The hormonal balance in the body is dependend on many parameters. It could be a hormonal imbalance that is the cause for a woman not to become pregnant or not staying pregnant. A blood test will reveal malfunctions of the thyroid gland, the pituitary gland, the kidneys or the ovaries (eg increased level of ‘male’ hormones). As levels of hormones (such as oestradiol and progesterone) involved in the ovarian function have varying levels during the menstrual cycle they need to be evaluated recurrently.
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Several common hormonal dysfunctions occur frequently such as thyroid dysfunction, increased prolactin, or even diabetes mellitus and its successor. These problems should be properly regulated before starting fertility treatment. The fertility treatment might apply stricter regulations about this then your general practitioner or your physician might have. If regulation is not sufficient enough to solve the problem we might commence a hormonal stimulation directly aiming at the oocyte maturation, ovulation and also the support of the luteal phase.
Before starting fertility treatment we require serological examinations of both partners checking for HIV I and II, Hepatitis B and C. In couples having had several abortions and before commencing an ICSI therapy we recommend a chromosomal analysis performed from a blood sample. The blood samples can be directly taken at our clinic.