Clarification of causes

Ursachen Klärung

Treatment concept

The treatment of childlessness requires its individual causes to be clarified as comprehensively as possible. In the context of evidence-based medicine, we determine the meaningful and verifiably effective therapy indications, depending on the specific diagnosis.

An artificial form of fertilisation outside the body is only indicated if the available results mean that a natural conception is not or is no longer possible.

Particular consideration is also given to the biological age of the female patient. Declining female fertility, starting from the age of 37, is a sensible reason for shortening the first phase of treatment, which aims at a natural conception. The artificial forms of fertilisation can compensate for the problem of declining fertility to a certain extent.

The fertility treatment starts with the examination of the possible causes of sterility. The use of appropriate methods of treatment is derived from the result.

Female causes of sterility

  • Luteal insufficiency
  • Anovulation (lack of ovulation)
  • Amenorrhoea (no menstrual cycle, no periods)
  • Oligomenorrhoea (very long menstrual cycles)
  • PCO (polycystic ovary)
  • Endometriosis
  • Psychogenic causes
  • Tubal sterility
  • Genetic causes
  • Biological age
  • Climacterium präcox (premature menopause)
  • Immunological sterility
  • Malformation of the uterus
  • Myomas

Male causes of sterility

  • Reduced sperm count
  • Infections of the seminal duct
  • Varicose veins in the testicles
  • Condition after mumps
  • Damage to testicles
  • Testicular carcinoma
  • Condition after cryptorchidism
  • Retractile testicle
  • Retrograde ejaculation
  • Condition after chemotherapy
  • Condition after radiotherapy
  • Erectile dysfunction
  • Psychogenic causes
  • Genetic causes