Infertility Examinations

First consultation

At your first appointment with our doctor together you will go through all factors affecting conception as well as all your prior examinations or treatments. Our doctor will explain all the possible treatment options and the likelihood of conception after various treatments. The needs of each client are individually evaluated during the consultation session. If any further investigations are needed, a tailored schedule is planned to best meet the client’s expectations. Examinations prior to treatment.

Examinations prior to the treatment aim at explaining the reasons why a natural conception does not occur. It is important to find the factors behind infertility, and the results determine the course of treatment.

It is advisable to bring any previous results to the consultation session since they are all taken into account and new examinations will be carried out if necessary. The investigations need not to take a long time and the treatment can begin quite soon if the client so wishes.

Female tests

A doctor will plan an individually tailored schedule of examination depending on received data. The development and release of a female egg from the ovaries, determining whether the fallopian tubes are open and the structure of the uterus are important factors that need to be examined. Ultrasound is used to detect any abnormalities in the uterus, and this can often be done at the first appointment.

Sometimes we need to do hysteroscopy, the visualization of the uterine cavity, and only very rarely laparoscopy, the visualization of the abdominal cavity. The maturing of eggs can also be detected with ultrasound, which is timed according to the estimated day of egg release during the menstrual cycle. The so-called SSG ultrasound can help determine whether the fallopian tubes are open.

A small amount of liquid is injected though the cervix and the passage of the fluid into the uterus and through the fallopian tubes is monitored. The modern examination of infertility is no longer based on enormous number of hormonal tests, nowadays only some blood tests are prescribed individually.

Male tests

The sperm analysis is performed by a certified embryologist, while evaluation of the results is conducted in accordance with Kruger Strict Criteria.
The quality and fertilization ability of the male semen are analysed. The sperm fertilization capability is evaluated according to the analysis.

The quality of semen is a significant factor when determining the choice of an appropriate method of infertility treatment. It is necessary to book an appointment for the semen analysis at the clinic since it is important that the sample is analysed within an hour after its collection.

Private facilities are available for the male partner to provide a semen sample at our clinic. The sample may also be produced at home into a sterile container provided by the clinic but it must arrive in the laboratory for an analysis within half an hour. It is important to remember to abstain from ejaculating for 2-5 days before coming to a semen analysis.

A shorter period of sexual restraint can decrease the sperm concentration and a longer restraint period can increase the number of dead sperm cells. Proper collection procedure is important, since the highest concentration of the sperm is in the initial portion of the ejaculation.

The semen analyses are not always comparable. Different clinics may have different parameters to determine normal sperm structure. In the AVA Clinic we use the Strict Criteria where the parameters for normal sperm are literally strict.

Infection tests

Prior to infertility treatment, all our clients are screened for HI-virus, Hepatitis B and C and syphilis infections (requirements of LR MC 261 of April 4, 2006). The tests are made on a blood sample and your screening status will be reviewed once in six months. Eliminating dangerous infections provides a safe environment for both our clients and staff.
 

Having determined the causes of infertility, our specialist then recommends the appropriate infertility treatment to meet your needs. There often exist several options of treatment. Our doctor will help you choose the most appropriate method by explaining and assessing various treatments, their pros and cons, success rates and risks.