Kinderwunsch BodenseeCauses in women

Why pregnancy does not always happen immediately

There are various reasons why getting pregnant is not always as easy as one might wish. These factors often play a role:

  • Irregular cycles
  • Hormonal imbalances
  • Unilateral or bilateral blockage of the fallopian tubes due to inflammation or adhesions
  • Endometriosis – where the lining of the uterus grows in unwanted places in the abdominal cavity and can cause adhesions or benign changes
  • Changes in the uterus, such as malformations or fibroids
  • Problems with embryo implantation or repeated miscarriages, which can be caused by certain immunological, inflammatory, or hormonal factors
  • Late family planning: From around the age of 35, the chances of a natural pregnancy decrease significantly
Kinderwunsch BodenseeFor Women

Diagnostic options

During the initial consultation, we will take a first look at your hormone status in order to identify any abnormalities at an early stage and investigate them further.
Have you been trying for over a year, but still haven’t gotten pregnant? With a fallopian tube patency test, we can see whether pregnancy is possible through natural means.

This involves inserting a sugary contrast medium into the uterus and fallopian tubes via a thin catheter. The path of the foam can be seen on the ultrasound image, allowing us to assess patency. The test is comparable to a laparoscopy in terms of its informative value. The costs of the examination must be borne by the patient.

  • When should hysterosalpingography be performed?
  • In cases of unclear causes of infertility
  • Before planned insemination
  • After tubal-preserving surgery for an ectopic pregnancy
  • After surgery on the fallopian tubes
  • After myomectomy
  • After past cases of fallopian tube inflammation

Have you suffered repeated miscarriages in early or late pregnancy?

At our center, we offer various diagnostic procedures to investigate the cause of your miscarriages.

The aim is to identify possible physical or genetic causes and open up new perspectives for your desire to have children.

During scratching, tiny samples are taken directly from the uterine lining using a thin probe and examined histologically in the laboratory. The costs of the examination must be borne by the patient.
When should scratching be performed?

  • In women who do not become pregnant despite good embryo quality
  • In cases of repeated miscarriages

During hysteroscopy (uterine examination), a thin optical device is inserted into the uterus via the vagina in order to examine the uterine cavity from the inside.

The following are examined:

  • the inner walls of the uterus
  • the entrance to the uterus
  • the openings of the fallopian tubes
  • This allows possible abnormalities such as adhesions, polyps, or fibroids to be detected or ruled out.
  • We perform hysteroscopy on site in our own operating room.
  • The procedure is always performed under general anesthesia to ensure that it is as gentle and painless as possible for you.

 

When should a hysteroscopy be performed?

  • In cases of recurrent miscarriage
  • In cases of unclear causes of infertility

Your genetics may play a decisive role in why you are unable to conceive. We have several options for looking behind the scenes of your DNA and finding possible causes.

When should genetic testing be performed?

  • For women who are unable to conceive despite good embryo quality.
  • In cases of repeated miscarriages.
  • In cases of unclear causes of infertility.

The ERA test helps to determine the best time for embryo transfer by testing the receptivity of the endometrium. In order for an embryo to successfully implant, the uterine lining must be ready. This phase is called the implantation window. It lasts only a few hours to days and usually occurs about 5 days after the start of progesterone administration.

However, in some women, this window shifts slightly, and this is where the ERA test comes in:

It examines certain genes in your uterine lining that are controlled by hormones. This allows the test to determine exactly which day your lining is most receptive—the perfect time for your transfer.

When should the ERA test be performed?

  • In women who do not become pregnant despite good embryo quality
  • In cases of repeated miscarriages
  • In cases of unclear causes of infertility

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