The question “what is responsible?” can often transform into “who is responsible?”. But infertility or low fertility is absolutely not a question of blame. It is perfectly natural that fertilisation may not happen quickly: there are few opportunities for successful fertilisation, but many reasons why it may fail. The reasons for this vary greatly, but are mostly physical and involve men and women almost equally.
“Not becoming pregnant is very normal. Even in completely healthy couples, fertilisation is only possible at most five days in each month.“
(Dr. med. (IL) Robert Fischer)
In general, fertility issues have a variety of causes on both sides. The routine tests can often be carried out before you come to a fertility clinic - for example sperm analysis and, if necessary, hormone analysis for men. For women, these tests include observing the menstrual cycle using ultrasound and hormone analysis. A fallopian tube patency test is carried out if the routine tests have not found a cause - particularly if changes in the abdominal cavity are suspected due to the patient’s history (e.g. after surgeries or known abdominal cavity infections). The cost of routine tests is generally covered by health insurance companies. If exceptions apply, we will discuss this with you in advance.
Fortunately, modern reproductive medicine has answers for many problems. We recommend that you learn about possible causes and the various treatment possibilities at an early stage. At FCH, we are available to advise and support you before, during and after your fertility treatment!
Over the following pages, we give more details on some conditions that can have an impact on fertility.