Fertility study

At Instituto Bernabeu we complete a personalised fertility study on every patient as every case is different. After a detailed consultation, the gynaecologist will consider which treatment plan best suits your specific fertility needs.

If a patient has been having sexual relations during one year without the use of contraceptives and has not managed to get pregnant, a personalised fertility study is advised. This period of time is a benchmark which can be shortened for specific cases, for example, for patients of approximately 40 years of age or where the patient has undergone a previous treatment which has jeopordised their ability to conceive.

Basic tests

The basic tests in the diagnosis of infertility in couples include a hormone analysis, a histerosalpingography and seminogram.

  • Female hormone analysis involves taking a blood sample during the first days of the cycle (sometimes also at the beginning of the period). This gives information regarding the functioning of the ovarian reserve.
  • Histerosalpingography is an X-ray of the pelvic area which allows us to see the uterus and, especially, the Fallopian tubes. A contrast media is used which shows us clearly on the X-ray the shape of the tubes and whether they are permeable or not. In most cases we can also see if the tubes are blocked.
  • Seminogram is an analysis of the sperm. It is also called a spermiogram. We evaluate elements that we know can influence male infertility. We study spermatozoid quantity, aspect and mobility.

Are there any other tests involved in the diagnosis?

There are a multitude of tests which can be useful for specific cases but they are not routinely carried out on every patient. These are complimentary tests and are only required if after the first consultation a specific pathology is suspected or indeed there is a need to clarify the result of one of the basic tests.

The timescale between diagnosis and the start of treatment is very short. It may be necessary to wait a short time due to the fact that the hormone analysis and the histerosalpingography are conducted at a specific time in the menstrual cycle. In general, it does not take longer than 3 to 4 weeks between the first consultation and receiving the results of the fertility study.

Sometimes, test results come back absolutely normal. In fact, this happens approximately for 20% to 30% of couples. In such cases, the cause of the infertility is due to unknown causes. It does not mean however that there is no problem, but that after the completion of all reasonable diagnostic resources, a particular cause can not be identified. The fact of not being able to determine a cause for the problem, does not preclude undergoing fertility treatment where the patient has the same possibility of success.

The gynaecologist will explain all the results both clearly and in detail. At the same time, the gynaecologist will present all the alternatives available to you. Taking into consideration the patients’ opinion and views, the gynaecologist will outline a personalised treatment plan.

In almost every case, the treatment plan can begin almost immediately, usually starting after the patient’s following cycle.

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