Diagnosing infertility

Diagnosing female infertility

Diagnosing female infertility

Initial examination

In Gyncare Center for Assisted Reproduction, we work closely with your gynecologist to diagnose infertility. The results of the tests and assessments you have already gone through are important. We want to pay attention to and monitor your overall health condition. Therefore, in addition to examining your hormonal profile or ovarian patency, we are also want to know if you are experiencing excessive stress and learn more details about your lifestyle.

Assessment of hormonal profile

Evaluation of your hormonal profile takes place simultaneously with the ultrasound assessment (folliculometry). It represents a complete mapping of a single menstrual cycle, in which we perform three tests of hormones from a blood sample and an ultrasound assessment of the small pelvis.

  • Test of ovarian reserve – using the concentration of gonadotropic hormones, we identify what is the supply of eggs in your ovaries. The assessment is performed on the second or third day of your menstruation cycle. An even more accurate indicator of your ovarian reserve (supply of eggs) is the level of AMH (anti-Mullerian hormone). It can be detected on any day during the menstrual cycle.
  • Ultrasound assessment (Folliculometry) using ultrasound to detect the presence of a maturing follicle (in which there should be an egg capable of maturing and being released from the ovary) on the ovary and the thickness of the mucosa – the epithelial lining of the uterus, which should be about 8 mm at that time. The assessment is performed approximately on the day 12 to 13 from the beginning of your menstruation cycle. Using ultrasound in the later period of the cycle (day 21 from the beginning of your menstruation cycle), we will perform one more assessment again. The so-called yellow body (corpus luteum) is present on the ovary. It is formed by the transformation of the follicle from which an egg was released at the time of ovulation. The epithelial lining of the uterus is also altered, as it is already affected by the corpus luteum hormone – progesterone. In addition to the ultrasound assessment, we will also take a sample of your blood to check your progesterone and prolactin levels.
  • Further testing – at any time during the menstrual cycle, we take samples to determine TSH (thyroid function), insulin in patients with polycystic ovary syndrome (to rule out non-reactivity to insulin, which leads to ovulation disorders), vitamin D, male hormones – androgens, and possibly other tests as indicated by the physician.

The price of the woman’s initial check-up is reimbursed by the health insurance company.
The price for self-payers (i.e. patients whose treatment is not reimbursed by the health insurance company) is approximately €115. The price does not include laboratory tests performed in our partnering laboratories.

Assessment of the fallopian tube patency

Ultrazvukové vyšetrenie priechodnosti vajíčkovodov (HyCoSy) sa realizuje ambulantne bez anestézie. Do krčka Assessment of the fallopian tube patency is most often performed in two ways. Laparoscopy is the standard method and it is performed under general anesthesia. A special optical device is inserted into the abdomen and the surgeon can directly see and inspect the reproductive organs and, at the same time, he/she can rule out the presence of endometriosis. The assessment is performed either during hospitalization or as a part of outpatient care as a same-day surgical procedure.
The price of the assessment 150 €. This procedure is only partially reimbursed by the health insurance company.

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