The diagnostic assessment begins as early as the initial consultation Information regarding the menstrual cycle, certain symptoms, details of prior illnesses, previous surgeries and experience with conception in previous relationships provide important pointers for the next steps in the diagnostic process.
The problem of the unfulfilled desire to have a child is a highly personal issue. During the diagnostic assessment and subsequent therapy, you have to place a great deal of trust in your doctor. The initial consultation should also help you to get to know us so that you can decide whether you feel that you are “in good hands” with us.
During the initial consultation at our office, we will be able to get a first impression of the underlying problem. We can discuss the major steps in the diagnostic process and plan any resultant treatment.
We do not want to “take you by surprise” with any diagnostic procedure or treatment. You decide on how quickly you wish to proceed. The “blind action” encountered in some fertility centres is not the path we want to follow with you.
If you already have findings from another doctor or fertility centre, please bring them with you to avoid any duplication of tests. If the findings you provide are not sufficiently conclusive or are too old, the corresponding tests will need to be repeated.
If you have already found a treatment centre elsewhere that suits you, but would like to get a second opinion regarding the planned treatment, we will provide this without reservation.
- Patients with Statutory Health Insurance (GKV): Please provide a referral slip from your gynaecologist, general practitioner or urologist for the initial consultation (and each quarter).
- GKV patients only eligible as self-paying patients should also bring referral slips or their GKV card since the basic diagnostic procedures may certainly be billable as a covered service.
- Private patients: Please provide your private health insurance card or an official document as identification.
We will require the following test results if available. If they are not available, we will need to perform this testing:
- Basic hormone tests between days 3 and 6 of your cycle. These should include:
- E2, FSH, LH, TSH, PRL, T and SHBG (Oestradiol, follicle-stimulating hormone, luteinising hormone, thyroid stimulating hormone, prolactin, testosterone and sex hormone binding globulin)
- Rubella antibodies, varicella (chickenpox) antibodies
- Examination of the fallopian tubes (HyCoSy or laparoscopy), if necessary
- in addition prior to artificial insemination: HIV antibodies (AIDS test), tests for hepatitis B and C antibodies
- in addition before donor sperm insemination: CMV (cytomegalovirus) antibodies, blood type
- Spermiogram (semen analysis)
- Sperm DNA fragmentation index (DFI), if necessary
- in addition prior to artificial insemination:
- HIV antibody (AIDS test), tests for hepatitis B and C antibodies
- in addition before donor sperm insemination:
- blood type, if necessary
- in addition, prior to a potential testicular biopsy: T, FSH, genetics