Diagnostics

Diagnostics begin during the first consultation. Information about the menstrual cycle, symptoms, pre-existing conditions, previous operations, and experience with conception in earlier relationships is essential for deciding on the next diagnostic steps.

First Consultation

The unfulfilled desire to have a child is a very personal problem. Over the course of diagnostics and treatment, it is necessary to have a high level of trust in your physician. The first consultation also allows you to get to know us and decide whether you feel as though you are in good hands. If you already have findings from another physician or fertility centre, please bring these to your appointment to avoid duplication of examinations. However, should the presented findings not be detailed enough or no longer up to date, then it will be necessary to repeat the respective examinations. If you have already found another fertility centre which has agreed to treat you, but you would like a second opinion, we also offer this service without reservation.

During the first consultation, we will be able to get an initial impression of your underlying problems. The relevant diagnostic stages can be discussed and the ensuing course of treatment planned. Should the possible cause of infertility be identified, then a range of therapeutic options can be discussed. You have the final say on which treatment approach is used.

Required Documentation:

  • Statutory health insurance patients should present their insurance card when they arrive at the first consultation along with an official photo identification document, and if they have one, a referral from their gynaecologist, general physician, or urologist.
  • Statutory health insurance patients who may be self-paying should also present their insurance card because the costs for the basic course of diagnostics may well be covered by the insurance provider.
  • Patients with private health insurance should present their private insurance card (if they have one) and an official photo identification document.
  • All patients should bring evidence of vaccinations and previous findings, if available.

Basic Diagnostics for Women

  • Basic hormone testing between days 3 and 5 of the menstrual cycle. At a minimum, this should include: E2, FSH, LH, TSH, PRL, T, SHBG
  • Rubella antibodies, chicken pox antibodies, chlamydia antibodies
  • Ultrasound examination between days 10 and 12 of the menstrual cycle to assess the anatomical and functional state of the uterus and ovaries
  • If necessary, Fallopian tube examination (HSG or laparoscopy)
  • Second course of laboratory tests to identify ovulation on approx. days 19 to 21 of the menstrual cycle
  • Also, before sperm donor treatment: CMV antibodies (cytomegalovirus)
  • Also, a maximum of 3 months before artificial insemination: HIV 1/2 antibodies, hepatitis B and C antibody test (HBsAg, anti-HBc, Anti-HCV AB)

Basic Diagnostics for Men

  • Spermiogram
  • If necessary, sperm DNA fragmentation index (DFI)
  • Basic hormone testing
  • Also, a maximum of 3 months before artificial insemination: HIV 1/2 antibodies, hepatitis B and C antibody test (HBsAg, anti-HBc, Anti-HCV AB)
  • If necessary, genetic testing

Please note: The HIV and hepatitis tests must be carried out in a laboratory that corresponds to §20b of the German Drug Act. Results from a laboratory that does not meet this requirement will not be accepted!

Special Diagnostics

  • Genetic testing
  • Endometrial diagnostics (ERA, EMMA, ALICE, plasma cell test)
  • Thrombophilia screening