The first visit of a couple to the clinic is very important and that is why we always recommend that the couple come together, present all the possible examinations that they have done so far and have enough time available.
A detailed history of both the woman and the man is first obtained. A gynecological examination is performed which includes a transvaginal ultrasound. At the same time, if a male factor is suspected to be a cause of infertility, the man may also be examined. Then, and depending on the problem that seems to be present, some hormonal blood tests are performed on the 2nd to 3rd day of menstruation as well as a vaginal ultrasound on the 3rd day of the cycle. In most cases, it is necessary to perform a hysterosalpingogram (HSG), an X-ray to check the anatomy of the uterine cavity, as well as the depth of the fallopian tubes.
The man is definitely undergoing a sperm examination, that is, a sperm diagram, a sperm activation test and sperm culture and possibly a scrotal ultrasound.
Depending on the findings and history, the doctor may recommend more specialized tests, such as karyotype, thrombophilia screening, hysteroscopy, laparoscopy etc. All of the above tests can be performed either at the IVF unit or at any other diagnostic center as well as in the province as long as the couple resides there.
A second visit evaluates the results of all tests and sets out, always in cooperation with the couple, an action plan. This plan may, at first, include waiting without any particular treatment, alternative methods of treating infertility – for example, induction of ovulation with a scheduled contact, sperm injection – or leading directly to IVF.
Giving your consent
Before starting treatment, you must give your written consent:
- for your treatment process – for example, oocyte retrieval, embryo transfer, possible donation of gametes (sperm or ova) or embryos – and
- for cryopreservation of gametes (sperm or ova) or your embryos, if necessary.
- If you are not married, a notarial act of recognition of the effort is required under the Medical Assisted Reproduction Act.
Moreover, by law, you must be tested for the human immunodeficiency viruses (HIV I-II), hepatitis B and C and syphilis. An additional electrocardiogram is performed on the spouse if she needs to be given anesthesia.