Investigation of infertility

The basic steps of infertility’s investigation are the following:

Detailed medical history and physical examination

Ovarian function evaluation

• • Hormonological tests (FSH, LH, estradiol)
• • Measurement anti-Müllerian hormone (AMH)
• • Ultrasound measurement of the ovarian volume and the ovarian follicles

Test for the detection of reproductive tract infections

Reproductive tract infections are usually an aggravating factor. Unfortunately, it is not given the appropriate emphasis decreasing the rate of conception even in the case of IVF.

Evaluation of fallopian tube function

Hysterosalpingograph (HSG) is a type of x-ray which is used contrast material in order to examine the patency of the fallopian tubes and the uterus.

During this procedure, doctor can watch if the fluid flows freely through the fallopian tubes and the uterus or its movement is disrupted by an abnormality. A more thorough check can be made through diagnostic laparoscopy.

The Hysterosalpingography (HSG) gives us information about the patency of the fallopian tubes at a rate of 75%, while laparoscopy reaches 100%.

This happens because hysterosalpingography (HSG) cannot exclude the presence of adhesions around ovaries. These adhesions might obstruct the ova (eggs) to get into fallopian tubes during ovulation. As a result, sperm cannot reach the egg and the conception cannot occur.

Evaluation of anatomy

• Transvaginal ultrasound
• Diagnostic hysteroscopy (for the detection of uterine cavity’s abnormalities)

Spermiogram

Spermiogram is a fundamental male fertility evaluation. It involves assessment of the sperm count, the morphology and the volume.

How could I decide which option is better for me?

Consult Dr. Marinakis. Begin with a targeted investigation of infertility causes. The solution to the problem lies within the proper investigation and finding the root causes of infertility.

If you are ready to learn more about assisted reproductive technology (ART), you might have been in the wrong place!

He served for two years as a lecturer in the Research Programme 'OVARIAN AGEING AND FERTILITY' of IMPERIAL COLLEGE, LONDON and (co-) authored international scientific publications and gave international conferences presentations in the field of reproductive medicine and assisted reproduction.

Our goal is to solve the root causes of infertility in order to have a greater chance of achieving a natural conception. Only in case fertilisation does not take place naturally we advise on going to IVF, so as to avoid IVF as a “one-way street” without reason.