It is generally recommended that women under the age of 35 have a fertility assessment if no pregnancy has occurred after one year. For women over the age of 35 or with certain concomitant illnesses, an assessment may be recommended after just six months.

At the beginning, a detailed medical history is taken, which can help us to identify possible causes of infertility. For example, existing illnesses or operations and the lifestyle of the person or couple concerned are taken into account.

A physical examination is then carried out on both partners, with the gynecologist examining the woman's cycle, possible inflammation, changes in the cervix or cysts. The man's sperm quality is tested to determine whether it is sufficient for fertilization.

If these examinations do not reveal any abnormalities, further examinations may follow, such as hormone tests, hysterosalpingography or a hysteroscopy. This can detect possible hormonal imbalances or functional impairments of the reproductive organs.

Fertility assessment is an important step for couples who wish to have a child and can help to find possible medical causes for infertility. We also work closely with fertility centers that can carry out further investigations and provide you with expert advice. Through this cooperation, multiple investigations can be avoided and continuity of treatment can be guaranteed.

We will be happy to answer any questions you may have on the subject of fertility and fertility clarification and provide you with individual advice.

Causes of unfulfilled desire to have children

An unfulfilled desire to have children can have various causes and can occur in both women and men. In women, hormonal disorders such as failure to ovulate, endometriosis, malformations or blocked fallopian tubes due to infections can lead to difficulties conceiving. Factors such as age, obesity, smoking or excessive alcohol consumption can also affect fertility.

In men, problems such as impaired sperm quality, low sperm count, genetic factors or lifestyle factors such as smoking, excessive alcohol consumption or stress can lead to an unfulfilled desire to have children. It is important that both men and women have a thorough medical examination to identify possible causes of infertility.

In many cases, targeted treatment or therapy can help to improve fertility and fulfill the desire to have children.