Infertility diagnosis in Warsaw
Not getting pregnant after a year of trying — or six months if you are over 35? The first step is finding out why. The first consultation costs 290 zł and ends with a plan of tests for you and your partner. This site is in English, but appointments are not held in English — bring someone who can interpret, or tell me in advance and we will find a way.
What infertility means
Infertility is defined as twelve months of regular sex without contraception and without pregnancy. Over 35 investigation starts after six months, because the odds fall with age.
It is not a final answer. In most cases a cause can be found, and many causes can be treated. 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, estradiol, 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 above all, and gonorrhoea — past infections are the commonest cause of blocked 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 involved in about 40–50% 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 5–10, 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/U1, 03-287 — in the Targówek district, at the RS-MED center. 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.
The practice is easy to reach from Białołęka, Targówek, Bródno and Zielona-Grzybowa, and along Trasa Toruńska from Marki, Ząbki and Nieporęt. No referral or insurance is needed: you can book directly, including if you have just arrived in Poland.
- Addressul. Głębocka 9/U1, 03-287 Warszawa, Targówek
- By carexit from Trasa Toruńska, free parking at the shopping centre
- Consulting hoursMon, Thu 8:00–19:00 · Tue, Wed, Fri 8:00–18:00 · Sat 8:00–17:00 · Sun closed
- Languageappointments are not held in English
Anastasiia Sokhach
DoctorPatient reviews on ZnanyLekarz
Doctor, in practice since 2015. Ultrasound, pregnancy care, infertility diagnosis.
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Take the first step today:
Related services
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, estradiol, prolactin, TSH
Follow-up consultation
Going through the results and agreeing a plan
Laboratory costs depend on which tests are ordered. Ask by phone or message 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
Plain explanations
Every result and every next step explained plainly, without jargon
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.