Tashkent · Bishkek · Andijan Mon–Sat 08:00–17:00, by appointment
Conditions

What brings people to us

Start with what you know about yourself, not with a procedure name. These sections are not for self-diagnosis; they help you identify what to discuss with a physician. The protocol is set by the doctor after the first examination and tests.

Low ovarian reserve

The ovaries hold fewer eggs than expected for age. It is usually noticed through a low AMH level or few follicles on ultrasound. A low reserve does not mean pregnancy is impossible; the suitable path depends on age, history and tests taken together.

A first assessment usually includes

  • AMH and hormone tests in the first days of the cycle
  • Antral follicle count by ultrasound
  • Review of age, previous treatments and family history

Azoospermia

No sperm cells are found in the semen sample. It can be due to a blockage or to a production problem; the assessment and options differ for each. No decision is made on a single semen analysis.

A first assessment usually includes

  • At least two separate semen analyses
  • Hormone tests and a urology examination
  • Genetic testing if the physician considers it necessary

Blocked fallopian tubes

The tubes where egg and sperm meet are closed on one or both sides. It can follow an infection, abdominal surgery or an ectopic pregnancy. One open tube and two blocked tubes are assessed differently.

A first assessment usually includes

  • HSG (tubal X-ray) and previous reports, if available
  • Ultrasound and surgical history
  • The partner’s semen analysis is reviewed alongside

PCOS

Polycystic ovary syndrome: irregular periods, infrequent or absent ovulation. A common and usually manageable condition; the first step is often to regulate ovulation, with more advanced methods only if the physician finds them necessary.

A first assessment usually includes

  • Cycle and ovulation history
  • Ultrasound and hormone tests
  • Metabolic assessment if the physician considers it necessary

Endometriosis

Tissue similar to the uterine lining grows outside the uterus. It may cause painful periods, pain during intercourse and a long-standing failure to conceive. Severity and location vary greatly; the approach is set accordingly.

A first assessment usually includes

  • Pain and menstrual history
  • Ultrasound; previous surgical reports if any
  • Ovarian reserve is assessed alongside

Male factor

Problems with sperm count, motility or shape found on semen analysis; causes such as varicocele. In a large share of couples the male factor plays a role alone or together with a female factor, so assessment always covers both partners.

A first assessment usually includes

  • Repeat semen analysis (values vary from sample to sample)
  • History, examination and hormone tests where needed
  • Advanced sperm tests if the physician considers them necessary

Failed IVF attempts

Previous cycles did not result in pregnancy. A new attempt is not simply repeated; the records of earlier cycles are reviewed first and changes are planned around the likely cause. No outcome is guaranteed, but every cycle carries information.

A first assessment usually includes

  • Records of previous cycles: protocol, egg and embryo numbers, transfer notes
  • Re-evaluation of the uterus and endometrium
  • Review of the male factor and embryo quality

Unexplained infertility

All basic tests show no clear cause. This is not a diagnosis but a statement of where testing reaches its limit. The approach is usually stepwise and shaped by age and how long you have been trying.

A first assessment usually includes

  • Confirming that the basic work-up is genuinely complete
  • Reading ultrasound, semen analysis and tubal assessment together
  • Taking age and duration of trying into account

Discuss your situation with a physician

The first consultation is with a doctor, not a coordinator. If you have previous test results, bring them along.

This page is general information only, not a diagnosis or treatment recommendation. Every patient is different; assessment and decisions require a physician’s examination.

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