According to the World Health Organization, fertility is defined as disease of the reproductive system manifested as lack of pregnancy after twelve or more months of regular intercourse. An estimated 50% of the 7% to 26% who are affected by this problem seek out medical advice, and approximately 22% of them receive therapy.
Seeking out the cause of infertility is a rather complex process that requires close cooperation between physicians of various medical backgrounds and marital partners. Examination should certainly begin with a detailed medical history review of both partners. Clinical examination of women is obtained by gynecologists while those of men are performed by urologists. Subsequent laboratory diagnostics are performed, and those include analyses of hormonal activity as well as detection of autoimmune diseases, urinary tract infections, coagulograms, spermograms in men and ovulation detection as well as ovary function investigation (via the anti-Mullerian Hormone) in women, etc. Subsequent ultrasound examinations of the uterus, ovaries, testes and thyroid glands are performed. A detailed list of planned examinations (based on the table below) for both partners should be established.