OUR APPROACH TO THE COUPLE

The infertile couple must be evaluated in a objective and systematic way, taking into consideration the woman’s age, infertility time, main factor involved and the fact that most of these couples have been through uncountable previous examinations and evaluations.
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THE COUPLE’S MEDICAL HISTORY

Clinica history must be focused and detailed regarding the menstrual, gynecological and obstetric past, as well as the presence of habits, allergies, systemic conditions, previous surgery and sexual life. These data are important in order to arrive at the possible causes of infertility. A detailed revision of previous treatments and procedures related to infertility is also very important.

OTHER COMPLEMENTARY EXAMS

:: Histerosalpingography (HSG) - Most women who come to treatment have already been through this examination at least once. The aim is to evaluate uterine tube permeability and anatomy. About 25% of all infertility is caused by a tubal factor, hence its importance. Nevertheless, this examination has its limitations, since it does not differentiate uterine malformations or diagnose peritoneal disease.

:: Histeroscopy - This exam allows the doctor to see the uterine cavity, evaluating endometrium (for polyps, endometrites, synequies) and the presence of submucous myomata. It complements examinations like hysterosalpingography and hysterosonography.

EXAMS OF LITTLE HELP IN A FIRST INVESTIGATION

:: Cervical mucus evaluation

:: Endometrial biopsy

:: Cervical cultures

:: Anti-spermatozoon antibody research

:: Immunological tests - They have shown to be of no value in infertile patients, except for those ones with history of two or more miscarriages.

:: Laparoscopy - It is a surgical procedure, and shouldn’t be performaed until all the basic evaluation has been completed in the couple. In some cases, laparoscopy can be indicated to look for pelvic adherences or endometriosis.