Infertility Center
Home > Infertility Center > Infertility Center
When is the right time to have examination?
If the both partners are healthy and young, under the age of 35 can wait a year and be diagnosed with ingertility if thet are nor pregnant. women over the age of 35 have been trying to conceive for 6 months without success, a visit to an infertility center could be helpful. It is recommended the male partner takes a semen quality test as well.
What are the causes of infertility?
Infertility can be caused if there any interruptions and structural abnormalities on any stages of pregnancy, production of reproductive cells for either or both male and female (sperm and egg), fertilization of sperm and egg, development of fertilized egg, and implanting in to the uterus of fertilized egg.
| Fallopian tubal factors | Blockage, Adhesion, Hydrosalpinx |
| Fallopian tubal factors | |
| Blockage, Adhesion, Hydrosalpinx | |
| Ovulatory factors | Polycystic ovarian syndrome, Hypofunction of ovary, Removal of ovary from former surgery |
| Ovulatory factors | |
| Polycystic ovarian syndrome, Hypofunction of ovary, Removal of ovary from former surgery | |
| Peritoneal factors | Endometriosis, Adhesion by pelvic inflammatory |
| Peritoneal factors | |
| Endometriosis, Adhesion by pelvic inflammatory | |
| Anatomical factors | Hysteromyoma, Adenomyoma, Endometrial polyp, Adhesion |
| Anatomical factors | |
| Hysteromyoma, Adenomyoma, Endometrial polyp, Adhesion | |
| Congenital factors | Uterine anomaly, Septum, Undeveloped uterus |
| Congenital factors | |
| Uterine anomaly, Septum, Undeveloped uterus | |
| Immunologic factors | Immunologic factors |
| Immunologic factors | |
| Immunologic factors |
| Spermatogenetic problems | Hypospermatogenesis, azoospermia, Destroyed by orchitis |
| Spermatogenetic problems | |
| Hypospermatogenesis, azoospermia, Destroyed by orchitis | |
| Deferent duct problems | Blockage, Disorder from vasectomy reversal |
| Deferent duct problems | |
| Blockage, Disorder from vasectomy reversal | |
| Pathological disorders | Hydrocele, Varicocele |
| Pathological disorders | |
| Hydrocele, Varicocele | |
| Congenital disorders | Retained testis(Undescended testis), Non-creation of deferent duct |
| Congenital disorders | |
| Retained testis(Undescended testis), Non-creation of deferent duct | |
| Functional disorders | Erectile dysfunction, ejaculatory disturbance |
| Functional disorders | |
| Erectile dysfunction, ejaculatory disturbance |
| Basic examination | It is carried out to see if there is any health problems. It includes blood type test, anemia test, basic liver function test, test for sexually transmitted diseases (syphilis, AIDS, other infections), rubella immunity test, urine analysis |
| Basic examination | |
| It is carried out to see if there is any health problems. It includes blood type test, anemia test, basic liver function test, test for sexually transmitted diseases (syphilis, AIDS, other infections), rubella immunity test, urine analysis | |
| Hormone Examination | It includes test for hormones involving in ovulation and blood test in consider of polycystic ovary. It tests hormones such as follicle-stimulating hormone(FSH), luteinizing hormone(LH), estrogen(E2), thyroid stimulating hormone(TSH), prolactin(PRL), Anti-Müllerian Hormone (AMH), progesterone, testosterone(DHEAS). |
| Hormone Examination | |
| It includes test for hormones involving in ovulation and blood test in consider of polycystic ovary. It tests hormones such as follicle-stimulating hormone(FSH), luteinizing hormone(LH), estrogen(E2), thyroid stimulating hormone(TSH), prolactin(PRL), Anti-Müllerian Hormone (AMH), progesterone, testosterone(DHEAS). | |
| Hysterosalpingogram:HSG | Hysterosalpingography is a method to test if there is any intrauterine lesions and whether the Fallopian tubes are open or blocked. The test is done with radiographic contrast medium injection to determined whether there is any lumps in the uterine cavity, whether there is uterine malformation, whether the Fallopian tubes are open or blocked, and to investigate the shape of the uterine cavity. It can be done in the follicular phase of the cycle, from the end of the period to 7 days prior to ovulation, when the possibility of pregnancy can be excluded. |
| Hysterosalpingogram:HSG | |
| Hysterosalpingography is a method to test if there is any intrauterine lesions and whether the Fallopian tubes are open or blocked. The test is done with radiographic contrast medium injection to determined whether there is any lumps in the uterine cavity, whether there is uterine malformation, whether the Fallopian tubes are open or blocked, and to investigate the shape of the uterine cavity. It can be done in the follicular phase of the cycle, from the end of the period to 7 days prior to ovulation, when the possibility of pregnancy can be excluded. | |
| Ovulation Test | It is generally performed with ultrasonic testing device to directly determine whether the ovulating has occurred. However, for those who have irregular periods, it is tested by recording basal body temperature. |
| Ovulation Test | |
| It is generally performed with ultrasonic testing device to directly determine whether the ovulating has occurred. However, for those who have irregular periods, it is tested by recording basal body temperature. | |
| Progesterone Test & Endometrial Biopsy | Progesterone test using blood and endometrial biopsy to determine the luteal phase defect may be carried out in a week after ovulation. |
| Progesterone Test & Endometrial Biopsy | |
| Progesterone test using blood and endometrial biopsy to determine the luteal phase defect may be carried out in a week after ovulation. | |
| Diagnostic Laparoscopy | It is a test may be done when there is no abnormal findings from basic infertility examination and it is determined to perform upon consideration of patient's age, surgical history, and result of hysteromucography(HSG).
It is the most accurate test to diagnose infertility caused by disorders of the Fallopian tubes and peritoneum. The laparoscopy detects the pathological symptoms such as the peritubal adhesion and endometriosis from 20 ~25% of the patients resulted of having no abnormal findings from basic infertility examination. When it is determine that the further treatment is needed during the test, the treatment can be done simultaneously to help conception. |
| Diagnostic Laparoscopy | |
| It is a test may be done when there is no abnormal findings from basic infertility examination and it is determined to perform upon consideration of patient's age, surgical history, and result of hysteromucography(HSG).
It is the most accurate test to diagnose infertility caused by disorders of the Fallopian tubes and peritoneum. The laparoscopy detects the pathological symptoms such as the peritubal adhesion and endometriosis from 20 ~25% of the patients resulted of having no abnormal findings from basic infertility examination. When it is determine that the further treatment is needed during the test, the treatment can be done simultaneously to help conception. |
|
| Diagnostic Hysteroscopy | Similar to the laparoscopy, it can detects inflammation in the to increase possibility of fertility. |
| Diagnostic Hysteroscopy | |
| Similar to the laparoscopy, it can detects inflammation in the to increase possibility of fertility. |
| Basic examination | It is carried out to see if there is any health problems as well as the females. It includes blood test, urine analysis, and hormone test. |
| Basic examination | |
| It is carried out to see if there is any health problems as well as the females. It includes blood test, urine analysis, and hormone test. | |
| Examination of Semen | Since more than 30% of infertility cases are due to male infertility, it can be a basic examination for the males. It is a significant test to diagnose male infertility by examining the amount of seminal fluid, and semen morphology, count, and motility. It is the basic examination, which the accurate and predictive result decides if the assisted reproductive technology such as intrauterine insemination, in vitro fertilization and intra-cytoplasmic sperm injection will be used. |
| Examination of Semen | |
| Since more than 30% of infertility cases are due to male infertility, it can be a basic examination for the males. It is a significant test to diagnose male infertility by examining the amount of seminal fluid, and semen morphology, count, and motility. It is the basic examination, which the accurate and predictive result decides if the assisted reproductive technology such as intrauterine insemination, in vitro fertilization and intra-cytoplasmic sperm injection will be used. |
| Intrauterine Insemination | Intrauterine Insemination, is also known as artificial insemination, is a fertility procedure in which sperm are injected directed in woman's vagina, cervical canal, Fallopian tubes, or uterus. It is the most common fertility procedure. |
| Intrauterine Insemination | |
| Intrauterine Insemination, is also known as artificial insemination, is a fertility procedure in which sperm are injected directed in woman's vagina, cervical canal, Fallopian tubes, or uterus. It is the most common fertility procedure. | |
| In-Vitro Fertilization | In-Vitro Fertilization and Embryo Transfer were firstly introduced for the female patients who became infertile because of physical cause such as Fallopian tube disorder and their objects are recently expanded to the infertility by unknown cause, immunologic factor, endometriosis, cevical factor, ovarian dysfunction, and male infertility. In-Vitro Fertilization is a process of recruiting multiple eggs matured by controlled ovarian from the woman's ovaries and combining with sperm outside the body, in vitro. The cultured fertilized eggs are then transferred to the woman's uterus using long thin catheter. |
| In-Vitro Fertilization | |
| In-Vitro Fertilization and Embryo Transfer were firstly introduced for the female patients who became infertile because of physical cause such as Fallopian tube disorder and their objects are recently expanded to the infertility by unknown cause, immunologic factor, endometriosis, cevical factor, ovarian dysfunction, and male infertility. In-Vitro Fertilization is a process of recruiting multiple eggs matured by controlled ovarian from the woman's ovaries and combining with sperm outside the body, in vitro. The cultured fertilized eggs are then transferred to the woman's uterus using long thin catheter. | |
| Intra-cytoplasmic Sperm Injection | Intra-cytoplasmic Sperm Injection is an fertilization procedure in which a single sperm is injected directly in the cytoplasm of an egg using the micropipette, of which internal diameter is smaller than about 5㎛. It can be used in male infertilization with oligozoospermia, asthemozoospermia, teratozoospermia, and oligoasthenoteratozoospermia to overcome the unfertilization or low fertilization rate. It can be applied to increase fertilization rate in the patients who either could not succeed by IVF before or have low fertilization rate. |
| Intra-cytoplasmic Sperm Injection | |
| Intra-cytoplasmic Sperm Injection is an fertilization procedure in which a single sperm is injected directly in the cytoplasm of an egg using the micropipette, of which internal diameter is smaller than about 5㎛. It can be used in male infertilization with oligozoospermia, asthemozoospermia, teratozoospermia, and oligoasthenoteratozoospermia to overcome the unfertilization or low fertilization rate. It can be applied to increase fertilization rate in the patients who either could not succeed by IVF before or have low fertilization rate. | |
| Assisted Hatching | Assisted Hatching is a procedure of assisted reproductive technology of making a hole in the zona pellucida of the embryo or thinning the zona pellucida. Embryo in the blastocyst stage is needed to be hatched, the procedure of being pushed out of the zona pellucida. However, embryos of aged patients or having abnormally thick zona pellucida have difficulties to be implant in the uterus because of poor hatching process. It is applied to overcome such problems. |
| Assisted Hatching | |
| Assisted Hatching is a procedure of assisted reproductive technology of making a hole in the zona pellucida of the embryo or thinning the zona pellucida. Embryo in the blastocyst stage is needed to be hatched, the procedure of being pushed out of the zona pellucida. However, embryos of aged patients or having abnormally thick zona pellucida have difficulties to be implant in the uterus because of poor hatching process. It is applied to overcome such problems. | |
| Embryo Glue | When the embryo is cultured in the embryo glue, implantation promoting medium containing highly concentrated hyaluronic acid for certain period of time, the implantation rate can increase by activating the signal system between the embryo and endometrium. |
| Embryo Glue | |
| When the embryo is cultured in the embryo glue, implantation promoting medium containing highly concentrated hyaluronic acid for certain period of time, the implantation rate can increase by activating the signal system between the embryo and endometrium. | |
| Semen Cryopreservation | The male partner who is either apart from the female partner for long period or needed radiation therapy may preserve sperm cells and use them for the in-vitro fertilization procedure after thawing. For the patient with aspermia, semen can be obtained from the testicular tissues and used for fertilization procedure by using cryopreservation. Also we runs the semen bank preserving donated semen for the patient with aspermia. |
| Semen Cryopreservation | |
| The male partner who is either apart from the female partner for long period or needed radiation therapy may preserve sperm cells and use them for the in-vitro fertilization procedure after thawing. For the patient with aspermia, semen can be obtained from the testicular tissues and used for fertilization procedure by using cryopreservation. Also we runs the semen bank preserving donated semen for the patient with aspermia. | |
| Embryo Cryopreservation | Because multiple eggs are recruited from ovarian hyperstimulation, necessity of cryopreservation of leftover embryos after a cycle of intrauterine insemination is increasing. Embryos will be frozen by vitrification method and preserved in liquid nitrogen with temperature of -196℃. Normally developed healthy embryos can be transferred directly to recipients after thawing. |
| Embryo Cryopreservation | |
| Because multiple eggs are recruited from ovarian hyperstimulation, necessity of cryopreservation of leftover embryos after a cycle of intrauterine insemination is increasing. Embryos will be frozen by vitrification method and preserved in liquid nitrogen with temperature of -196℃. Normally developed healthy embryos can be transferred directly to recipients after thawing. | |
| By cryopreservation | 1. Rate of plural pregnancy can decrease 2. Patients can have economical advantage by having chance to transfer embryos for multiple times with one controlled ovarian and cumulative pregnancy rate can increase 3. Embryo transfer can be postponed for the patients with ovarian hyperstimuation syndrome(OHSS) to prevent severe and critical side effects and to expect safe pregnancy later. |
| By cryopreservation | |
| 1. Rate of plural pregnancy can decrease 2. Patients can have economical advantage by having chance to transfer embryos for multiple times with one controlled ovarian and cumulative pregnancy rate can increase 3. Embryo transfer can be postponed for the patients with ovarian hyperstimuation syndrome(OHSS) to prevent severe and critical side effects and to expect safe pregnancy later. |
Cheongna Women's Hospital
Address : 602,Jungbong-daero,Seo-gu,Incheon,22736, Republic of korea| Tel : +82-32-716-6000
Representative : Moon-Sung Son|Business Number : 137-91-99332| E-mail : kenzo1312@naver.com
Address : 602,Jungbong-daero,Seo-gu,Incheon,22736, Republic of korea| Tel : +82-32-716-6000
Representative : Moon-Sung Son|Business Number : 137-91-99332| E-mail : kenzo1312@naver.com
Copyright © 2020 CHEONGNA WOMEN'S hospital. All Rights Reserved.
Cheongna Women's Hospital
Address : 602,Jungbong-daero,Seo-gu,Incheon,22736,
Republic of korea| Tel : +82-32-716-6000
Representative : Moon-Sung Son| Business Number : 137-91-99332
E-mail : kenzo1312@naver.com
Address : 602,Jungbong-daero,Seo-gu,Incheon,22736,
Republic of korea| Tel : +82-32-716-6000
Representative : Moon-Sung Son| Business Number : 137-91-99332
E-mail : kenzo1312@naver.com
© CHEONGNA WOMEN'S hospital.
