Published 11. 10. 2020

Fertility Testing – where to start

We often receive questions from couples trying to conceive regarding how long is “too long”?  -Age and the time you have been trying to conceive are key.

Each case is individual.  Before going into thorough fertility testing, it is wise to start with a basic fertility checkup, this will give you a better perspective.  Here is a checklist you could start with :

  • AMH and hormonal profile,
  • An ultrasound
  • A semen analysis

Based on these results you should consider your age and the time you have been trying to conceive.

We recommend an infertility evaluation if you didn’t achieve pregnancy within 1 year of having regular sexual intercourse without using birth control.  If you are older than 35, then checking after 6 months is recommended.  If you are 40 or more, talk with your obstetrician-gynecologist (ob-gyn) now about an evaluation.

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These are our recommendations for an initial assessment of your fertility :

  • Hormonal profile (days 2, 3, or 4 of any menstrual cycle): AMH, FSH, LH, PRL, E2, progesterone, free T3, free T4, TSH, anti-TPO
  • Sperm Analysis
  • Baseline Transvaginal ultrasound report with pictures describing the size and structure of the uterus and ovaries, and antral follicle count.

Several lifestyle factors can affect your fertility :

  • if you smoke
  • how much you weigh
  • how much alcohol you drink
  • whether you take any illegal drugs
  • high levels of stress

If you have difficulty accessing medical centers due to COVID restrictions, we can help. You can do the tests at our center.

If you live in the Czech Republic we accept all locally insured patients, Czech health insurance covers basic fertility tests. (CPZPOZP, RBP, VoZP, VZPZPŠ, ZPMVCR)

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