Examinations for women
We will discuss with you in detail which examinations are required in your case and explain to you exactly what you can expect.
Hormones are critical to fertility. For this reason, we analyze a blood sample for all hormones involved in reproduction at the start of the cycle (2nd to 5th day) as the basis for drawing conclusions regarding a possible treatment.
An ultrasound examination supplies important information about the uterus, endometrium, and ovaries. Fibroids, endometrial polyps, or ovarian cysts can be detected in this way. Over the course of the cycle, it is also possible to observe the maturation of the ovarian follicles and the growth of the endometrium.
A special and largely painless diagnostic procedure called hystero-salpingo contrast sonography (HyCoSy) makes it possible to examine the fallopian tubes for obstructions via ultrasound.
The examination of the fallopian tubes can also take place within the context of a laparoscopy or by means of a radiological examination (HSG) at an x-ray facility.
A chronic inflammation reaction of the endometrium or an over-reactive immune system (e.g. due to an elevated number of “natural killer cells”) in the uterus can lead to a disruption of implantation or to miscarriages. These issues can be investigated by taking samples of the endometrium. If abnormalities are discovered, options exist for responding with appropriate treatment.
In addition to routine analysis of the hormones, additional blood analysis can be helpful in some cases. This includes, for example, investigation of the coagulation system as well as genetic or immunological analyses.
- Hysteroscopy (imaging of the uterus) enables an examination of all internal structures of the uterus. This permits malformations of the uterus as well as disruptive fibroids or alterations of the endometrium to be identified and removed, if necessary.
- Laparoscopy (imaging of the abdomen) reveals an accurate picture of the inside of the abdomen. For example, adhesions, cysts, and endometrial implants as well as fibroids can be evaluated in this way and removed, if necessary. It is also possible to examine the fallopian tubes for blockages.