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There are more and more involuntary childless couples in Germany. If a woman fails to become pregnant
for more than two years, the couple is assumed to be sterile. At the present time, an estimated 15% of the
couples in Germany are considered to be temporarily infertile with an estimated 5% of those being absolutely infertile.
The causes are about equally divided between men and women. In roughly 30% of the cases, both partners are affected.
No cause can be found for 15% of the couples.
Health insurance companies still carry most of the costs for diagnosis and treatment:
Female infertility can, on the one hand, be due to hormonal anomalies, e.g. caused by
underweight, obesity or age. On the other hand, the problems could result from organic changes (
oviducts, uterus, ovaries), for example due to inflammation or surgery. However,
systemic diseases, for example, of the thyroid gland, the adrenal cortex or diabetes,
can also influence conception as can the intake of certain types of drugs. Apart from genetic
or psychic factors, infertility can also be caused by the consumption of nicotine or alcohol.
Environmental factors such as heavy metals, pesticides or oestrogen could also play a role
The first step towards clarificationis a detailed inquiry into the menstrual history (cycle behaviour), previous surgery, infectious diseases, previous pregnancies as well as the use of medicines, nicotine, etc.
Basal body temperature charting is helpful to determine your fertile days. As an alternative, special computers can be used to predict ovulation using urine test strips.
The next step is to carry out both a physical exam and a gynaecological exam including ultrasound. We also check for infectious diseases.
Danach erfolgt die körperliche und die gynäkologische Untersuchung inklusive Ultraschall. Zusätzlich führen wir eine Infektabklärung durch.
Between the fourth and seventh day of your menstrual cycle, and again around the 21st day, a blood sample is taken to determine your hormone level.
At the same time, your partner should be checked by an urologist.
Depending on the results of these examinations and tests, a treatment plan is drawn up to suit your individual needs.
Sometimes diagnosis is fairly easy: perhaps you are not having sexual intercourse often enough or at the wrong times
during your menstrual cycle. However, if egg cell dysmaturity is detected, more often than not the use of specific
medication is necessary. Depending on the kind of dysmaturity, medication is either administered directly under our
care or under that of a centre for reproductive medicine.
