Medical history, gynaecological exam, ultrasound, menstrual cycle chart, measuring BBT (basal body temperature) immediately after awakening, having sexual intercourse at the most effective time, possibly hormone testing.
Semen analysis (sperm count, volume, motility and morphology) at the urologist, ultrasound monitoring of the cycle (endometrium), hormone testing, having sexual intercourse at the most effective time.
With abnormal semen analyses, it is recommended that the man starts taking PROfortilTM at this point. In many cases, this helps avoid Stage 3, i.e. artificial insemination.
With an abnormal semen analysis at Stage 3 or if the woman has blocked fallopian tubes, it is very likely that in vitro fertilization (IVF) is recommended to the couple. PROfortilTM in addition to IVF treatment enormously increases the chances of success. This will also help to limit the necessary stages, i.e. intracytoplasmic sperm injection (ICSI) may be avoided.
However, ICSI is recommended with very poor sperm quality (less than five to ten million per millilitre), or poor sperm morphology (appearance, shape of sperm).