Laboratory examinations

The examination of female sex hormones is carried out from the blood, always taking into account the phase of the menstrual cycle. The hormone profile determines the concentration of hormones: follicle-stimulating (FSH), luteinizing (LH), estrogens, progesterone, prolactin, testosterone, AMH (Anti-Müllerian hormone).

The concentration of AMH is proportional to the egg reserve, it determines the size of the ovarian reserve. It is the stock of non-growing tiny follicles in the ovaries. With increasing age, these values gradually decrease, at the same time, the quality of eggs deteriorates. The consequence is declining fertilization success. The examination of FSH, LH, AMH concentrations and vaginal examination by ultrasound are used to assess ovarian reserve. The combination of these examinations allows the selection of the optimal treatment.

The screening examination of thyroid hormones is the determination of the concentration of thyrocyte-stimulating hormone (TSH). It can reliably detect the most common thyroid disorders, which often negatively affect reproductive health.

In the framework of laboratory examinations, it is necessary to exclude the presence of pathogens of infectious diseases that are transmitted through sexual contact. Collectively, these are called STDs – sexually transmitted diseases. These include syphilis, gonorrhoea, chlamydia, ureaplasma, mycoplasma, HIV (human immunodeficiency virus) and testing for hepatitis B and hepatitis C. Depending on the causative agent and clinical symptoms, laboratory diagnosis relies on either culture microbiological examination of vaginal swabs, urethral (penile) swabs, urine, etc., or serological examination – evidence of antibodies in the patient’s blood.