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What examinations and tests will I have to undergo within the scope of an infertility assessment?

“What are all the procedures we will need to undergo until we get to the desired result?” – this is the question that many people keep thinking about before visiting us is. So, let’s take a brief look at the whole process together.

At the first appointment, the couple which is trying to conceive a baby complete an entry questionnaire. From the provided data, the doctor will find out how long the couple has been trying to get the female partner pregnant, whether they suffer from any diseases that could be related to reproductive health and what tests and assessment they have undergone so far to determine the cause of suspected infertility. This is followed by a consultation in which the doctor and the infertile couple discuss the medical condition thoroughly.

In women, we focus mainly on the gynecological history – since when the female has menstruated, if the cycle is regular, what is the intensity of menstrual bleeding. A very important information is whether the woman has ever been pregnant and how the pregnancy turned out.

This means whether the pregnancy was terminated by a delivery of a healthy baby or was prematurely terminated, e.g. by a miscarriage (it often happens that the female partner miscarries repeatedly), or whether she has had an ectopic pregnancy. This is followed by an initial examination of the female partner, when a swab is taken from the cervix, a palpation gynecological and ultrasonographic assessments are performed. Finally, a blood sample is taken to determine her hormonal profile.

Since infertility concerns both partners, the male is tested using semen analysis. According to these initial tests and examinations, we will suggest the further treatment steps.

If the results and findings of these initial tests are OK, then we try to monitor one full menstrual cycle of the female, which usually involves two check-ups: One in the middle of the cycle during ovulation and at the peak of the secretory phase. More frequent check-ups should be expected if the couple is already undergoing an IVF cycle (in vitro fertilization cycle).

During hormonal treatment, the female patient usually needs two or three check-ups, followed by egg and sperm retrieval and embryo transfer (we need both partners present for both procedures). Sometimes undergoing an assessment in other specialized clinics is also necessary (e.g. endocrinological, hematological, genetic, andrological or immunological).

In our centers, we approach each pair individually and we look for the best solution together.

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The information was provided by a gynecologist in the Gyncare clinic in Košice, MUDr. Katarína Balasičová, PhD.

Dr. Balasičová graduated from the Faculty of Medicine of UPJŠ in 2007, and then completed her doctoral studies in gynecology and obstetrics at the same faculty and university in Košice.

Since 2007, she has been working as a doctor at the gynecology and obstetrics department of the L. Pasteur University Hospital in Košice, where she is in charge of deliveries and assists and performs surgical procedures. At the same time, since 2016 she has been working at Gyncare, Center for Assisted Reproduction in Košice as a gynecologist. In her leisure time, she enjoys hiking and reading detective stories.

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