Annually more and more international patients come to German, Swiss and Austrian fertility centers to diagnose the fertility problems and to get professional tips. The multi-level examination at the best European fertility centers implies the most efficient techniques, aimed at fertility enhancement.
Male factor of infertility
Recent years have witnessed growing percentage of men with reduced sperm characteristics. According to statistics, every third man faces the problem of lower sperm count and infertility. The specialists differentiate between absolute and relative male infertility. An absolute infertility is infertility due to testicular aplasia, azoospermia (absence of sperm) and lack of ejaculate. The relative infertility - is a type of infertility, which occurs due to physiological causes. After the diagnostic tests and elimination of the reason of relative infertility, natural conception usually occurs in 90% of all cases. The relative infertility is often associated with secretory (hormone) infertility. The hormone problems are usually accompanied with a violation of spermatogenesis or impaired sperm excretion.
Infertility in men sometimes occurs due to severe neuropsychiatric experiences, but in these cases, the pathological change of the seminal fluid, tends to be temporary.
How to test fertility in men?
The German specialists promote the deep multi-level examination, which is to show the interconnection of different health factors, causing infertility. Such a differentiated approach is especially helpful for those, who suffer from idiopathic infertility, i.e. infertility with an unexplained cause. A visit to a German urologist or andrology specialist will start with detailed consultation and collecting your medical history. A trained specialist will assess your general physical condition and give tips on fertility enhancement. The following diagnostic steps are
- Semen analysis
- Blood test
- Urine test
- Genetic screening
After receiving the results of all examinations, the expert will make a full picture and offer you the most appropriate medical techniques, tailored to your individual needs.
Semen analysis. is the most informative fertility test for men. For more accurate result it is advisable to perform two tests during one month. This fertility test suggests microscopic analysis of the ejaculate. The following characteristics are paid a special attention to: Sperm count, motility, morphological characteristics of sperm, the number and types of leukocytes, the number and types of immature germ cells, etc. Besides, the macroscopic parameters of semen are investigated: semen volume, color, time of thinning and viscosity of semen, pH, etc.
Even if no vital sperms can be found in ejaculate (azoospermia), it is not a reason for dispair. No vital sperm in semen often suggests blockage of the semen canals and be eliminated within the small surgery. Taking stimulant medications allows 50% of all male patients forget about the sad diagnosis.
If the sperm count is found to be lower than norm, special blood tests are indicated to test fertility. Blood test aim at excluding the hormonal factor of infertility. The specialists pay a special attention to such fertility hormones as FSH, LH and testosterone.
Functional tests in male patients
Urine tests help to exclude such chronical diseases as diabetes, renal dysfunction and infections of the urogenital tract.
Genetic tests are also part of the diagnostic routine. Low sperm count or miscarriages of a female partner may point out at a chromosomal problem. Karyotype test investigates the set of the chromosome with the view to the genetic code. In case of genetic disorder the couple should apply to the methods of assisted reproduction, such as ICSI or IMSI.
You may ask: how much do fertility tests cost? Can I afford such diagnostics? The fertility tests in Germany, Austria or Switzerland are offered at reasonable price. The general reproductive health check-up at German, Austrian or Swiss clinics costs 800-1300 euro. The genetic screening is a complimentary test, which is performed if the semen analysis is not satisfactory. The cost of genetic investigation makes up about one thousand euro. Having fertility tests at the best European fertility centers, you get a guarantee that the diagnosis is correct.
Female factor of infertility
If during the fertility testing of a male partner no health problem has been indicated, the problem may lie in a woman’s body. Testing fertility of women is a sophisticated procedure, which presupposes holistic and interdisciplinary approaches. Being a patient at German fertility centers you will benefit from the transparency of the diagnostic procedure. The specialist will explain to you, how fertility tests work and how to get prepared for fertility diagnostics. Blood tests, for example, are performed on certain days of a female cycle, since the hormone level is not the same during the month. Let’s look at some diagnostic procedures, which has proved to be especially informative for diagnosing infertility.
HGS— fertility test for tubal patency
Hysterosalpingography is the most informative test for tubal patency. It should be conducted in the first half of the cycle, preferably on the sixth or seventh day after the menstruation. This cross-check allows the specialist to control both fallopian tubes as well as the inner contours of uterus. X-rays pictures are made in different projections in order to study the tubal condition in detail.
Female hormone test
The term "endocrine infertility" (or hormone infertility) of women - a collective term that includes a variety of disorders. Regardless of the reasons causing this type of fertility, it is based on a violation of ovarian function, leading to a persistent lack of ovulation.
The causes of endocrine infertility are endocrine diseases directly related to brain disorders, thyroid gland, adrenal glands. Endocrine disorders can affect the reproductive system. The specialists suspect hormone infertility in case of the following diseases:
- Hypothalamic-pituitary dysfunction. The hypothalamus and pituitary gland are responsible for the regulation of the menstrual cycle. Dysfunction of these parts of the brain leads to impaired production of hormones. In particular, there is an increase in prolactin levels;
- Polycystic ovary syndrome. The ovaries produce too many male hormones, which leads to the impossibility of ovulation and cyst formation;
- Malfunction of the thyroid gland;
- Ovarian failure
- Resistant ovary syndrome: The ovaries stop responding to the action of hormones that stimulate the timely maturation of the egg.
The hormone tests, performed at German fertility centers give information about the slightest hormone abnormalities. The cost of such diagnostics in women is about 300-500 euro. Please note that you should plan at least one week staying in Germany to have the fertility check-up done. If you seek precise infertility diagnosis abroad, do not look further than Germany, Austria or Switzerland. Fertility centers in these countries can boast the highest level of diagnostic precision and excellent success rates. We would gladly inform you on the best fertility centers in Europe and will assist you in organizing your medical trip in a most cost- and time-effective way.