Fertility assessment & infertility work‑up
Basic diagnostics and treatment – empathetic & transparent.
- Basic fertility work‑up (cycle monitoring, hormone status, AMH).
- Ovulation monitoring and, if needed, stimulation with ultrasound follow‑up.
- Care for PCOS and endometriosis.
- Assessment of tubal patency and, if needed, hysteroscopy to rule out malformations and other possible causes; surgical evaluation is possible if required.
- Cooperation with fertility centers for IVF/ICSI; coordinated care, referral & follow‑up.
First steps
Vaccinations & medication
- Check vaccination status (especially MMR/varicella) – these vaccines are recommended before pregnancy, not during.
- Please discuss regular medications in advance (adjustments are sometimes needed).
- Nicotine, alcohol and drugs: avoid consistently – ideally already before pregnancy.
Folic acid & nutrition
- Folic acid 0.4 mg/day: ideally start at least 1 month before pregnancy and continue during the first 3 months.
- Balanced diet; if vegetarian/vegan, consider checking vitamin B12/iron.
When should I seek a medical evaluation?
- A medical evaluation is recommended if no pregnancy occurs despite regular, unprotected and well‑timed intercourse for 12 months.
- With irregular cycles (e.g., known PCOS), known risks (e.g., endometriosis) or if you are 35+, an earlier evaluation (e.g., after 6 months) may be appropriate.
The initial evaluation – if medically indicated – is usually billed through mandatory health insurance (e.g., consultation, examination, basic labs and, depending on the situation, ultrasound). Reproductive medicine treatments (e.g., IUI, IVF/ICSI) as well as services without an insurance‑covered indication are usually self‑pay. We are happy to clarify this individually with you.
Typical course of your visit
- Initial consultation, cycle/lifestyle history, baseline ultrasound
- Hormone profile (e.g., TSH, prolactin), AMH, possibly rubella/varicella status
- Cycle monitoring (follicle tracking), ovulation assessment
- Partner evaluation (semen analysis) via urology/andrology
- Treatment: ovulation induction, metformin for PCOS, lifestyle coaching
How to prepare for your appointment
- Cycle calendar (if available), previous findings/doctor's letters
- Overview of medications/allergies, relevant medical history
- Questions/preferences regarding family planning (time window, options)
What happens next?
It depends on each patient individually. Together we create the best strategy for you – and adjust it after 3–4 cycles if needed.
If there is no success, a surgical evaluation may be useful; afterwards, referral to a fertility center may be indicated.
FAQ
How long should I try first?
Under 35 usually 12 months; from 35, 6 months – evaluate earlier if cycles are irregular.
What does AMH mean?
Anti‑Müllerian hormone is a marker of ovarian reserve – one piece of information, not decisive on its own.
What is ovulation induction?
Medication support of ovulation (e.g., letrozole/clomiphene) with close monitoring.
