Today, one in every five couples requires IVF treatment for pregnancy. Infertility can occur due to many different reasons. Detecting health issues in both women and men is the most important step for successful treatment.

How is Infertility Diagnosed?

Fifty percent of infertility problems originate from the male partner, and fifty percent from the female partner. Therefore, detailed tests are performed on both the woman and the man. To make an accurate diagnosis, the IVF specialist first analyzes the medical history, previous treatments, and the general health condition of the couple. Then, a reproductive evaluation is conducted. These include:

• Evaluation of the number, quality of eggs, and ovulation hormones
• Gynecological ultrasound and hormone tests (AMH, FSH, E2)
• Analysis of sperm quality and all parameters
• Sperm count, motility, and morphology
• HSG (Hysterosalpingography)

Fallopian Tube (Reproductive Ducts) Patency

The openness of the fallopian tubes is evaluated for expectant mothers. For this, a uterine imaging test called HSG is performed. This procedure is not surgical. If any problem is detected, laparoscopy may be required.

Semen Analysis

In semen analysis, the sperm quality, count, and motility of the male partner are examined. Sperm samples taken from the male partner are evaluated in the laboratory. If necessary, sperm can be collected by microinjection methods.

Evaluation of Uterine Condition

Evaluating the uterus is important to determine the chances of embryo development. For this, gynecological ultrasound and general examination are required. Other possible tests include:

• Blood Tests
• FSH, E2, AMH on the 2nd-3rd day of menstruation
• TSH
• PRL
• Vitamin D
• HbA1c
• Rubella
• Varicella
• Complete Blood Count
• HSG (Hysterosalpingography), SIS (Saline Infusion Sonography)
• Sperm test
• Infection tests for both partners
• HIV
• Hepatitis B
• Hepatitis C

The reason for the detailed examinations used in evaluating the couple is to detect even the smallest health issue that could prevent treatment. A map of many factors that positively or negatively affect the functioning of reproductive organs and pregnancy must be created.

Infertility treatment is a very delicate process. Details determine the success of the treatment. In some cases, the patient's problems can be solved without the need for IVF treatment, and pregnancy can be achieved naturally. Therefore, the tests requested from each couple may differ.