Fertility Check
A thorough investigation of a couple’s fertility is essential, before starting any pregnancy attempts with medical methods.
In general, for a couple, the chance of achieving pregnancy, when there are no fertility issues, can reach up to 20% per month. As a result, most women (85%) manage to become pregnant by the end of the first year of trying.
After this period, couples should consider consulting a specialist. However, for women over 40 years old, it is recommended to undergo a basic fertility check right from the beginning of their efforts.
THE APPROACH
Before starting any assisted conception program, we must:
- Investigate the male sperm’s ability to fertilize the egg
- Check follicular ovulation / ovarian reserves
- Examine the patency of the woman's fallopian tubes to ensure the egg can be fertilized by the sperm.
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The evaluation for potential infertility factors in women may include:
- Ovulation Check
This is usually performed by measuring blood progesterone levels a few days before the expected period. - Ovarian Reserve Check
This is typically done by measuring the Anti-Müllerian Hormone (AMH) in the blood. - Hormonal Check
This typically involves measuring the levels of progesterone, prolactin, estrogen, androgens, pituitary hormones, thyroid hormones, and more. - Ultrasound Hysterosalpingography
Hysterosalpingography is done to detect any abnormalities in the uterine cavity or fallopian tubes. - Laparoscopy
The entire pelvic area is examined to assess the condition of the fallopian tubes. - Hysteroscopy
If necessary, we also perform a hysteroscopy to examine the cervix and uterine cavity.