In case of childlessness, various hormone-producing organs can be important, in particular the hypothalamus (control centre of the autonomic nervous system in the brain), the pituitary gland, the ovaries, the thyroid gland and the adrenal glands. To detect hormonal disorders, blood tests and, if necessary, hormone tests are necessary. While some blood tests can be carried out by your gynecologist on site, with certain hormone disorders it makes sense that you come to our office several times, as these disorders can only be diagnosed in certain cycle phases. Although we ourselves are experts in hormone disorders and are often the first to diagnose them, in the case of special disorders (e.g., thyroid disorders, severe metabolic disorders), we may first refer you to specialist internists so that you can receive further interdisciplinary and comprehensive examination and treatment.
In the next step, the so-called control cycle helps us to get an initial picture of your cycle sequence. This needs a visit about three times during a cycle. These are:
- During cycle days 3 to 5, the blood levels of certain hormones are measured, and the condition of the ovaries is checked with an ultrasound examination.
- During days 10 to 12, egg maturation is tracked by hormone testing and ultrasound; It is also checked whether the structure of the uterine lining and the formation of the cervical mucus are proceeding properly. During this period, the sperm-mucus interaction might also be checked.
- About a week after ovulation, the course of the corpus luteum phase is finally controlled via hormone tests.
After these examinations have expired and been evaluated, we will advise you if further clarification is required or which treatment can be started in the following cycle.