If  after one year of regular intercourse without contraception  pregnancy does not occur, you should seek medical advice. From then on the natural waiting time is exceeded. 

If you are  older than 38 years  of age, you shoud seek medical help  after  just  six months  to get to the root of the problem. 

There will be a stepwise diagnostic clarification. The  first step  is always a detailed  initial consultation. Among other things, we talk about  previous illnesses  and  treatments, current physical complaints  and your  sexual behavior. Then, depending on your individual situation, we will carry out various examinations. For example a tubal patency scan (HYCOSY). 

Infertility or fertility problems can have many causes. In women, it is often  hormonal problems  that cause ovarian dysfunction or problems with  egg cell maturation. The most common causes of fertility disorders or infertility in women are  occluded fallopian tubes, endometriosis  and the  PCO syndrome. But other anatomical reasons or  hormonal changes  and  metabolic problems  may cause problems. 

The  most  common fertility disorders in men are  disorders of sperm cell formation,  sperm transport, inadequate  bladder obstruction,  antibody production, and  hormonal and genetic disorders. In addition, general disorders of the kidneys, liver or heart as well as  metabolic disorders  impair fertility. Also  infections (eg mumps) can have a lasting effect on sperm production. 

A good fertility clinic is characterized by: 

• A  highly motivated  and  experienced team that you can count on. 

• Respectful and personal treatment. 

• Experts  in the fertility treatment, who will respond to your specific situation and work out the  optimal solution  for you. 

• Latest medical knowledge  combined with the latest technology and experience from daily practice. 

• Profound,  complementary support  through measures such as TCM, acupuncture or nutritional counselling. 

• Psychological support on your way to conceiving. 

• Transparent  calculation of  costs. 

And of course she should have a high pregnancy rate and enjoy your confidence.