Infertility Evaluation

Op. Dr. İrina Ergül — Private Practice Consultation

1st consultation

20

years of experience

3 000

deliveries performed

90%

satisfied patients

Infertility Evaluation: Stages of Diagnosis

Evaluation by a reproductive specialist is a comprehensive diagnostic assessment aimed at evaluating the condition of the reproductive system in both women and men, identifying the causes of impaired fertility, and preparing for successful conception.

Modern reproductive medicine views the body as an integrated system, so the diagnostic process includes clinical, laboratory, and instrumental methods. This comprehensive approach makes it possible to determine the exact causes of infertility and develop an effective treatment strategy.

When to See a Reproductive Specialist

Consultation with a specialist is recommended if there are factors that may interfere with pregnancy.

  • No pregnancy after 6–12 months of regular unprotected intercourse
  • Recurrent pregnancy loss
  • Menstrual cycle disorders
  • Hormonal imbalances
  • Pregnancy planning
  • Age over 35 while trying to conceive

The main purpose of seeking medical advice is to identify the causes preventing pregnancy and eliminate them in a timely manner.

Initial Consultation

The first consultation plays a key role in the diagnostic process and helps form an overall understanding of the patient’s health status.

  • Medical history review, including information about illnesses, lifestyle, and previous surgeries
  • Assessment of reproductive status
  • Gynecological examination
  • Prescription of the necessary tests and examinations

Based on the information obtained, the doctor creates an individualized diagnostic plan and explains the further strategy for evaluation and treatment.

Evaluation for Women

Assessment of female reproductive health includes a wide range of investigations.

  • Pelvic ultrasound examination
  • Hormonal tests (TSH, prolactin, estradiol, progesterone, and others)
  • General blood and urine tests
  • Testing for sexually transmitted infections
  • Ovulation assessment, including folliculometry
  • Assessment of fallopian tube patency
  • If necessary, hysteroscopy or laparoscopy

A comprehensive approach helps identify conditions such as endometriosis, uterine fibroids, hormonal disorders, and other factors affecting fertility.

Evaluation for Men

The male factor plays an important role in conception, so evaluation is carried out for both partners.

  • Semen analysis
  • MAR test
  • Infection screening
  • Hormonal tests
  • If necessary, ultrasound examination of the scrotal organs and prostate gland

Semen analysis is the main method for assessing male fertility and makes it possible to evaluate the quality and quantity of sperm.

Additional Diagnostic Methods

In complex clinical situations, additional tests may be prescribed to уточнить the diagnosis.

  • Genetic testing, including karyotyping
  • Immunological tests
  • MRI and other instrumental methods
  • Diagnostic laparoscopy

These methods are used in cases of unexplained infertility or when deeper diagnostic evaluation is required.

Preparation for the Evaluation

To obtain the most accurate results, it is important to prepare properly for the diagnostic process.

  • Complete basic tests in advance as recommended by the doctor
  • Avoid alcohol consumption
  • Reduce stress levels
  • Maintain a proper sleep and nutrition schedule
  • Bring the results of previous examinations

Proper preparation helps speed up the diagnostic process and allows treatment to begin sooner.

Why a Comprehensive Evaluation Is Important

Evaluation by a reproductive specialist is an important step in addressing infertility. It helps not only identify the causes of reproductive problems but also determine the optimal treatment strategy.

  • Identification of hidden factors affecting conception
  • Assessment of the couple’s reproductive potential
  • Increased likelihood of natural pregnancy
  • Preparation for assisted reproductive technologies, including IVF

Modern diagnostic methods provide high accuracy, safety, and informative value, making this evaluation a reliable foundation for successful treatment.

Consultation Fee

Initial consultation

6 000 TL
We review your symptoms and goals, take a detailed medical history, assess any available test results, and develop a personalized diagnostic and treatment plan. If needed, we also recommend additional tests and ultrasound examinations.
Initial consultation

6 000 TL
We review laboratory and ultrasound results, assess progress over time, answer your questions, and adjust the treatment plan as needed. This visit is essential for monitoring therapy and ongoing follow-up.
Initial consultation

6 000 TL
The cost depends on the specific tests required. We’ll help you select only the necessary investigations based on your needs and provide clear instructions on how to prepare.

İrina Ergül

I provide care for gynecological conditions, preconception planning and pregnancy management, as well as evaluation of infertility and support throughout IVF treatment.

I explain each step clearly and guide patients through the process — from diagnostic testing to results.

01

30+ years of clinical experience

02

Member of ISUOG

03

Private practice

04

Consultations available in EN / RU / TR

My academic qualifications

I continuously advance my professional qualifications

• Participation in international congresses in Turkey and abroad
• Involvement in scientific research projects
• Advanced specialized training courses

I work with patients from different countries

I welcome patients from all countries

Fluent in Russian, Turkish, and English

Frequently asked
questions and answers

What tests do men undergo as part of infertility diagnosis?
The main method is semen analysis; additionally, hormonal tests, ultrasound of the scrotal organs, and genetic testing may be prescribed
What hormonal tests are performed and why are they needed?
Levels of FSH, LH, estradiol, progesterone, prolactin, AMH, and other hormones are measured to assess ovarian reserve, ovulation, and endocrine status.
What infection tests are performed during the evaluation?
Testing includes diagnosis of sexually transmitted infections, as well as assessment of the genital tract microbiome, since inflammatory processes can affect fertility.
Is it possible to determine the cause of infertility after the first visit?
In some cases, yes, but more often a comprehensive evaluation is required for accurate diagnosis.
What are the main stages of a comprehensive couple evaluation?
The evaluation includes a clinical stage (examination and medical history), laboratory diagnostics (hormones, infections, general tests), and instrumental methods (ultrasound, assessment of tubal patency, semen analysis).
How is ovarian reserve assessed and what is its significance?
Ovarian reserve is determined by AMH levels and ultrasound data (antral follicle count) and reflects the functional potential of the ovaries.
When should a woman undergo genetic testing?
Genetic diagnostics are indicated in cases of recurrent pregnancy loss, significant sperm abnormalities, or suspected chromosomal disorders.
Do tests need to be repeated if they have already been done before?
It depends on how recent and reliable the previous tests are; if needed, the doctor may recommend repeating them to obtain up-to-date results.
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