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{"id":1407,"date":"2025-10-15T08:21:36","date_gmt":"2025-10-15T06:21:36","guid":{"rendered":"https:\/\/www.endlichnachwuchs.de\/diagnostik\/ursachen-frau\/"},"modified":"2026-03-12T22:52:40","modified_gmt":"2026-03-12T21:52:40","slug":"causes-in-women","status":"publish","type":"page","link":"https:\/\/www.endlichnachwuchs.de\/en\/diagnostics\/causes-in-women\/","title":{"rendered":"Causes in women"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column css=&#8221;.vc_custom_1761039087098{margin-bottom: 16px !important;}&#8221;]\r\n              <div class=\"modul-headline text-start mb-4\">\r\n                <div class=\"headlinesmall\"><img decoding=\"async\" src=\"\/wp-content\/themes\/kinderwunsch\/assets\/images\/layout\/hand.png\" alt=\"Kinderwunsch Bodensee\">Causes in women<\/div>\r\n                <h2 class=\"text-start headlinestyle\">Why pregnancy does not always happen immediately<\/h2>\r\n              <\/div>\r\n            [\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text css=&#8221;&#8221;]There are various reasons why getting pregnant is not always as easy as one might wish. These factors often play a role:<\/p>\n<ul>\n<li>Irregular cycles<\/li>\n<li>Hormonal imbalances<\/li>\n<li>Unilateral or bilateral blockage of the fallopian tubes due to inflammation or adhesions<\/li>\n<li>Endometriosis \u2013 where the lining of the uterus grows in unwanted places in the abdominal cavity and can cause adhesions or benign changes<\/li>\n<li>Changes in the uterus, such as malformations or fibroids<\/li>\n<li>Problems with embryo implantation or repeated miscarriages, which can be caused by certain immunological, inflammatory, or hormonal factors<\/li>\n<li>Late family planning: From around the age of 35, the chances of a natural pregnancy decrease significantly<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243; offset=&#8221;vc_col-md-offset-1 vc_col-md-4&#8243;]\r\n            <img decoding=\"async\" src=\"https:\/\/www.endlichnachwuchs.de\/wp-content\/uploads\/woman.svg\" class=\"img-fluid appear-animation\" data-appear-animation=\"fadeInRight\" data-appear-animation-delay=\"100\" data-appear-animation-duration=\"1s\">\r\n            [\/vc_column][\/vc_row][vc_row el_id=&#8221;diagnostics&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10&#8243;]\r\n              <div class=\"modul-headline text-center mb-4\">\r\n                <div class=\"headlinesmall\"><img decoding=\"async\" src=\"\/wp-content\/themes\/kinderwunsch\/assets\/images\/layout\/hand.png\" alt=\"Kinderwunsch Bodensee\">For Women<\/div>\r\n                <h2 class=\"text-center headlinestyle\">Diagnostic options<\/h2>\r\n              <\/div>\r\n            <div class=\"accordion accordion-modern-status accordion-modern-status-borders accordion-modern-status-arrow accordion-bggradient \" id=\"accordionkinderwunsch\">\n                <div class=\"card card-default\">\n                    <div class=\"card-header\" id=\"collapse200Heading0\">\n                        <h4 class=\"card-title m-0\">\n                            <a class=\"accordion-toggle text-5 font-weight-bold collapsed\" data-bs-toggle=\"collapse\" data-bs-target=\"#collapse0\" aria-expanded=\"false\" aria-controls=\"collapse0\">\n                            \n                            &#8221;Hormone\n                            <\/a>\n                        <\/h4>\n                    <\/div>\n                    <div id=\"collapse0\" class=\"collapse\" aria-labelledby=\"collapse200Heading0\" data-bs-parent=\"#accordionkinderwunsch\">\n                        <div class=\"card-body pt-0\"><div class=\"mb-0\">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.<\/div>\n                        <\/div>\n                    <\/div>\n                <\/div>\n                <div class=\"card card-default\">\n                    <div class=\"card-header\" id=\"collapse200Heading1\">\n                        <h4 class=\"card-title m-0\">\n                            <a class=\"accordion-toggle text-5 font-weight-bold collapsed\" data-bs-toggle=\"collapse\" data-bs-target=\"#collapse1\" aria-expanded=\"false\" aria-controls=\"collapse1\">\n                            \n                            &#8221;Fallopian\n                            <\/a>\n                        <\/h4>\n                    <\/div>\n                    <div id=\"collapse1\" class=\"collapse\" aria-labelledby=\"collapse200Heading1\" data-bs-parent=\"#accordionkinderwunsch\">\n                        <div class=\"card-body pt-0\"><div class=\"mb-0\">Have you been trying for over a year, but still haven&#8217;t gotten pregnant? With a fallopian tube patency test, we can see whether pregnancy is possible through natural means.<\/p>\n<p>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.<\/p>\n<ul>\n<li>When should hysterosalpingography be performed?<\/li>\n<li>In cases of unclear causes of infertility<\/li>\n<li>Before planned insemination<\/li>\n<li>After tubal-preserving surgery for an ectopic pregnancy<\/li>\n<li>After surgery on the fallopian tubes<\/li>\n<li>After myomectomy<\/li>\n<li>After past cases of fallopian tube inflammation<\/li>\n<\/ul>\n<p><\/div>\n                        <\/div>\n                    <\/div>\n                <\/div>\n                <div class=\"card card-default\">\n                    <div class=\"card-header\" id=\"collapse200Heading2\">\n                        <h4 class=\"card-title m-0\">\n                            <a class=\"accordion-toggle text-5 font-weight-bold collapsed\" data-bs-toggle=\"collapse\" data-bs-target=\"#collapse2\" aria-expanded=\"false\" aria-controls=\"collapse2\">\n                            \n                            &#8221;Miscarriage\n                            <\/a>\n                        <\/h4>\n                    <\/div>\n                    <div id=\"collapse2\" class=\"collapse\" aria-labelledby=\"collapse200Heading2\" data-bs-parent=\"#accordionkinderwunsch\">\n                        <div class=\"card-body pt-0\"><div class=\"mb-0\">Have you suffered repeated miscarriages in early or late pregnancy?<\/p>\n<p>At our center, we offer various diagnostic procedures to investigate the cause of your miscarriages.<\/p>\n<p>The aim is to identify possible physical or genetic causes and open up new perspectives for your desire to have children.<\/div>\n                        <\/div>\n                    <\/div>\n                <\/div>\n                <div class=\"card card-default\">\n                    <div class=\"card-header\" id=\"collapse200Heading3\">\n                        <h4 class=\"card-title m-0\">\n                            <a class=\"accordion-toggle text-5 font-weight-bold collapsed\" data-bs-toggle=\"collapse\" data-bs-target=\"#collapse3\" aria-expanded=\"false\" aria-controls=\"collapse3\">\n                            \n                            &#8221;Scratching&#8221;\n                            <\/a>\n                        <\/h4>\n                    <\/div>\n                    <div id=\"collapse3\" class=\"collapse\" aria-labelledby=\"collapse200Heading3\" data-bs-parent=\"#accordionkinderwunsch\">\n                        <div class=\"card-body pt-0\"><div class=\"mb-0\">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.<br \/>\nWhen should scratching be performed?<\/p>\n<ul>\n<li>In women who do not become pregnant despite good embryo quality<\/li>\n<li>In cases of repeated miscarriages<\/li>\n<\/ul>\n<p><\/div><div class=\"pt-4 btn-kinderwunsch\"><a href=\"\" target=\"\" class=\"btn btn-outline btn-rounded btn-primary btn-inverse\"> Zur Informationsbrosch\u00fcre.&#8221; <\/a><\/div>\n                        <\/div>\n                    <\/div>\n                <\/div>\n                <div class=\"card card-default\">\n                    <div class=\"card-header\" id=\"collapse200Heading4\">\n                        <h4 class=\"card-title m-0\">\n                            <a class=\"accordion-toggle text-5 font-weight-bold collapsed\" data-bs-toggle=\"collapse\" data-bs-target=\"#collapse4\" aria-expanded=\"false\" aria-controls=\"collapse4\">\n                            \n                            &#8221;Hysteroscopy&#8221;\n                            <\/a>\n                        <\/h4>\n                    <\/div>\n                    <div id=\"collapse4\" class=\"collapse\" aria-labelledby=\"collapse200Heading4\" data-bs-parent=\"#accordionkinderwunsch\">\n                        <div class=\"card-body pt-0\"><div class=\"mb-0\">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.<\/p>\n<p>The following are examined:<\/p>\n<ul>\n<li>the inner walls of the uterus<\/li>\n<li>the entrance to the uterus<\/li>\n<li>the openings of the fallopian tubes<\/li>\n<li>This allows possible abnormalities such as adhesions, polyps, or fibroids to be detected or ruled out.<\/li>\n<li>We perform hysteroscopy on site in our own operating room.<\/li>\n<li>The procedure is always performed under general anesthesia to ensure that it is as gentle and painless as possible for you.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>When should a hysteroscopy be performed?<\/p>\n<ul>\n<li>In cases of recurrent miscarriage<\/li>\n<li>In cases of unclear causes of infertility<\/li>\n<\/ul>\n<p><\/div>\n                        <\/div>\n                    <\/div>\n                <\/div>\n                <div class=\"card card-default\">\n                    <div class=\"card-header\" id=\"collapse200Heading5\">\n                        <h4 class=\"card-title m-0\">\n                            <a class=\"accordion-toggle text-5 font-weight-bold collapsed\" data-bs-toggle=\"collapse\" data-bs-target=\"#collapse5\" aria-expanded=\"false\" aria-controls=\"collapse5\">\n                            \n                            &#8221;Genetic\n                            <\/a>\n                        <\/h4>\n                    <\/div>\n                    <div id=\"collapse5\" class=\"collapse\" aria-labelledby=\"collapse200Heading5\" data-bs-parent=\"#accordionkinderwunsch\">\n                        <div class=\"card-body pt-0\"><div class=\"mb-0\">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.<\/p>\n<p>When should genetic testing be performed?<\/p>\n<ul>\n<li>For women who are unable to conceive despite good embryo quality.<\/li>\n<li>In cases of repeated miscarriages.<\/li>\n<li>In cases of unclear causes of infertility.<\/li>\n<\/ul>\n<p><\/div>\n                        <\/div>\n                    <\/div>\n                <\/div>\n                <div class=\"card card-default\">\n                    <div class=\"card-header\" id=\"collapse200Heading6\">\n                        <h4 class=\"card-title m-0\">\n                            <a class=\"accordion-toggle text-5 font-weight-bold collapsed\" data-bs-toggle=\"collapse\" data-bs-target=\"#collapse6\" aria-expanded=\"false\" aria-controls=\"collapse6\">\n                            \n                            &#8221;ERPeak\n                            <\/a>\n                        <\/h4>\n                    <\/div>\n                    <div id=\"collapse6\" class=\"collapse\" aria-labelledby=\"collapse200Heading6\" data-bs-parent=\"#accordionkinderwunsch\">\n                        <div class=\"card-body pt-0\"><div class=\"mb-0\">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.<\/p>\n<p>However, in some women, this window shifts slightly, and this is where the ERA test comes in:<\/p>\n<p>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\u2014the perfect time for your transfer.<\/p>\n<p>When should the ERA test be performed?<\/p>\n<ul>\n<li>In women who do not become pregnant despite good embryo quality<\/li>\n<li>In cases of repeated miscarriages<\/li>\n<li>In cases of unclear causes of infertility<\/li>\n<\/ul>\n<p><\/div><div class=\"pt-4 btn-kinderwunsch\"><a href=\"\" target=\"\" class=\"btn btn-outline btn-rounded btn-primary btn-inverse\"> Brochures&#8221; <\/a><\/div>\n                        <\/div>\n                    <\/div>\n                <\/div><\/div>[\/vc_column][\/vc_row][vc_row][vc_column]<div class=\"wpb-content-wrapper\"><p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1760610626908{margin-bottom: 0px !important;}&#8221;][vc_column css=&#8221;.vc_custom_1760610735195{margin-bottom: 0px !important;}&#8221;]\r\n                <section id=\"kwimagedivider\" class=\"section 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These factors often play a role: Irregular cycles Hormonal imbalances Unilateral or bilateral blockage of the fallopian tubes due to inflammation or adhesions Endometriosis \u2013 where the lining of [...]","protected":false},"author":1,"featured_media":0,"parent":1405,"menu_order":10,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1407","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<title>Causes in women - Kinderwunsch Bodensee<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.endlichnachwuchs.de\/en\/diagnostics\/causes-in-women\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Causes in women - Kinderwunsch Bodensee\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.endlichnachwuchs.de\/en\/diagnostics\/causes-in-women\/\" \/>\n<meta property=\"og:site_name\" content=\"Kinderwunsch Bodensee\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-12T21:52:40+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.endlichnachwuchs.de\\\/en\\\/diagnostics\\\/causes-in-women\\\/\",\"url\":\"https:\\\/\\\/www.endlichnachwuchs.de\\\/en\\\/diagnostics\\\/causes-in-women\\\/\",\"name\":\"Causes in women - 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