ЕКЗ

At Repromeda, we don’t believe in a one-size-fits-all approach. We believe that every couple is unique. Together, we will find a suitable treatment for you with minimal risk of complications and the highest probability of success. For this, however, we need to carry out several initial examinations.

Female examination

In women, we mainly focus on ultrasound examination of the pelvis minor, hormone testing and genetic testing.

• Ultrasound examination of the pelvis minor and gynaecological examination
  These are examinations that you are familiar with from routine check-ups with your gynaecologist. The ultrasound is performed through the abdominal wall or with a vaginal ultrasound probe and evaluates the shape of the uterine cavity and the position of the ovaries and fallopian tubes.
• Hormonal profile
  The examination is performed by taking a blood sample, taking into account the phase of the menstrual cycle (2nd-3rd day of menstruation). The hormonal profile is used to determine the exact level of sex hormones.
• Thyroid hormone examination
  Blood is also used for the thyroid hormone examination, which determines the status of the hormones TSH, fT4, fT3, anti TPO and anti TG.
• Tests for sexually transmitted diseases
  We perform this test to prevent any complications that STDs may cause at conception. It includes detection of Hepatitis B, Hepatitis C, Syphilis and HIV.
• Immunological examination
  Some couples may have immunological causes of infertility, so this examination is also important and will help us determine the next course of action. If necessary, we will recommend further tests or a consultation with a reproductive immunologist
• Genetic examination
  Couples who have trouble conceiving often have structural chromosomal defects. These can be detected by genetic testing.
  The karyotype test is a basic genetic examination that every couple undergoes. We also offer more advanced genetic tests – PANDA Infertility and PANDA Carrier.
• Fallopian tube patency test and hysteroscopy
  We perform this test only in indicated cases.

The most frequently asked question

Isn’t this all a waste of time? Once I get the results, I can do IVF and get pregnant soon.
We believe it is just the opposite. Our goal is to save you time and money. We don’t want to subject you to months of unnecessary uncertainty and unsuccessful attempts at getting pregnant. In addition, sometimes these attempts end in an early miscarriage, which means further loss of the time you need to recover both mentally and physically. We do our best to perform all the tests in the shortest possible time and recommend the appropriate procedure for you based on the results of clinical and laboratory tests.

Male examination

With men, a spermogram is essential, which will enable us to suggest the next course of action, as well as genetic and hormone tests.

• Spermiogram – Male fertility is examined through a spermiogram, i.e. an ejaculate analysis. This is the very first examination and it is pointless to carry out any detailed examinations on the woman without knowing the results of the spermogram.
  After consultation with your doctor, you can choose the SpermPacket diagnostic package, which provides a comprehensive picture of the man’s fertility. This includes:
  • a spermiogram,
  • halosperm – determines DNA fragmentation in sperm, i.e. the degree of DNA damage,
  • screening for oxidative stress in the ejaculate – one of the tests used to assess the reproductive capacity of sperm,
  • immasperm – determination of the percentage of mature sperm in the ejaculate.
• Genetic examination
  Couples who have trouble conceiving often have structural chromosomal defects that can be detected by genetic testing. The karyotype test is a basic genetic examination that every couple undergoes. We also offer more advanced genetic tests – PANDA Infertility and PANDA Carrier.
• Immunological examination
  Some couples may have immunological causes of infertility, so this examination is also important and will help us determine the next course of action. If necessary, we will recommend further tests or a consultation with a reproductive immunologist.
• Urological examination
  This is only performed in indicated cases when the man is found to have a more serious spermiogram disorder.

Most frequently asked questions

What does a spermiogram investigate?
The basic parameters of semen examination include volume, pH, liquefaction, as well as sperm count, motility and shape (morphology).

What are the possible results of a spermiogram?
The examination can confirm or rule out sperm pathologies, but it cannot confirm that the man is actually fertile. Fertility is determined by the interaction between male and female fertility or infertility factors. Even if a man has a completely physiological spermiogram, this does not rule out the possibility of other infertility factors – such as gene mutations that can prevent fertilization of the egg.

Can I bring an ejaculate sample from home?
Yes, you can bring an ejaculate sample from home (in a labelled container issued by the clinic). However, you must be able to do this within an hour of ejaculation.