Infertility diagnosis in Warsaw
Not getting pregnant? The first step is finding out why. A full work-up for you, and clear guidance on what your partner should have checked.
What infertility means
Infertility is defined as twelve months of regular sex without contraception and without pregnancy. Over 35 the definition shortens to six months, because the odds fall with age.
It is not a verdict. In most cases the cause can be found and dealt with. What modern testing does is identify the problem and point to the shortest route to a pregnancy — anything from changes in daily life to assisted reproduction.
When to come in
- No pregnancy after twelve months — six if you are over 35
- An irregular cycle, or no periods at all
- Painful periods or pelvic pain
- Two or more miscarriages
- Previous surgery in the pelvis
- A known problem: endometriosis, PCOS, fibroids
What causes it
Female factors
Ovulation disorders
PCOS, high prolactin, diminished ovarian reserve, thyroid problems
Blocked tubes
Adhesions after infection, endometriosis or surgery — the egg and sperm never meet
Conditions of the uterus
Fibroids, polyps, adhesions and developmental anomalies get in the way of implantation
Endometriosis
Endometrial tissue outside the uterus, affecting the ovaries, the tubes and implantation
Male factors
Problems with sperm production
Low count, poor motility or abnormal morphology
Varicocele
Enlarged veins in the scrotum raise the temperature and lower sperm quality
What the work-up involves
Gynecological consultation
History, a look at how long and how you have been trying, an examination, and a plan of tests.
Pelvic ultrasound
Assessing the uterus and ovaries, counting antral follicles, ruling out other conditions.
Hormone panel
FSH, LH, AMH, oestradiol, prolactin, TSH and testosterone — an assessment of ovarian reserve.
Folliculometry
Following the follicle and confirming that ovulation actually happens.
Progesterone
Confirming ovulation and checking the corpus luteum is working.
Infection screening
Chlamydia, mycoplasma, ureaplasma and others — they can be what blocked the tubes.
Further investigations
Where needed: an HSG to check the tubes are open, hysteroscopy to look inside the uterus, laparoscopy when endometriosis or adhesions are suspected. These are done in specialist centres, and you are given the referral.
Testing your partner
A male factor is behind roughly 40% of cases, which makes testing your partner every bit as important. The key test is a semen analysis .
Semen analysis
Count, motility and morphology. This is the first test for any man.
Urology or andrology consultation
Examination, ultrasound and hormones — FSH, LH, testosterone — as needed.
How the investigation goes
1. First consultation
A proper conversation, your history, an examination, and a plan of tests built for you.
2. Baseline tests and ultrasound
Hormones on days 2–5, an ultrasound on days 5–7, and a semen analysis for your partner. That gives the first picture.
3. Checking ovulation
Folliculometry across the cycle and progesterone on days 21–23, to confirm ovulation is happening.
4. Further tests
If they are needed: an HSG, hysteroscopy or laparoscopy.
5. Conclusions and a plan
We go through the results, name the cause, and choose what to do — from ovulation induction to a referral for IVF.
Where to be seen in Warsaw
Gynecological care in Warsaw — appointments at ul. Głębocka 9, 03-287 — this is the Białołęka district, on the border with Targówek, at the RS-MED centre. The landmark is simple: the same street as the Targówek and Zielony Targówek shopping centres — if you know the way there, you know the way here.
I am easy to reach from Białołęka, Targówek, Bródno and Zielona-Grzybowa, and along Trasa Toruńska from Marki, Ząbki and Nieporęt. No referral and no NFZ insurance are needed: you can book directly, including if you have just arrived in Poland.
- Addressul. Głębocka 9, 03-287 Warszawa, Białołęka
- By carexit from Trasa Toruńska, free parking at the shopping centre
- Consulting hoursMon–Sat 8:00–18:00 · Mon & Thu until 19:00 · Sun closed
- LanguagesEnglish, Polish, Russian, Ukrainian
Anastasiia Sokhach
DoctorPatient reviews on ZnanyLekarz
Doctor, in practice since 2015. Appointments in English, Polish, Russian and Ukrainian. Ultrasound, pregnancy care, infertility diagnosis.
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A tip
Come to the first appointment together, or at least bring what you know about his health. Infertility is investigated in both partners, and doing it in parallel saves months.
What the work-up costs
Infertility diagnosis
Gynecological consultation
A first visit and a plan of tests
Consultation + ultrasound
Examination plus a pelvic scan
Pelvic ultrasound
Uterus, ovaries and antral follicles
Folliculometry
A single scan to follow ovulation
Hormone panel
FSH, LH, AMH, oestradiol, prolactin, TSH
Follow-up consultation
Going through the results and agreeing a plan
Laboratory costs depend on which tests are ordered. Ask online or by phone for the total.
Why couples come here
Nothing left out
Every possible cause is looked at, not just the obvious ones
A plan of your own
Your age, your history and your partner’s results all shape it
EN PL RU UA
Everything explained plainly in English, Polish, Russian or Ukrainian
Referral for IVF
Where it is needed, a referral to IVF clinics worth trusting
Common questions about infertility
Book an appointment
Fill in the form and I will contact you within 15 minutes during working hours to confirm a time.