Since infertility causes can be found in both men and women diagnostics should be conducted jointly and simultaneously in both partners. Among the most common causes of infertility in women are ovulatory disorders. In situations where it is manifested by lack of menstruation, identifying the problem is relatively simple. More often, however, the problem is caused by qualitative disorders, which result in lowering the reproductive potential of the egg. In some cases the treatment is quite simple and effective, other times it proves difficult and expensive, and in some patients it is not possible at all.
The second cause of infertility concerns the male partner and the ability of his semen to fertilize the egg. At this point it should be emphasized that measuring the quality of the semen is subject to the highest percentage of false positives, which often results in wrongly qualifying for treatment. Hence the significance of a reliable and objective examination of the semen.
The third most common cause of infertility concerns the anatomy and function of reproductive organs. A healthy, normal state of the fallopian tubes, uterus and neighbouring organs is a prerequisite for fertilization, followed by the implantation of the embryo as well as its proper development in the uterus. Typical disorders in this area include obstruction of the fallopian tubes, abdominal adhesions, endometriosis or uterine fibroids.
Properly conducted diagnostics must address each of the potential causes listed above, which are relevant to the planned treatment. There is no need to investigate the patency of the fallopian tubes, as due to the male factor being responsible, treatment includes extracorporeal fertilisation, etc. In every case, however, the success of the treatment requires accurate identification of the causes of infertility and the biological determinants of reproductive efficiency.
At Kriobank, basic infertility diagnostics include a medical history interview complete with analysis of previous treatment, gynaecological examination, semen analysis, and assessment of the prevalence of ovulation with an attempt to determine its quality. The diagnostic process takes into account the specificity of the clinical situation of each couple, and is intended to provide information on the individual reproductive potential of the woman and the man, as well as their joint reproductive potential. This type of treatment oriented diagnostics makes it possible to determine further action.
Accurate determination of the reproductive potential requires the assessment of the concentrations of basic hormones that control the female, and sometimes male, reproductiveness. In every case we conduct detailed examination of the semen. In order to ensure the safety of patients and future pregnancies, it is necessary to evaluate their infectivity and possibility of carriage of certain diseases, in accordance with international standards. In certain cases we test the patency and function of the fallopian tubes (HSG), assess the state of the reproductive system and its environment (laparoscopy), and the state of the uterine cavity (hysteroscopy). In cases where repeated attempts at treatment have failed, we assess the functional status of the uterus using advanced testing methods.