If for a longer time (over 12 months) a couple tries for a child unsuccessfully, consulting a specialist in the area of infertility treatment may prove useful. Usually, before the meeting they should undergo a set of tests which will allow for a proper diagnosis. This concerns both partners, as the causes of problems with fertility lie often both with the woman and the man. Women should first check their AMH level. Usually, at the same time the levels of FSH, LH and estradiol, DHEAS, Inhibin B and PRL, anti-TPO and testosterone with SHBG are checked. Men should undergo basic semen analysis carried out with the use of computer techniques.
At the first visit, the doctor will analyze the results and gather data from the medical interview (among others, he or she will ask questions about general health condition, lifestyle, diseases in the family, miscarriages, menstrual cycle). The doctor will also perform standard gynecological examination and transvaginal ultrasound examination. On this basis, the doctor will be able to recommend potential additional tests (like thyroid hormone test, various tests of steroid hormones, ultrasound hysterosalpingography (HSG), laparoscopy or hysteroscopy) and, together with the patients, plan the most appropriate medical treatment.