal conditions either a laparoscopy or a special uterine X-ray test is performed. The laparoscopy enables the doctors to diagnose uterus and examine the womb cavity. The cysts and endometriosis adhesions will be removed immediately during the test. This investigation is performed under general anesthesia.
To have a closer look, a hysteroscopy test is recommended. A fine vision device is placed into the uterus. By the ingress of liquid, the uterus is slightly dilated, and one can examine the dorsal wall of the uterus. This test is especially informative for endometriosis or polycystic ovary syndrome diagnosing.
The differentiated female infertility tests and diagnostics are needed before the IVF protocol.
Fertility tests and diagnostics in male
Diagnosis of male infertility begins with the semen tests (ejaculate investigation). Not only amount of sperm per ejaculation is measured, but also their shape, mobility, the pH of the semen and many other properties. Hormone tests are carried out when there is a very small amount of vital sperms in the semen. Hormonal disorders are usually treated within 2-3 week courses. If the sperms quality leaves much to be desired and the tests point out at azoospermia, the active sperms can sometimes be directly extracted from the testicles (TESE) or the epididymis (MESA). Depending on the type of the fertility problem, various methods of artificial insemination are eligible at German, Austrian or Swiss clinics. They can help to fulfill the desire to have children despite the impaired fertility.
Holistic methods of diagnostics
The fertility centers in Germany, Austria and Switzerland implement interdisciplinary approach. The tight cooperation of specialists from different medicine fields allows infertility treatment in a most efficient way. For example, if the male patient suffers from spinal stenosis, which affects his erectile function (cervical radiculopathy diagnosis), the fertility diagnosis, tests and treatment will be performed together with the spinal center.
Fertility diagnosis for international patients
Patients who travel abroad for diagnosis, tests or treatment of reproductive health problems are required to plan their come in advance. It is important for women to arrive for infertility tests and diagnosis on the certain cycle days, due to changes in hormone concentrations during the month. Perfect time management is also needed in case of IVF protocols.
We will guide you to the top reproductive centers in Europe and organize your stay there as efficient as possible. The individual “roadmap plan” for diagnosis, medical tests and treatment abroad will reduce stress and give you a sense of security. To get more information about the infertility diagnosis and tests in Germany, Switzerland or the USA, please fill in the contact form on our website or call us. We will be glad to answer your questions concerning the medical trip to Europe via our hotline: + 49 (7221) 39-65-785.