Infertility treatment

Infertility treatment always begins with finding the cause. The same complaint can be caused by a hormonal disorder, blocked tubes, endometriosis, polycystic ovary syndrome or a male factor — so the treatment can be completely different.

Diagnosis

• assessment of the hormonal profile;
• ovulation monitoring;
• checking whether the fallopian tubes are open;
• examining the uterine cavity with hysteroscopy;
• laparoscopic diagnosis if needed;
• the partner's semen analysis.

Treatment methods

• Medication — hormonal regulation and ovulation induction.
• Surgical treatment — removing adhesions, polyps and endometriosis lesions with laparoscopy and hysteroscopy; ovarian drilling for polycystic ovaries.
• Intrauterine insemination — placing prepared sperm directly into the uterine cavity at the time of ovulation.
• IVF — when the methods above have not worked or there is an indication.

When to seek advice

If you have not become pregnant after one year of unprotected intercourse under the age of 35, or after six months over 35, it is advisable to start investigations. With cycle disorders, painful periods, previous gynecological surgery or pregnancy loss, it is better to come without waiting.