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Infertility diagnosis

Male and Female Infertility

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Why can’t we get pregnant?

A proper diagnosis is essential for providing personalized and effective treatment. The process begins with an infertility evaluation of each couple to determine why they have not become pregnant naturally.

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Testing for women

Women usually undergo two main diagnostic tests: (i) vaginal ultrasound, to rule out any uterine diseases and do a follicle count to determine a woman’s ovarian reserve; (ii) hormonal analysis to verify normal ovarian function.

If these tests results are normal or the semen is slightly altered, we will analyse the permeability of the Fallopian tubes with a test known as hysterosalpingography. This test consists of introducing contrast dye in the cervix and verifying that it spreads throughout both tubes in their entirety.

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Testing for men

Men undergo a semen analysis which involves obtaining a semen sample to examine the number, motility, and morphology (shape) of the sperm.

  • Number: concentration of sperm per millilitre. A concentration of more than 15 million sperm per millilitre is regarded as normal (15 M/ml).
  • Motility: percentage of sperm with acceptable motility. A percentage of >32% of grade A+B sperm is regarded as normal.
  • Morphology: detection of possible morphological defects in sperm, as the sperm’s morphology is related to its fertilisation capacity.

We also test sperm DNA fragmentation—in other words, the possibility that there are breaks in sperm DNA strands, which may lead to implantation failure, abnormal embryonic development, or a miscarriage in the later stages of pregnancy.

Finally, spermatic capacitation is conducted to determine the most appropriate reproduction technique.

If you would like further information on the treatment please get in touch with us