In preparation for treatment, you will need:
- physical examination;
- laboratory and instrumental diagnostics;
- consultations of related specialists.
These are primarily cervical and tubal-peritoneal factors.
To perform fertilization, the sperm must enter the cervix by passing through the cervical canal. Failure to produce cervical mucus (cervical mucus) can interfere with sperm movement and be one of the causes of infertility. There can be many factors that can lead to this kind of dysfunction - hormonal disorders, inflammatory processes and disorders of the microflora.
The movement of a mature egg into the uterine cavity is carried out through the fallopian tubes. Violation of the functionality of the pipe: adhesions, narrowing, torsion, organic lesions, etc. lead to blocking of movement of an ovum, and, as a result, - to impossibility of conception. There are many reasons for such changes, among them: inflammatory diseases of the pelvic organs, surgical interventions in the abdominal cavity, sexually transmitted infections, abortions, endometriosis, etc.
The doctor must rule out immunological and endocrine factors.
In the immunological field, there are two possible abnormalities: a woman's body produces anti-sperm (on the partner's gametes) or anti-ovarian antibodies to their own oocytes.
Hormonal disorders in the body are the cause of disorders of various kinds, pathologies of follicle growth and ovulation, follicle luteinization syndrome and other problems. The consequences of abnormalities in this area may be the excessive presence of male hormones in women (hyperandrogenism), the onset of premature menopause, primary amenorrhea, endometriosis.
Multifaceted problems of various origins in the psyche lead to disruptions in the functioning of the body on the physical level.
Unsuccessful attempts of IVF, intrauterine insemination, stimulation of folliculogenesis - require mandatory psychological rehabilitation. A perinatal psychologist is needed if infertility is observed against the background of physical reproductive health of both partners.