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Center for Reproductive and Fetal Medicine

THE IMPORTANCE OF HORMONE CONTROL FOR FERTILITY

THE IMPORTANCE OF HORMONE CONTROL FOR FERTILITY

Fertility is a complex process, involving many different body systems – and hormones play the most critical role. Hormonal control is a cornerstone in diagnosis fertility problems, as it can reveal imbalances that directly affect the ability to conceive, in both women and men.

Why is hormonal control so important?

Hormones regulate almost every stage of the reproductive process: ovulation, egg maturation, preparation of the uterus for implantation, and maintenance of pregnancy. Even small disturbances in hormone levels can significantly affect fertility. Hormonal control helps:

  • ✅ to identify disorders such as polycystic ovary syndrome (PCOS)
  • ✅ assess ovarian reserve
  • ✅ to diagnose thyroid or pituitary problems
  • ✅ to design a personalized assisted reproduction plan

 

What tests does it include?

Hormonal testing for fertility usually involves blood tests in the first few days of the cycle (usually days 2-5). Some of the key hormones tested are:

  • FSH (follicle-stimulating hormone) – ovarian function index
  • LH (luteinizing hormone) – related to ovulation
  • Estradiol (E2) – shows ovarian activity
  • AMH (anti-Mullerian hormone) – assesses ovarian reserve
  • Prolactin – may affect ovulation
  • Thyroid hormones (TSH, T3, T4) – thyroid disorders affect menstruation and pregnancy
  • Testosterone and androgens – especially in cases of PCOS

 

In men, hormonal tests such as FSH, LH, testosterone and prolactin help to understand the cause of possible oligospermia or azoospermia.

When should hormonal testing be done?

Hormonal testing is recommended:

  • ✅ for couples who have been trying to have a child for over 6–12 months without success
  • ✅ in women with unstable or infrequent cycles
  • ✅ before starting assisted reproduction (e.g. in vitro fertilization)
  • ✅ for women over 35 years of age who wish to check ovarian reserve

 

Hormones and IVF Precise hormonal control is necessary for the success of in vitro fertilization. It allows for the appropriate adjustment of pharmacological stimulation, protocol selection, and prediction of ovarian response.

Personalized approach

At Center for Reproductive Medicine & Fetal Medicine Dr. Alexandros Traianos, each couple is treated based on their uniqueness. Hormonal testing is the first step towards a complete and accurate reproductive screening, aiming for targeted treatment, emotional empowerment and – ultimately – achieving the desired outcome: a healthy child.

Center for Reproductive and Fetal Medicine

Effective doctor-patient communication is vital to providing high-quality health care. Any communication regarding your medical profile (getting results, instructions, answering questions, concerns) will be done directly with the doctor. This means no midwife or secretary will interrupt your conversations. Instead, if you call with any concerns, they will be there right away to address your needs. Contact us by calling 694 649 8771 or by completing the relevant Contact Form.

Dr. Alexandros Traianos

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FREQUENT QUESTIONS

The association of IVF drugs with cancer risk is a major concern for women enrolled in these programs. But the plethora of bibliographic reports collected from credible scientific studies and published in reputable medical journals worldwide are reassuring and do not confirm this concern.

Of course not. In about a third of cases, infertility is due to the woman (female factor), while in a third of cases, it is due to the man (male factor). The remaining one-third is due to both (both men and women) or even to unknown factors.

The quantity and quality of a man's sperm can be affected by his health and lifestyle. Some factors that can reduce the quantity and / or quality of sperm are:

  • the alcohol
  • drugs
  • environmental toxins, including pesticides and lead
  • smoking
  • health problems
  • medicines
  • radiotherapy and chemotherapy
  • the age

Success rates vary at each IVF Center. Very important factors are also the age of the woman, the levels of her hormones and of course the sperm of the husband. Rates generally range from 45% or slightly higher for women up to 35 years old.

Infertility is defined as the failure to conceive after one year (or 6 months, if it is a woman over 35) with normal, regular sexual intercourse. In other words, when a year passes without the woman becoming pregnant, the couple should consult their doctor to determine the cause of the pregnancy and then treat it. We must all, however, be aware and not forget that the age factor is the most critical for female fertility and that the individualized approach of each couple is the "golden key" that solves the problem.

The number of treatment cycles a woman can undergo is not specified. It is certain that in our country there are high level obstetricians-gynecologists and organized infertility treatment centers, which offer impeccable medical services at this level. If there are correct indications (eg ovaries that respond to stimulation therapy, good quality endometrium, etc.) the success rate -especially with the use of newer techniques and biotechnological drugs, which show increased bioactivity compared to conventional drugs from urine- totals approximately 65%-70% after 4 cycles of treatment.

At the Center for Reproductive Medicine of Dr. Traianos we offer egg / sperm cryopreservation services for those who have a personal or medical reason and need this service. We use the most modern vitrification technique in the freezing of sperm and eggs.

The collection of eggs takes 10-15 minutes, it is not painful, it is done under intoxication and after the end of the process you return to your activities.

In general, experts agree that the fact that a couple has already had a child can be considered proof that there is no infertility problem in the first place. It is like a small test that has been done and proves that they "made it" at least once. On the other hand, however, we must be aware that things may have changed in the meantime and a problem may have arisen (e.g. the man may have suffered some inflammation, which affects the quality of his sperm or something has intervened that affects female fertility: an inflammation, a gynecological surgery, an abortion, etc.).

In any case, if a reasonable period of time (one year) passes and a couple is unable to achieve pregnancy, then they should, with the help of their doctor, investigate whether there has been a problem causing infertility.