Fertility diagnosis is one of the most important processes in fertility treatment. It is the starting point on which the treatment strategy must be based and, therefore, will determine the final outcome.
At Equipo Juana Crespo, we offer the most comprehensive initial fertility diagnosis, which is used to develop the entire strategy for achieving pregnancy.
Fertility diagnosis
in highly complex
cases
In many cases, especially in highly complex patients, the patient comes in without clear evidence of the causes of her fertility problem, which is why it is generally classified as infertility of unknown origin.
Based on medical information
Confirmed with complementary diagnostic tests
Studied and agreed upon by the medical committee
Completely personalized
At the clinic, we have a diagnostic algorithm that all our specialists apply. It is a structured, systematic, in-depth, and fully personalized process that seeks to answer the following three questions in the most specific and scientifically rigorous way possible:
Why has this woman not achieved a successful pregnancy?
Is there a single determining factor or are there several low-impact factors combined?
What is the main problem? The absence of embryos, the achievement of pregnancy, or the viability of gestation of a healthy child
A good fertility diagnosis is not an indiscriminate battery of tests. It is a comprehensive evaluation of both female and male factors.
Main pillars on which the
diagnosis is built in the
Juana Crespo Team
Age, length of time trying to conceive, menstrual cycle information, obstetric-gynecological history, chronic and/or autoimmune diseases, previous surgeries, etc.
Basal hormone analysis with anti-Müllerian hormone, basal blood tests, antral follicle count by ultrasound, general blood tests, and study of previous oocyte history.
Complete semen analysis, complete urological evaluation (history of cryptorchidism, varicocele, exposure to toxins or aggressive drugs, erectile or ejaculatory dysfunction, hormonal studies), diagnostic testicular biopsy.
Anatomy of the uterus/endometrium, fallopian tubes, and cervix. Description of fibroids, polyps, hydrosalpinx, adenomyomas, etc. 3D evaluation of the uterine cavity, uterine mapping of fibroids.
Endometriosis, autoimmune diseases, celiac disease, insulin resistance, Th1-Th2 imbalance, antiphospholipid syndrome, coagulation disorders, etc.
Maternal-paternal karyotype alterations, dominant genetic diseases, matching combinations that can be addressed by PGT-M or PGT-S
Uteruses with previous interventions, poor response to previous stimulations, etc.
Once all the evaluation work has been completed, our patient will have:
Definition of the cause based on the study and interpretation of all findings.
01Realistic and personalized expectations of how many embryos can be obtained
02A realistic approximation or probability of pregnancy and newborn
03What difficulties are associated with this specific case
04An estimated time frame for achieving the goal.
05
The first fertility consultation with the Equipo Juana Crespo begins long before you arrive at our facilities. For you, it is your first experience with your medical team, but they have already spent the necessary time studying your case and your medical history.
Over 6 hours of preliminary study of your case
First visit
process
Even before you make an appointment, you will be attended to by a patient care team. We will focus all our efforts on listening to you to understand your case. The people who will attend to you are fertility experts and will be able to answer all your questions about how we work and our processes.
Before your in-person appointment, you will have an online or telephone appointment with a nurse who specializes in fertility history. In this interview, the nurse will go over your previous tests and reports with you, as well as very relevant aspects of your lifestyle, your partner's family history, etc.
Before you come in for your first visit, all of our specialists need to conduct a preliminary study of your case. This involves studying all of the tests provided and analyzing the medical history in advance. Discussing the case with other professionals helps to focus the examination of the patient on the day of her visit.
The first fertility consultation can be online or in person. During this consultation, your case will be examined in depth and the specialist will explain their expectations regarding your treatment, as well as the different stages involved. You can ask the specialists any questions you may have.
This is a 3D and 4D ultrasound scan that visualizes the entire female reproductive system: ovaries, fallopian tubes, cervix, and uterus. We have incorporated innovative software models for spatial reconstruction of the uterus, which are useful in the recognition and uterine mapping of uterine pathologies such as fibroids or malformations of the cavity. In addition, ovarian reserve is assessed by counting antral follicles and the anatomy and functionality of the endometrium is examined in depth.
In addition to the gynecological examination, specialists will perform an embryo transfer test to determine cervical access and thus record both your anatomical peculiarities and specific needs in your medical history: type of cannula, type of transfer, previous cesarean section, etc.
We will define and explain the causes that are preventing pregnancy in your specific case.
With all the information and diagnosis, your specialist will explain what goals and expectations we can achieve for your family project and will draw up an action plan to achieve it.
The most common additional tests we usually prescribe are
El diagnóstico de fertilidad para Equipo Juana Crespo va más allá de las pruebas diagnósticas recurrentes de otros centros. Se trata de entender qué está sucediendo en el sistema reproductor de la mujer para que no se de un proceso biológico que debería ser natural.
For the Equipo Juana Crespo, fertility diagnosis goes beyond the routine diagnostic tests performed at other centers. It involves understanding what is happening in the woman’s reproductive system so that a biological process that should be natural does not occur.
The main cause of infertility is reproductive aging, which affects both gametes (eggs and sperm) and other reproductive organs in both women and men. Other causes of infertility may be due to genetic factors, anatomical factors such as Müllerian malformations, autoimmune diseases, etc. The most important thing is to understand that in most cases there are several factors involved in the failure to achieve a successful pregnancy.
