Female Investigation

The Female Investigation of infertility includes blood tests, imaging, and endoscopic procedures. The blood tests evaluate the hormonal, immunological, and general health condition of the patient.

Hormonal Tests

Hormonal tests such as FSH, LH, E2, PRL, and TSH provide valuable information about a woman’s fertility capacity and the overall state of her endocrine system.

• FSH and LH (gonadotropins) are secreted by the pituitary gland and regulate the secretion of estradiol by the ovaries.
• E2 (estradiol), the main estrogen of the ovaries, rises mid-cycle during ovulation.
• AMH (Anti-Müllerian Hormone), produced by ovarian follicles, indicates a woman’s ovarian reserve and the biological age of her ovaries.
• Thyroid hormones (TSH and FT3) and prolactin, secreted by the pituitary gland, are also essential for fertility.

Abnormalities in these hormones must be addressed before starting any reproductive treatment protocols.

Immunological and Infectious Disease Testing

Additional blood tests check for sexually transmitted diseases such as HCV, HIV, HBsAg, and VDRL, as required by Greek legislation. Specialized immunological testing related to fertility is also recommended to investigate potential issues.

Ultrasound Examination

A transvaginal ultrasound is performed to assess the uterus and ovaries for gynecological conditions like:

• Fibroids
• Uterine polyps
• Ovarian cysts
• Adenomyosis

The ultrasound also:

• Monitors egg development during fertility treatment protocols.
• Measures endometrial thickness during preparation for embryo transfer.

In rare cases, a hydro ultrasound may be used to evaluate the endometrial cavity and may lead to a hysteroscopy recommendation.

Hysterosalpingography

Hysterosalpingography is a reliable diagnostic test for evaluating:

• The patency of the fallopian tubes.
• Congenital uterine abnormalities.

This procedure is performed immediately after menstruation, takes a few minutes, and involves tolerable pain.

Hysteroscopy

The diagnosis and treatment of endometrial pathology are done via hysteroscopy, a quick and straightforward procedure. This method is used to:

• Remove uterine adhesions.
• Resolve uterine polyps that hinder implantation.
• Remove submucosal fibroids that make pregnancy difficult or impossible.

Laparoscopy

Laparoscopy allows the gynecologist to:

• Examine the internal genital organs in detail.
• Correct pathological conditions like hydrosalpinx (fluid-filled fallopian tubes), fibroids, and endometriotic cysts.

During laparoscopy, the fallopian tubes can also be assessed.

Repeated Implantation Failures or Miscarriages

For cases involving repeated implantation failures or miscarriages, the following are recommended:

• Karyotype analysis for both partners.
• Complete hormonal control.
• A hysteroscopy to investigate for chronic endometritis.
• Comprehensive immunological testing.

At EmbryoWish, we provide all necessary tests and examinations, both invasive and non-invasive, to identify and treat infertility. Whether you’re experiencing trouble with conception or seeking an online consultation, our team is here to support you every step of the way.