WHEN TO CONSULT WITH A SPECIALIST?
In cases where the woman is under 35 years of age, it is recommended to consult with a specialist after a year in which she has been looking for a pregnancy without getting it. If you are over 35 years old, it is advisable to perform a basic fertility check, if you have not achieved it in six months.
It is also advisable after a period of six months in cases, regardless of age, in which there are previous risk factors, such as endometriosis, polycystic ovary syndrome, previous gynaecological surgery, spontaneous abortion…
In the case of a male member of the couple, consultation is advisable if they have not achieved a pregnancy in the period of one year of normal sexual relations with their partner, or in six months in cases of prior surgery on the genital tract, Mumps in childhood, difficulties in erection and also in cases of concomitant pathology such as obesity, hypertension or diabetes.
In women, the study includes an ultrasound evaluation to evaluate the ovarian reserve (the number of antral follicles that the ovaries have) and the uterus, ruling out uterine malformation or pathologies such as fibroids, adenomyosis or polyps. Normally a blood test for antimullerian hormone is also requested to complete the information about the ovarian reserve.
One of the most important parameters in the evaluation of ovarian reserve is age, since there is an inversely proportional relationship between the age of the patient and the number and quality of her ovules.
Sometimes, given certain background in the patient’s history or after a failure of the assisted reproduction technique, it is necessary to expand the studies, and maybe requiring:
- High resolution ultrasound
- Thrombophilias study
- Immune study
- Study of endometrial receptivity
- Endometrial micro biota study
- Study of chronic endometritis
Having a normal seminogram in terms of quantity, morphology and mobility does not guarantee that the semen is fertile, sometimes it is necessary to deepen the male factor with tests such as:
- Sperm FISH
- Halo sperm for fragmentation study
- COMET for study of single and double chain fragmentation
PATIENT CARE DEPARTMENT
RESOLVE YOUR DOUBTS
In FIV Marbella we have specialists in Assisted Reproduction Treatments that will help you clarify your doubts.
You can call toll free 900 670 048 or send us a message,
a patient care manager will contact you as soon as possible