FIRST EXAMINATIONS

An infertile couple can initially seek evaluation from a general gynecologist or specialists in reproductive medicine. However, after the initial evaluation, it is essential for the couple to consult specialized gynecologists who can conduct a comprehensive diagnostic workup and provide the full range of therapeutic interventions. The initial assessment includes a thorough history and a complete clinical examination of both partners.

Essential Tests for Female Infertility Evaluation:

1. Hormonal Assessment: Tests include FSH, LH, Estradiol, Prolactin, Progesterone, and AMH. Additionally, thyroid function tests are conducted to diagnose and treat any thyroid gland dysfunctions. Cycle monitoring begins between the 3rd and 5th day from the start of menstruation, using ultrasound and blood tests. Further treatment is based on the initial hormonal profile, aiming to induce ovulation once follicles have matured, thereby determining the optimal time for fertilization.
2. Vaginal Fluid Culture: Screening for aerobic and anaerobic bacteria, mycoplasma, ureaplasma, and chlamydia.
3. Hysterosalpingography: HyCoSy or HyFoSy involves ultrasound-based tubal imaging to assess fallopian tube patency with imaging contrast agents. The procedure is nearly painless and performed a few days before ovulation, when the uterus is expanded to accommodate the catheter that introduces the contrast agent.
4. Diagnostic Hysteroscopy
5. Transvaginal ultrasound
6. Screening for sexually transmitted infections, including Hepatitis B, Hepatitis  C , HIV  I/II and VDRL (Syphilis) . Hemoglobin electrophoresis for thalassemia carrier status and mutation testing for cystic fibrosis.

Once initial results are available, we will work together to decide on the most appropriate approach and treatment tailored to your individual needs