Infertility

Infertility is defined as the inability to conceive a pregnancy after one year of regular and unprotected sexual intercourse (without using contraceptive measures)

We should note that:

>  65% of couples conceive within 6 months
>  80% of couples conceive within 1 year
>  85% of couples conceive within 2 years

Infertility itself is divided into two major categories:

>  Primary infertility; when there has been no previous pregnancy
>  Secondary infertility; when there has been documented a pregnancy, whether a live birth, a miscarriage or a extrauterine pregnancy (burden ectopic)

Other terms encountered in connection with infertility are:

>  Fecundability is the percentage chance that a woman has conceived a cycle (18-20%)
>  Hypofertility that has to do with a reduced fecundability from a minor anomaly of the wife , husbands a or the couple themselves.

The causes of infertility are:

Female factor
>  Anovulation
>  Pelvic factors (women’s hip ) with tubal or uterus pathology, or endometriosis
>  Age
>  STDs (Sexually Transmitted Diseases)
>  Chemotherapy
>  Genetic factors

Male factor
>  Pre-testicular factors (hypogonadotropic hypogonadism, obesity, tobacco and alcohol, genetic factors as translocations, medications factors)
>  Testicular factors (anatomical anomalies, idiopathic, infections, radiation, genetic syndrome as Klienefelter)
>  Post-testicular factors (retrograde ejaculation, impotence, hypospadias or epispadias, ductus deferens injuries)

When should you consult our clinic:

>  When you are trying to conceive for 6 months or more
>  When you are above 40 year old
>  When you have irregular periodse or have no periods at all
>  When you have known infertility problems
>  When you are diagnosed with endometriosis or pelvic inflammatory disease
>  When you had more than one abortion
>  When you have done chemotherapeutic / hormonal / radiotherapeutic treatment
>  When you have problems with sperm
>  When you have testicular anatomical problems
>  When you have done vasectomy previously
>  When you have small testicles, low libido or sexual dysfunction
>  When you have done inguinal or scrotal intervention
>  When you desire to be informed about your fertility

Tests for men:

>  Semen analysis (Spermogram)
>  Hormonal testing
>  Genetic testing
>  Testicular biopsy

Treatment for men:

>  Infection treatment
>  Sexual dysfunction problems treatment
>  Hormonal and medicamental treatment
>  Assisted reproduction technology

Examinations for women:

>  Ovulation test (female hormonal level)
>  Hysterosalpingography (Radiology of female genitals)
>  Ovarian reserve test
>  Hormonal tests
>  Imaging tests

Treatment for women:

>  Stimulation of ovulation through medicamental treatment
>  IUI (Intrauterine Insemination)
>  Surgery treating mechanical problems (uterine polyps, congenital uterine anomalies, etc.)
>  Assisted reproduction technology (FIV- In Vitro Fertilization)
>  ICSI (Intracytoplasmic Sperm Injection)
>  Assisted Hatching
>  Oocyte or sperm donation