Infertility Evaluation
Proper diagnosis is the first step toward a solution
What is infertility evaluation
Infertility is defined as the inability of a couple to achieve pregnancy after at least one year of regular, unprotected intercourse. It is a condition that brings emotional stress and concern, but it is also a medical issue that can be addressed with knowledge, method, and compassion.
Timely and well-structured evaluation can lead to individualized solutions and positive outcomes.
When to begin evaluation
After 12 months of trying without success
For women under 35 with regular cycles.
After 6 months of trying
For women over 35 or those with a known medical history.
Immediately
In cases of known conditions such as amenorrhea, endometriosis, or surgically altered fallopian tubes.
In cases of male factor infertility
When there are indications of severe sperm abnormalities.
Clinical assessment of the couple
The first step involves a detailed medical history, discussion about menstrual cycles, frequency of intercourse, and any previous pregnancies or losses. The woman undergoes a clinical evaluation for ovulation, cycle regularity, and possible signs of pathology.
The male partner is also assessed with a semen analysis and medical history review.
Basic diagnostic tests
Hormonal testing
Includes FSH, LH, prolactin, TSH, estradiol, and AMH to assess ovarian reserve and endocrine function.
Hysterosalpingography or HyCoSy
Checks the patency of fallopian tubes and the structure of the uterus.
Semen analysis
Measures sperm count, motility, and morphology.
Pelvic ultrasound
Evaluates the morphology of the uterus and ovaries
Specialized testing when needed
In cases of unexplained infertility or repeated treatment failures, additional evaluations may be necessary.
These include couple karyotyping, thrombophilia screening, hysteroscopy to detect structural abnormalities or inflammation, and sperm DNA fragmentation testing.
Psychological support and guidance
Infertility evaluation is not only a medical process—it is also a journey filled with emotional challenges. Couples are called to cooperate, support each other, and manage feelings of frustration or anxiety.
Communication with the physician, clear information, and—when needed—counseling from a fertility specialist or psychologist can provide relief and empowerment.
Infertility evaluation is a crucial step that should not be delayed. With a sensitive and structured approach, medical assessment can reveal the causes and open the path to treatment and parenthood. Knowledge, empathy, and scientific trust are the most valuable tools on this journey.