It is possible to book a free, no-obligation consultation. There is no cost, and no referral from your doctor is required. During the consultation, we will take your medical history and assess whether any additional tests are needed before starting fertility treatment.
For a fee, we can assist with arranging any necessary blood tests, as well as scheduling an HSG (hysterosalpingography) or diagnostic semen analysis if required.
The single woman who wishes
If you are a single woman, you need to consider which type of treatment you prefer. Should it be insemination, IVF, double donation with a known egg donor, or social freezing?
Regardless of the treatment type you choose, a number of mandatory blood tests must be taken. We recommend an HSU (hysterosalpingography ultrasound) prior to insemination treatment.
If you are a lesbian couple, you need to consider which type of treatment you prefer. Should it be insemination, IVF, double donation with a known egg donor, or ROPA (Reciprocal IVF/Partner Egg Donation)?
If you choose insemination or IVF, a series of mandatory blood tests must be performed on the partner undergoing treatment. We recommend an HSU (hysterosalpingography ultrasound) prior to insemination treatment.
If you choose ROPA, both partners must undergo mandatory blood tests, have a medical history taken, and receive an ultrasound scan. The donating partner must complete a screening, including a review of her own health and family history. The receiving partner, after donation, will undergo a frozen embryo transfer.
Donor sperm can be sourced either from a sperm bank or from a known donor.
If you are a heterosexual couple, both partners must undergo a series of mandatory blood tests. The man must provide a semen sample (diagnostic semen analysis) to assess which type of treatment is most appropriate for you.If insemination treatment is an option, it is important to check that the woman’s fallopian tubes are open, typically by performing an HSU (hysterosalpingography ultrasound).
All women who are about to start fertility treatment must have a series of blood tests taken (AMH, TSH/TPO, HIV 1+2, HBsAg, anti-HBC, anti-HCV, Rubella IgG, and vitamin D), and there must be a valid cervical smear and a negative test for chlamydia and gonorrhea.A medical history must be recorded, and a transvaginal ultrasound scan performed to assess the uterus, endometrium, ovaries, and the number of antral follicles in the ovaries.The number of follicles provides information about the woman’s ovarian reserve and can be supplemented by the AMH blood test.If the woman is to undergo insemination treatment, it must be ensured that at least one fallopian tube is open (HSU/HSG).
We recommend that the woman takes a vitamin supplement containing 400 micrograms of folic acid daily during fertility treatment.
We recommend that the woman does not smoke and does not consume alcohol during treatment.
All men who are about to start fertility treatment must have a series of blood tests (HIV 1+2, HBsAg, anti-HBC, anti-HCV, and vitamin D) and provide a semen sample for analysis (diagnostic semen analysis). A medical history must be recorded.
We recommend that the man takes supplements in the form of a multivitamin with folic acid, Q10 100 mg, Omega 3 1000 mg, and vitamin D daily if a low level of vitamin D has been detected. Ideally, these supplements should be started three months before beginning treatment and continued during the treatment period.
We recommend that the man does not smoke. He should consume no more than five alcoholic drinks per week during the period he is trying to achieve pregnancy with his partner or undergoing fertility treatment.
DIAGNOSTIC SEMEN ANALYSIS
A diagnostic semen analysis (also called a sperm analysis) is an examination of the quality and characteristics of the semen, typically as part of a fertility assessment or check-up. The purpose is to evaluate the man's ability to make a woman pregnant.
The sample is usually collected by masturbation into a sterile container. The man can produce the sample at home or at the clinic if needed. The sample should be kept at body temperature (e.g., in the armpit) and transported to the clinic within 1–2 hours.
There are no restrictions regarding the time since the last ejaculation before providing a sample. If the man has had a fever within the last three months, the result is rarely accurate.
What is examined in a semen sample?
Volume: the amount of semen in the sample (typically >1.5 ml)
Consistency and color: slightly grayish and viscous
Sperm concentration: number of sperm per ml
Total sperm count: total number of sperm in the entire sample
Motility: the percentage of sperm that are moving and how well they move
Morphology: the percentage of sperm with normal shape and structure
Other cells: may indicate signs of infection or inflammation
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