{"id":29732,"date":"2017-12-16T22:06:23","date_gmt":"2017-12-16T21:06:23","guid":{"rendered":"https:\/\/www.badania-medyczne.pl\/?p=29732"},"modified":"2026-10-20T13:39:22","modified_gmt":"2026-10-20T11:39:22","slug":"infertility-accurate-diagnosis-which-tests-you-need","status":"publish","type":"post","link":"https:\/\/www.badania-medyczne.pl\/en\/infertility-accurate-diagnosis-which-tests-you-need\/","title":{"rendered":"Infertility \u2013 accurate diagnosis matters most! Find out which tests you need."},"content":{"rendered":"<h2><b>Infertility \u2013 accurate diagnosis matters most! Find out which tests you need.<\/b><\/h2>\n<p>For well over a decade, infertility has no longer been a taboo subject. More and more couples are struggling to conceive, and statistics indicate that this problem affects as many as &nbsp;15-25 per cent of people of reproductive age.<\/p>\n<p><a href=\"https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/kiedy-mozemy-zaczac-mowic-o-nieplodnosci-1.jpg\" rel='prettyPhoto'><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10963 alignright\" src=\"https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/kiedy-mozemy-zaczac-mowic-o-nieplodnosci-1-300x200.jpg\" alt=\"A man and a woman sit on a bed, looking sad after seeing a negative pregnancy test result. Source: 123rf.com\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/kiedy-mozemy-zaczac-mowic-o-nieplodnosci-1-300x200.jpg 300w, https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/kiedy-mozemy-zaczac-mowic-o-nieplodnosci-1-768x513.jpg 768w, https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/kiedy-mozemy-zaczac-mowic-o-nieplodnosci-1-1024x683.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>Infertility is not an irreversible condition and requires treatment, which produces positive outcomes in 90 per cent of cases. Accurate diagnosis and starting appropriate treatment are particularly important here.<\/p>\n<p><b>When can we talk about infertility?<\/b><\/p>\n<p>Infertility is only described as such when conception does not occur after at least a year of deliberately trying to conceive through regular unprotected intercourse (3-4 times a week).<\/p>\n<p>Couples often see a doctor after trying unsuccessfully for a baby for several months. In these situations, the specialist always advises patients to \u201cwait it out\u201d, lead a healthy lifestyle and have intercourse without tension or anxiety. When a woman is still unable to become pregnant after a year or two, this is referred to as infertility.<\/p>\n<p>Infertility can be either primary or secondary. Primary infertility &nbsp;refers to unsuccessful attempts to conceive a first child, while secondary infertility affects couples who already have children, as well as women who have had a miscarriage or a stillbirth.<\/p>\n<p>Infertility is often confused with sterility, where the inability to conceive is linked to factors such as the absence of reproductive organs (including the fallopian tubes, uterus or ovaries), damage to male reproductive organs (such as the testes or vas deferens), or genetic predisposition. Sterility is a permanent, incurable inability to conceive, whereas infertility can be treated, very often successfully.<\/p>\n<p><b>What causes infertility?<\/b><\/p>\n<p>According to statistics, fertility problems are due to &nbsp;female factors in 30% of cases and male factors in 30%, while in 10% of patients the source of the problem cannot be established.<\/p>\n<p>Difficulties with conception relate both to the individual characteristics of the woman and man and to the environment in which they live. The most common causes include:<\/p>\n<ul>\n<li>Hormonal imbalances (affecting both women and men),<\/li>\n<li>Structural abnormalities of the reproductive organs (affecting both women and men),<\/li>\n<li>Blocked fallopian tubes (caused, for example, by miscarriage, ectopic pregnancy, a genital infection, chlamydia infection or endometriosis),<\/li>\n<li>Damage to the fallopian tubes,<\/li>\n<li>Ovulation disorders,<\/li>\n<li>Polycystic ovary syndrome (PCOS),<\/li>\n<li>Cysts, cystic lesions and fibroids on the ovaries,<\/li>\n<li>Abnormalities of the uterus and cervix,<\/li>\n<li>Ovulation disorders,<\/li>\n<li>Too few sperm in the semen (fewer than 20 million per ml of semen),<\/li>\n<li>Changes in sperm structure,<\/li>\n<li>Reduced semen quality (caused by factors such as wearing excessively tight underwear, using saunas or overheating the testes),<\/li>\n<li>Damage to the testes or vas deferens in men (for example, as a result of infection or injury),<\/li>\n<li>Varicocele,<\/li>\n<li>Advanced female age (fertility declines as the body ages),<\/li>\n<li>Systemic diseases,<\/li>\n<li>Thyroid diseases,<\/li>\n<li>Being overweight or underweight,<\/li>\n<li>Intensive weight-loss dieting,<\/li>\n<li>Excessively intense exercise,<\/li>\n<li>Excessive alcohol consumption,<\/li>\n<li>Smoking (women who smoke have up to a 20 per cent lower chance of becoming pregnant!)<\/li>\n<li>An unhealthy diet,<\/li>\n<li>Stress and emotional tension (for example, family, marital or &nbsp;work-related problems)<\/li>\n<li>Inherited diseases,<\/li>\n<li>Living in a polluted environment,<\/li>\n<li>Taking certain medicines (such as antidepressants or steroids).<\/li>\n<\/ul>\n<p><b>Investigating infertility: how can difficulties with becoming pregnant be diagnosed?<\/b><\/p>\n<p><a href=\"https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/diagnostyka-nieplodnosci-1.jpg\" rel='prettyPhoto'><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10964 alignright\" src=\"https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/diagnostyka-nieplodnosci-1-300x200.jpg\" alt=\"A gynaecologist demonstrates the female reproductive system as part of a patient's infertility assessment. Source: 123rf.com\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/diagnostyka-nieplodnosci-1-300x200.jpg 300w, https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/diagnostyka-nieplodnosci-1-768x512.jpg 768w, https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/diagnostyka-nieplodnosci-1-1024x683.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>Investigating infertility is a complex process and should always involve both women and men. The first tests that people trying for a baby should have <b>are basic laboratory tests<\/b>:<a href=\"https:\/\/badamysie.pl\/?utm_source=badania-medyczne&amp;utm_medium=miasto&amp;utm_campaign=legacy\" rel=\"sponsored noopener\"> full blood count with automated differential<\/a>, urinalysis and erythrocyte sedimentation rate (ESR, known in Poland as OB).<\/p>\n<p>During a gynaecological consultation, it is very important to have a pelvic ultrasound scan. This is one of the first examinations that should be performed when investigating infertility.<\/p>\n<p>Men should provide a semen sample for analysis. This test assesses semen quality, as well as sperm count and motility.<\/p>\n<p><b>Hormone tests<\/b> are particularly important in diagnosing infertility, helping to identify conditions such as polycystic ovary syndrome and endocrine disorders. The following tests are performed:<\/p>\n<ul>\n<li>Prolactin (PRL) level test: prolactin is a hormone secreted by the pituitary gland which is responsible, among other things, for stimulating the growth of the fetus and mammary gland. Excessively high prolactin levels can prevent ovulation. The test should be performed around day 21 of the menstrual cycle,<\/li>\n<li><b>Total testosterone test<\/b>: testosterone is the main male hormone, produced in the testes and, in women, in small amounts by the adrenal cortex, ovaries and placenta. This test can be performed on any day of the cycle,<\/li>\n<li><b>Oestradiol test<\/b>: oestradiol is a hormone responsible for the development of the female reproductive organs and is also present in small amounts in men. Women should have this test during the follicular phase &nbsp;(around days 2-4 of the cycle) and the periovulatory phase (a few days before and a few days after ovulation, around days 12-14 of the cycle),<\/li>\n<li>Progesterone test: progesterone is a female sex hormone responsible for properly preparing the lining of the uterus to receive an embryo and for maintaining pregnancy. Women should have their progesterone level tested on day 7 after ovulation,<\/li>\n<li><b>FSH level test<\/b>: this measures the concentration of a hormone secreted by the pituitary gland, which is involved in the maturation of Graafian follicles and has an important influence on processes related to fertility. The test is performed around days 3-5 of the cycle,<\/li>\n<li><b>LH level test<\/b>: this assesses the level of a hormone produced by the pituitary gland and is often used to investigate female and male infertility. &nbsp;This hormone is responsible, for example, for the rupture of a follicle in the ovary. The test should be performed around days 6-7 and then days 13-14 of the menstrual cycle,<\/li>\n<li><b>Thyroid-stimulating hormone (TSH) test<\/b>: this measures a hormone that indicates how the thyroid gland is functioning. Women can have this test regardless of the day of their cycle,<\/li>\n<li>Free thyroxine (FT4) level test: excess thyroxine can lead to difficulties with becoming pregnant. Women can have this test regardless of the day of their cycle,<\/li>\n<li>Free triiodothyronine (FT3) level test: excess triiodothyronine can lead to pregnancy complications and hormonal imbalances. Women can have this test regardless of the day of their cycle,<\/li>\n<li><b>DHEA-S level test<\/b><b>: <\/b>DHEA-S is a hormone produced by the adrenal cortex. This test helps diagnose polycystic ovary syndrome and infertility.<\/li>\n<\/ul>\n<p>Bacteriological testing for chlamydia infection also plays an important role in investigating infertility: Chlamydia trachomatis IgM and Chlamydia trachomatis IgG testing. Chlamydia infection is caused by the bacterium Chlamydia trachomatis and can lead to inflammation of the ovaries, inflammation of the cervix, miscarriages and infertility.<\/p>\n<p><a href=\"https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/problem-z-zajsciem-w-ciaze-dotyczy-wielu-par-1.jpg\" rel='prettyPhoto'><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10965 alignright\" src=\"https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/problem-z-zajsciem-w-ciaze-dotyczy-wielu-par-1-300x200.jpg\" alt=\"A sad woman sits on a bed, holding a negative pregnancy test in her hand. Source: 123rf.com\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/problem-z-zajsciem-w-ciaze-dotyczy-wielu-par-1-300x200.jpg 300w, https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/problem-z-zajsciem-w-ciaze-dotyczy-wielu-par-1-768x512.jpg 768w, https:\/\/www.badania-medyczne.pl\/wp-content\/uploads\/2017\/12\/problem-z-zajsciem-w-ciaze-dotyczy-wielu-par-1-1024x683.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>At <b>BadamySie.pl<\/b>, you can buy ready-made test packages for people struggling with infertility. The tests in these packages have been selected separately for women and men. You can buy them online without leaving home.<\/p>\n<p>The <b>female \u201cinfertility\u201d package<\/b> includes the following tests: FSH, LH, TSH, prolactin, oestradiol, progesterone, total testosterone, DHEA-S, Chlamydia trachomatis IgG and IgM,<\/p>\n<p>The <b>male \u201cinfertility\u201d package<\/b> includes the following tests: FSH, TSH, LH, prolactin and total testosterone.<\/p>\n<p>Appropriate investigations and an accurate diagnosis of the problem allow the doctor to start the treatment best suited to the patients concerned. This means that infertility is not an irreversible condition and, in most cases, successful treatment allows people to enjoy having a child of their own.<\/p>\n<div class=\"bm-review\">\n<p><strong>Medical review:<\/strong> Dr Tomasz Niew\u0119g\u0142owski, MD, PhD, specialist in internal medicine and sports medicine (PWZ 4049405, prawo wykonywania zawodu \u2014 Polish medical licence number). <strong>Editorial Team:<\/strong> mgr Ewelina Cabaj (managing editor), Izabella Redzi\u0144ska, qualified nurse (verification of procedures and healthcare facility details), mgr Joanna Sosnal, clinical dietitian (review of nutrition content). This content is for informational purposes only and does not replace medical advice. AI tools were used for language editing; the content was checked by the editorial team. <a href=\"\/en\/editorial-team-and-editorial-standards\/\">Editorial policy and team profiles<\/a>.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Infertility \u2013 accurate diagnosis matters most! Find out which tests you need. For well over a decade, infertility has no longer been a taboo subject. More and more couples are struggling to conceive, and statistics indicate that this problem affects as many as &nbsp;15-25 per cent of people of reproductive age. Infertility is not an &hellip;<\/p>\n","protected":false},"author":6,"featured_media":29733,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3742],"tags":[],"class_list":["post-29732","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diseases"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Infertility tests | Badania-Medyczne.pl<\/title>\n<meta name=\"description\" content=\"Infertility is no longer a taboo subject. 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