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Basic Diagnostics for Women

Understanding Fertility and Identifying the Causes

 

Fertility should not be a taboo subject. It is an important part of your overall health. When pregnancy does not occur, the reason is often not attributable to one partner alone. A structured fertility assessment of both partners can provide clarity, reduce uncertainty, and open up new possibilities for treatment.

 

Many women experience significant uncertainty and find themselves asking difficult questions such as, “Why is this happening to me?” or “Why is something wrong with my body?” Women often feel personally responsible when pregnancy does not happen as expected.

 

Studies show that involuntary childlessness affects approximately 15% of couples, and in most cases the causes are shared between both partners. The prevalence is increasing. You are not alone. We are here to help you understand the underlying factors and develop an individualized treatment plan.

 

 

Why Am I Not Getting Pregnant?

What Causes of Infertility Can Affect Women?

 

  • Hormonal imbalance
  • Polycystic Ovary Syndrome (PCOS)
  • Thyroid disorders
  • Menstrual cycle disorders (e.g., absence of ovulation)
  • Fibroids or uterine polyps
  • Chronic inflammation of the uterine lining
  • Adhesions following surgery
  • Advanced reproductive age
  • Endometriosis
  • Fallopian tube abnormalities or blockage
  • Reduced ovarian reserve
  • Blood clotting disorders
  • Immunological factors

 

 

What Basic Fertility Evaluations Are Performed for Women?

  • Cycle monitoring (ultrasound)

  • Ultrasound assessment of the uterus and ovaries, including 3D ultrasound

  • Hormonal analysis through blood testing

  • Basic laboratory diagnostics (baseline fertility profile)

  • Thyroid function testing

  • Anti-Müllerian Hormone (AMH) testing to assess ovarian reserve

  • Assessment of fallopian tube patency

 

Even without an immediate desire to have children, fertility testing can be valuable in helping you make informed decisions about your future reproductive options. Consultation and diagnostic assessments are generally self-pay services. In cases where there is a medical indication, reimbursement may be possible. Otherwise, the cost for an ultrasound examination, AMH testing, and a comprehensive consultation is approximately €150.

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Frequently Asked Questions

 

 

Which hormone levels are particularly important?

 

The key hormones assessed in fertility treatment include FSH, LH, estradiol (E2), and progesterone, which help evaluate the course of the menstrual cycle. Anti-Müllerian Hormone (AMH) is also an important marker used to assess ovarian reserve.

 

 

Will my health insurance cover the examinations?

 

If you are trying to conceive and there is an appropriate medical indication, many basic fertility investigations are covered by statutory health insurance, generally up to the age of 40. Additional services or more advanced diagnostic procedures are often self-pay services, such as testing the patency of the fallopian tubes. Our physicians will inform you in advance about any potential costs that may arise.

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