Fertility Check

A specialized gynecologist or fertility doctor can provide a preliminary assessment of both female and male fertility through a consultation and a few simple examinations.

To reliably evaluate an individual’s fertility, key factors such as age, medical history, previous pregnancies, and lifestyle habits affecting fertility must be considered.

Male Fertility Assessment

The primary test for male fertility is a semen analysis, which examines sperm count, motility, and potential antibodies that may affect fertility.

Female Fertility Assessment

A woman’s fertility evaluation includes a review of medical history, a gynecological ultrasound, and AMH (Anti-Müllerian Hormone) testing. If there is reason to suspect fallopian tube damage due to conditions such as endometriosis, uterine infections, or past chlamydia infections, a fallopian tube patency test may be recommended.

Modern gynecological examinations often include transvaginal ultrasound. However, a fertility specialist can provide a more detailed assessment of ovarian function compared to a general gynecologist. By calculating the antral follicle count (AFC), an estimate of ovarian reserve can be obtained.

Ultrasound findings are complemented by AMH hormone measurement, which provides insight into the remaining egg supply.

The Impact of Age on Female Fertility

Female fertility declines significantly between the ages of 38 and 42. Age is the most critical factor affecting female fertility, but individual variations are particularly pronounced in this age range. While many 38-year-old women can still conceive naturally, most 42-year-olds struggle to conceive even with fertility treatments.

A woman’s egg cells originate while she is still a fetus in the womb, meaning their DNA ages at the same rate as the woman herself. As we age, all cells accumulate DNA damage, including egg cells. This means that fewer eggs are capable of resulting in a healthy pregnancy. While the average age of menopause in Western women is 51, the supply of viable eggs typically runs out several years, or even up to a decade, earlier.

In some cases, ovarian reserve may decline significantly before the ages of 36–38. If there is a family history of early menopause or underlying medical conditions, it is advisable to assess fertility as early as possible.

Expert Fertility Evaluation

All doctors at Dextra Fertility Clinic have extensive experience in assessing individual fertility situations.

If you are concerned about your fertility, scheduling a consultation can help clarify your situation. We will review your case together and conduct the necessary tests.

Once you have the facts, it is often easier to make informed decisions about your reproductive future.