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Diagnosis and Tests of Infertility

Infertility Diagnostic Tests

Tests performed at our center to reach reliable diagnosis

On average, 1 out of 6 couples will have problems getting pregnant and need professional support. For this purpose, they will have to have some tests done. It is very important to reach the correct diagnosis in order to achieve successful results, to become pregnant and to have children for these couples.

Each patient is evaluated separately in our center, diagnostic procedures and tests are performed, and the results of each patient are interpreted and the patient is informed. In order to reach the correct result, when necessary, all tests of the patient are evaluated in the council composed by our expert faculty members and treatment method is developed separately for each patient. In this evaluation, all treatment costs are taken into consideration and the most appropriate options are conveyed to the patient.

When should I contact an expert?

If the woman is less than 35 years of age and cannot get pregnant despite unprotected and regular intercourse of 1 year; and if over 35 years of age and unprotected intercourse of 6 months,  1 year, and older than 35 months, she should consult with in vitro fertilization specialist. In fact, if couples have concerns about this and want to know their fertility, it may be necessary to contact a specialist at any time and make the necessary tests. According to the results of these tests, the patient can wait for 1 year or 6 months according to her age. Although a couple wants to learn their fertility, telling them to wait a year can sometimes result in the patient wasting a year in vain and sometimes having a very serious problem. In order to avoid such problems, it is very important that IVF specialists known as reproductive endocrinologists evaluate you.

Fertility naturally decreases with age. This decrease starts in the late twenties and accelerates after the age of 35. Likewise, as the number and quality of ovos decreases, the chance of becoming pregnant decreases with age either by natural means or by IVF treatments. It is therefore very important that you consult a IVF specialist as soon as possible.

Infertility Diagnosis

Your IVF specialist will first review your medical history, previous tests and treatments to make a diagnosis. S/he also determines the necessary test for you by conducting examinations and evaluations. A couple's reproductive evaluation consists of four parts:

  • Ovo number, quality and hormonal evaluation of ovulation
  • Gynecologic ultrasonography and hormone tests (AMH, FSH, E2) are performed.
  • Sperm quality and detailed examination of all parameters
  • Sperm count, movement, structure (shape) are evaluated. Especially the total number of motile sperm is very important.

Openness of Fallopian Tubes

The openness of the tubes can be evaluated with a contrasted uterine X-ray called HSG. HSG is the only non-surgical method that can evaluate tube openness. If there are tube probes, laparoscopy can be performed to make it clearer.

Evaluation of the Uterus

This evaluation is crucial for assessing the conditions for the successful placement and growth of an embryo in the uterus. Gynecologic ultrasonography and 4-dimensional ultrasonographic evaluation of the uterus are part of the routine procedures of our center. These examinations, together with other diagnostic methods, provide detailed information about the uterus in order to increase the chance of embryo placement and reduce the risk of miscarriage.

The treatment options to be applied to the patients diagnosed after detailed examination and examination are determined and detailed information is given to our patients. The treatment schedule is then created and treated with care in an advanced, warm and reliable environment of our center.

Below is a list of tests that may be requested for a patient. These tests may be ordered by your IVF specialist for general health screening, which is important in terms of guiding, completing the treatment after the diagnosis and pregnancy health during pregnancy. 

  1. Blood Tests
    1. On 3rd day of menstruation FSH, E2, AMH
    2. TSH
    3. PRL
    4. Vitamin D
    5. HbA1c
    6. Rubella 
    7. Varicella
    8. Blood count
  2. HSG (Hysterosalpingography), SIS (Saline infusion sonography)
  3. Sperm test
  4. Infection tests from both partners
    1. HIV
    2. Hepatitis B
    3. Hepatitis C

 (Note:  Your doctor will decide which of these tests will be performed)