Initial Consultation and Medical History
Your journey begins with an in-depth discussion with our fertility specialists to review your medical history and lifestyle factors.
Female Fertility Testing in Timișoara
A Proactive Step to Motherhood
Female fertility testing at Gynatal Clinic (Timișoara, Romania) provides a 360-degree evaluation of reproductive health. Key diagnostics include AMH blood tests for ovarian reserve, high-resolution transvaginal ultrasound (AFC), and tubal patency checks (HyCoSy). Our protocols follow international guidelines to identify ovarian, tubal, or uterine factors effectively.
When Should You Consider Fertility Testing?
At Gynatal, we believe in empowering women through information. Whether you are actively trying to conceive or planning for the future (such as Social Freezing), understanding your body is essential. Medical guidelines recommend a fertility evaluation if:
-
Under 35: You haven’t conceived after 12 months of regular unprotected intercourse.
-
Over 35: You haven’t conceived after 6 months.
-
Proactive Planning: You wish to assess your options for egg freezing or delayed motherhood.
Our Diagnostic Pillars: The Gynatal Process
We minimize anxiety by providing a clear, step-by-step diagnostic roadmap during your initial consultation.
Ovarian Reserve Assessment (AMH & AFC)
This is the most critical indicator of your remaining egg supply.
- AMH Test: A blood test that can be performed at any point in your cycle, providing the most reliable marker of egg quantity.
- Antral Follicle Count (AFC): An ultrasound performed between days 2 and 5 of your cycle to count active follicles.
Hormonal Profiling
We analyze key hormones (FSH, LH, Estradiol, Prolactin) to ensure your reproductive "command center" is synchronized correctly. We also screen for thyroid function and infectious diseases (BTS) to exclude underlying pathologies.
Uterine and Tubal Health
To ensure the path is clear for natural or assisted conception, we evaluate:
- Transvaginal Ultrasound: To check for fibroids, polyps, or signs of endometriosis.
- HyCoSy / HSG: Advanced imaging to verify that the fallopian tubes are open (patency).
- Endometriosis Assessment: dedicated ultrasound evaluation to identify endometriosis and adenomyosis, conditions that may affect fertily and IVF outcomes.
- Hysteroscopy: If anomalies are detected, we perform this internal evaluation under anesthesia for maximum comfort.
Advanced Fertility Diagnostics at Gynatal
As a "Scientific Gold Standard" clinic, we offer advanced diagnostic investigations tailored to each patient’s history, fertility profile and treatment plan
Endometrial Assessment:
Office Hysteroscopy with Endometrial Biopsy and IHC: before IVF treatment, we routinely evaluate the uterine cavity and obtain an endometrial biopsy for histopahological examination sand standard immunohistochemical assessment. This helps identify chronic endometritis and other endometrial abdormalities that may affect implantation.
- Endometrial Microbiome Testing (EMMA): Assessing the uterine environment to optimize embryo implantation.
- ERA Test: Endometrial Receptivity Analysis to determine the exact "window of implantation".
- ALICE test: detection of bacteria associated with chronic endometritis
- ImMap: immunological assessment of the endometrium in selected cases
Advanced Embryology Technologies:
- PGT
- Embryo-glue and Assisted-Hatching: may be recommended in selected embryos to facilitate implantation
- ZyMot Sperm Selection: advanced sperm preparation designed to select highly motile sperm
- Time – lapse Embryo Monitoring: continuous embryo monitoring without disturbing culture conditions, providing valuable developmental insights.
- AI – Assisted Embryo Selection: artificial intelligence supports embryologists in selecting embryos with the highest implantational potential.
Genetic and Immunological Testing:
- Karyotype Analysis: evaluation for chromosomal abnormalities when clinically indicated
- FSH/LH receptorpolymorphisms: genetic assessment that may support individualized ovarian stimulation
- Inherited and acquired Thrombophilia panel: based on medical history
- KIR/HLA-C compatibility: in selected cases with recurrent implantation failure or pregnancy loss
- Autoimmune Profile (ANA/ENA): when autoimmune disease is suspected
- Th1/Th2 and T-reg Testing: specialised immune evaluation in selected clinical situations
Personalized IVF Treatment Planning
Clinical, laboratory and genetics findings are integrated to develop an individualized treatment strategy, maximizing the chaces of a successful pregnancy.
Frequently Asked Questions (FAQ)
Is fertility testing painful?
Most tests, like blood work and ultrasounds, are painless. For invasive procedures like hysteroscopy, we use anesthesia to ensure a comfortable experience.
Do I need to take all these tests?
No. Our doctors will recommend only the specific tests relevant to your individual profile and goals.
Can I test for information only?
Yes. Testing is often done for prevention or to help decide on Social Freezing (egg preservation).