Despite regular relationships, patients who can not get pregnant within 12 months consider themselves infertile and begin their investigation own their own.

My personal opinion is that those couples who live together and do not have children should contact my clinic. I recommend that they pass at least an analysis of sperm and hormone analysis on the third day of the cycle. Especially for patients with serious problems I advise you not to waste time in vain.

Firstly, I look for the presence of eggs, the reserve status of the ovary, pelvic infection, uterine disease, patency of the fallopian tubes, adhesions in the abdominal cavity in female patients.

Patients whose age over 30 years and for 3-6 months tried to do for being pregnant, I recommend not to lose time and take a film of the uterus. A film of the uterus is not needed for women who have had menopause and men with no sperm. With the help of hysteroscopy, you can examine and evaluate the patient’s uterus, but information about the fallopian tubes is difficult to say.

Clear and healthy fallopian tubes (tubing) are necessary for pregnancy. Fallopian tubes have a very sensitive and detailed internal structure. A deterioration in this structure may prevent the egg from moving and consequently the fertilization. If the tip, which is close to the egg, is affected, it is possible that the egg is caught and removed from the tube, but the heaviest case that tube is completely blocked, both due to infection in the genital tract and other infections in the abdominal cavity. The patient may also lose one or both tubes as a result of an ectopic pregnancy. Before beginning of infertility treatment, a film of the uterus should be taken with (HSG-Hysterosalphingography) and/or laparoscopic examination.

During laparoscopy, in the tube canals may appear problems (obstruction-obstruction, adhesions or damage). Microsurgical way is possible for those who have an initial stage. Patients with advanced adhesion and diseased tubes can increase the chance of pregnancy only by in vitro fertilization method.

Ovulation Factor Infertility: The woman’s menstrual cycle contains important information about ovulation. Abnormal ovulation is observed in 25% of all infertile women. Biopsies taken for diagnostic purposes from the endometrium 1-3 days before the expected menstrual cycle, basal body temperature, special LH urine analysis, progesterone level in the blood and ultrasonography, these tests are needed to monitor the ovulation process.

Neck of the womb factor infertility: Normally, in order for the sperm to get into the woman’s uterus, they must overcome the difficult path to the vagina and go through the most important part of the female reproductive system - the neck of the womb. Secretion of the cervix allows free passage of spermatozoa only during the period of ovulation. In other cases, due to hormonal changes, the structure and consistency of cervical secretion prevents the penetration of spermatozoons into the uterus. Some women in this secretion have antibodies against sperm. In this case, even during ovulation, spermatozoa penetrating through the cervical canal can not reach the uterus. Antibodies are substances developed by the female’s immune system against sperm. These substances can damage the function of sperm cells and cause infertility. In this case, the test for the postcoital test will be sufficient for diagnosis.

Endometriosis: Endometriosis is a common gynecological disease in which endometrial cells (the inner layer of the uterus wall) grow outside this layer (eg, the ovaries, abdominal cavity, etc.). These sites undergo all those changes that occur in the endometrium during the menstrual cycle.

Endometriosis is typical for women of reproductive age. When menstrual bleeding causes severe pain due to bleeding in these tissues. In the ovaries, this disease also leads to the formation of cysts, known as dark brown color and chocolate cysts. These cysts can be removed by laparoscopic surgery, and it is possible to destroy damaged tissues and foci of endometriosis by thermal damage with a laser.

Uterine infertility: Uterine infertility is infertility associated with various diseases of the uterus. A uterine film(HSG - hysterosalpingography) is one of the main standard tests used to examine the inside of the uterus and the fallopian tubes. It should be applied before the period of ovulation immediately after menstruation.

This examination during which the doctor, through the woman’s vagina, enters a small video camera into the uterus that allows him to examine the inner surface of the uterus and cervix (location and development of the embryo, endometrium). Thus, diagnosing the uterus with the help of hysteroscopy and surgically can be cured.

Unexplained infertility: Studies of existing methods and tests did not reveal problems for the couple. In this situation, couples should avoid deep pessimism.