THE FAMILY YOU’VE ALWAYS DREAMED OF
STUDY AND DIAGNOSIS OF INFERTILITY
Inferility is defined as the difficulty a couple experiences in achieving pregnancy naturally after a period of regular, unprotected sexual intercourse. For women under 35 without any known reproductive issues, infertility is generally diagnosed after one year of trying to conceive. For women over 35, the recommended waiting period is six months. At Fivclínic+, we conduct a basic infertility study in these cases to identify potential causes preventing pregnancy and to determine the most suitable treatment.
PERSONALIZED FERTILITY TREATMENT
Each patient is unique, which is why each treatment at fivclínic+ is individualized. The first step is to identify the cause of infertility in the couple and design a tailored IVF treatment plan. Request an appointment with no obligation.
WHAT IS A BASIC INFERTILITY STUDY?
The basic infertility study evaluates ovarian function, follicular reserve, and the health of the woman’s reproductive organs, including the uterus and fallopian tubes. For men, after a detailed medical history is taken, a blood test and a comprehensive semen analysis are performed to assess sperm quantity, quality, and motility.
It is crucial for both partners to provide the specialist with detailed information about their medical history, including any past or present illnesses, infections, medications, and lifestyle habits. A thorough medical history can reveal potential issues that may be contributing to infertility. After a general and gynecological examination, the specialist will determine which tests should be included in your basic infertility study.
WHEN SHOULD A BASIC INFERTILITY STUDY BE CONDUCTED?
A basic infertility study should be initiated if pregnancy has not been achieved after one year of regular, unprotected sexual intercourse in women under 35 without a history of fertility-related issues, or after six months in women aged 35 and older. In certain cases, earlier intervention may be warranted if circumstances suggest the need for an earlier evaluation.
It is important to consider the woman’s age, as reproductive capacity begins to decline after age 35, with a more significant drop after age 40.
WHAT TESTS ARE INCLUDED IN A BASIC INFERTILITY STUDY?
First, it is essential to assess the personal and family medical histories of both partners. Lifestyle factors that could negatively impact pregnancy success, such as the use of toxic substances, drug use, or poor dietary habits, should also be reviewed.
While the basic infertility study has been greatly simplified over the years, there are still a few essential tests for both men and women. If any results indicate an issue, specific treatments may be recommended. These key tests include:
SEMEN ANALYSIS
A semen analysis is essential for evaluating the male factor in a couple’s infertility. This test assesses various parameters of the seminal fluid, including sperm count, motility, vitality, and morphology.
HORMONAL TESTING
Ovarian reserve is assessed by measuring anti-Müllerian hormone (AMH) levels. This marker helps predict ovarian response to stimulation, particularly in the context of assisted reproduction. Progesterone levels in the second half of the menstrual cycle indicate whether ovulation has occurred. In women with irregular or absent menstrual cycles, more comprehensive hormonal testing may be required, including assessments of androgens, prolactin, thyroid hormones, and more.
TUBAL PATENCY ASSESSMENT
Determining whether the fallopian tubes are unobstructed is crucial, especially if artificial insemination is being considered. This can be assessed through hysterosalpingography (HSG) or hysterosonography, which avoids the use of contrast dye and exposure to radiation. The use of 3D technology can also help detect small uterine malformations or anomalies, completing the evaluation of the uterine cavity.
HIGH RESOLUTION TRANSVAGINAL ULTRASOUND
Transvaginal ultrasound provides information about the uterine cavity, ovaries, and fallopian tubes. Antral follicle count is also important as another marker of ovarian reserve.
At your initial visit to fivclinic+, we will conduct a thorough review of your lifestyle, medical history, and any previous treatments. We will recommend any additional necessary tests and discuss the most appropriate treatment options, along with the expected prognosis for success.
STUDY AND DIAGNOSIS OF FERTILITY
At fivclínic, fertility studies are carried out in a personalized way in order to individualize the treatment and thus optimize the result. From the first visit, our objective is clear: to achieve pregnancy.
WHAT HAPPENS AFTER A DIAGNOSIS OF INFERTILITY?
The basic infertility study may be sufficient to identify the cause(s) of infertility, allowing us to initiate the appropriate treatment. However, additional investigations are often necessary depending on the results of the basic study. This pre-treatment process usually takes very little time—typically no more than two weeks from the initial consultation to receiving the results.
In some cases, all test results may appear normal. This occurs in 20% to 30% of couples, leading to a diagnosis of unexplained infertility. While this doesn’t mean there isn’t a problem, it suggests that the issue hasn’t yet been identified and may require more advanced diagnostic techniques, including testing in the IVF lab to uncover potential issues related to egg quality, fertilization, or embryo development.
At the consultation where your study results are discussed, the gynecologist will explain the findings in detail. Various treatment options will be presented, and we will work with you to design a personalized treatment plan based on your expectations.
In nearly all cases, fertility treatment can begin immediately, starting with the woman’s next menstrual cycle if desired. According to the law, serological tests are required before starting the treatment to rule out infectious diseases, in accordance with the regulations of each country.
ARE THERE ADVANCED DIAGNOSTIC TESTS IN THE FERTILITY STUDY?
It is common to complement the basic fertility study with one or more advanced diagnostic tests:
MALE FACTOR
FEMALE FACTOR
• Karyotyping
• Hysteroscopy
• Endometrial biopsy to assess function, anatomy, and to rule out chronic endometritis
• Microbiome analysis
• Hormonal and metabolic studies: vitamins, thyroid, adrenal glands, hypothalamic-pituitary axis.
• Immunological testing
• Hematological testing
• Carrier panel screening: cystic fibrosis, thalassemia, etc
• IBgen RIF: evaluation for implantation failure and recurrent miscarriage
• IBgen IVF: analysis of hormone receptors to personalize ovarian stimulation.
• IBgen FOP: assessment for early ovarian failure.
WHY CHOOSE FIVCLÍNIC+?
DISTINGUISHED EXPERIENCE
We offer you access to a team of reproductive medicine specialists with over 30 years of experience. Our commitment to biomedical research and scientific evidence forms the foundation of our clinical excellence, driving innovation that directly benefits patients.
EXCEPTIONAL PREGNANCY RATES
Our success rates are approximately 65% with patients’ own eggs and 80% with donor eggs. Achieving these outcomes involves conducting a thorough fertility study and personalized diagnosis to tailor treatments to each individual case.
PIONEERS IN INNOVATIVE TREATMENTS
As part of Clínic Barcelona, a leading center in research, development, and innovation, we participate in cutting-edge research studies and publish our results in top scientific journals. Our clear objective is to enhance the effectiveness of reproductive techniques.
STATE-OF-THE-ART FACILITIES AND CUTTING-EDGE LABORATORY
We feature the latest technological advancements, such as ICSI and real-time embryo monitoring, allowing you to follow every step of your treatment. We work with the new reproduction laboratory of Clínic Barcelona, which is newly established and equipped with state-of-the-art technology.
PERSONALIZED AND CLOSE ATTENTION = SATISFIED PATIENTS
Every patient is unique, and our team’s involvement reflects that. We guarantee personalized and compassionate care to support you throughout your journey to motherhood, addressing any needs that arise along the way. The patient surveys we’ve conducted over the years affirm the quality of our service and the professionalism of our team. Your time, comfort, and safety are our top priorities, and we strive to meet your expectations with a high level of satisfaction.
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+34 93 227 57 44
