Infertility Diagnosis

Infertility clinic and inspection process

Every journey of trying to conceive begins with understanding. Becoming's initial diagnosis process, from detailed medical history inquiry to complete fertility assessment, clarifies the current situation and finds the most suitable treatment direction at one time.

CHAPTER 01

When do you need an infertility clinic?

The World Health Organization (WHO) defines infertility as: failure to successfully conceive within one year despite regular sexual intercourse without contraception; if the woman is over 35 years old, it is recommended to seek medical evaluation after trying 6 months.

In Becoming's infertility clinic, reproductive medicine specialists will arrange a series of necessary examinations and assessments based on individual conditions to help clarify the causes of infertility and plan a precise and personalized treatment course.

Indications
  • Have had regular intercourse for more than a year but still not pregnant
  • 35 Over the age of six, I tried unsuccessfully for half a year.
  • Irregular menstrual cycles or no ovulation
  • History of polycystic and endometriosis
  • Recurrent miscarriage or failed IVF treatment
CHAPTER 02

Infertility check process

A complete examination usually spans a menstrual cycle and arranges different items according to different periods to ensure complete data.

01
DAY 1

Initial consultation and medical history assessment of the couple

About 60 minutes

A reproductive medicine specialist will conduct a personal consultation to learn about the couple's daily routine, past medical history, surgical records, family history and fertility history. It is recommended that the couple come together for the first visit so that the doctor can fully assess the condition of both parties.

02
DAY 2 - 3

Basic endocrinology and ultrasound examination for women

Menstrual day 2–5

Blood was drawn to detect ovarian and endocrine indicators such as AMH, FSH, LH, estrogen, prolactin, thyroid function, etc., and vaginal ultrasound was performed to observe the ovarian reserve and basic follicle number.

03
DAY 7 - 10

Uterine cavity assessment and fallopian tube patency check

After menstruation is clean

After menstrual bleeding has ended, around day 8 or 9 and before ovulation, hysterosalpingography (HSG) may be arranged to evaluate the uterine shape and tubal patency.

Depending on your condition, the physician may also recommend hysteroscopy to check for polyps, adhesions, or other intrauterine concerns.

04
DAY 1 - 14

Male semen analysis and functional tests

Abstinence 3–5 diva

It includes routine analysis of semen, sperm morphology and motility, and can be advanced to perform functional assessments such as hyaluronic acid binding analysis (HBA), sperm DNA fragmentation detection (DFI), and comprehensively understand sperm quality.

05
FOLLOW UP

Follow-up discussion and treatment planning

After a complete assessment

After all reports are complete, the physician reviews the results with the couple and discusses suitable options, including IUI, IVF, and preimplantation chromosome/gene screening (PGT-A/PGD-M), then assists with arranging the next treatment steps.

CHAPTER 03

Becoming unique inspection technology

In addition to standard items, Becoming also introduces international advanced testing technology to help discover potential causes that cannot be detected by ordinary inspections.

01

Sperm-hyaluronic acid binding assay

The HBA test evaluates the ability of sperm to bind to the hyaluronic acid layer of the egg, reflecting the maturity and chromosome integrity of sperm.

02

Egg spindle observation technology

Use polarized light microscopy to non-invasively observe the position and shape of the egg spindle to help determine egg maturity.

03

cold knife hysteroscopy

Using a small endoscope to directly observe the uterine cavity is more accurate than imaging and can simultaneously treat polyps and adhesions.

CHAPTER 04

Frequently Asked Questions Q&A

QDo I have to undergo IVF after the evaluation?

Not necessarily.

The purpose of a fertility evaluation is to identify the causes affecting conception and, based on the couple's age, reproductive goals, test results, and time spent trying, to design the most suitable treatment plan.

Many patients are able to conceive after the evaluation through lifestyle adjustments, ovulation treatment, medication, or intrauterine insemination — not everyone needs to proceed directly to IVF.

The physician provides professional advice based on each individual situation to help you choose the most suitable and efficient path to pregnancy.

QWhat information do I need to prepare for my first visit?

We recommend that both partners attend together and bring any relevant reports from the past six months, such as AMH, pelvic ultrasound, or semen analysis. If you do not have prior reports, the physician will plan the most suitable evaluation based on your condition and menstrual cycle.

QHow long does a complete inspection take?

Generally, it needs to span one menstrual cycle (about 4 weeks), and different inspection items must be carried out at different times of the menstrual cycle; the report can usually be returned to the doctor for discussion within 1–2 weeks.

QWhat should I do if my husband is too busy to come together?

It is recommended that couples traveling together can complete both consultations in one outpatient clinic; if the husband is unable to cooperate at work, the male examination period can be arranged separately, or the female partner can be seen first and then the male examination can be supplemented.

Take the first step.

Ready to learn about your fertility?

Make an appointment for a first consultation, and Director Monty Li and Becoming team will accompany you to start this journey.

Infertility Clinic & Examination Process | Becoming Reproductive Center | Premier IVF & Comprehensive Fertility Care