{"id":15099,"date":"2026-09-28T11:05:28","date_gmt":"2026-09-28T10:05:28","guid":{"rendered":"https:\/\/kinderwunschaerztin.de\/faq\/"},"modified":"2026-10-28T09:50:05","modified_gmt":"2026-10-28T08:50:05","slug":"faq","status":"publish","type":"page","link":"https:\/\/kinderwunschaerztin.de\/en\/faq\/","title":{"rendered":"FAQ"},"content":{"rendered":"\n<div class=\"gb-tabs gb-tabs-74aeb863\" data-opened-tab=\"1\">\n<div class=\"gb-tabs__menu dl-tab-menu-wrapper dl-tab-menu-wrapper--pricing\" role=\"tablist\">\n<div tabindex=\"0\" class=\"gb-tabs__menu-item dl-tab-menu gb-block-is-current\" role=\"tab\" id=\"gb-tab-menu-item-fefe81f2\">\n<h4 class=\"gb-text\">Con\u00adsul\u00adta\u00adtion<\/h4>\n<\/div>\n\n\n\n<div tabindex=\"0\" class=\"gb-tabs__menu-item dl-tab-menu\" role=\"tab\" id=\"gb-tab-menu-item-8bfd5d96\">\n<h4 class=\"gb-text\">Our Ser\u00advices<\/h4>\n<\/div>\n\n\n\n<div tabindex=\"0\" class=\"gb-tabs__menu-item dl-tab-menu\" role=\"tab\" id=\"gb-tab-menu-item-04e6e512\">\n<h4 class=\"gb-text\">Patient por\u00adtal<\/h4>\n<\/div>\n\n\n\n<div tabindex=\"0\" class=\"gb-tabs__menu-item dl-tab-menu\" role=\"tab\" id=\"gb-tab-menu-item-ce89216c\">\n<h4 class=\"gb-text\">Costs<\/h4>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-tabs__items\">\n<div class=\"gb-tabs__item dl-tab-content gb-tabs__item-open\" role=\"tabpanel\" id=\"gb-tab-item-3dbf68d1\">\n<div class=\"dl-grid--33-67 dl-blocks--faq\">\n<div>\n<img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1814\" class=\"gb-media-5e2c99f3\" alt title=\"IMG_10334\" src=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10334-scaled.jpg\" srcset=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10334-scaled.jpg 2560w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10334-300x213.jpg 300w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10334-1024x725.jpg 1024w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10334-768x544.jpg 768w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10334-1536x1088.jpg 1536w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10334-2048x1451.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\n\n\n\n<h2 class=\"gb-text\">Fre\u00adquent\u00adly asked ques\u00adtions about con\u00adsul\u00adta\u00adtions<\/h2>\n<\/div>\n\n\n\n<div>\n<div class=\"gb-accordion dl-accordion\">\n<div class=\"gb-accordion__item gb-accordion__item-f4de3e54\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>When should we seek med\u00adical advice if we are try\u00ading to con\u00adceive?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-ec35ef7a\">\n<div>\n<p class=\"wp-block-paragraph\">As a gen\u00ader\u00adal guide\u00adline: If you are under 35 and preg\u00adnan\u00adcy has not occurred despite reg\u00adu\u00adlar, unpro\u00adtect\u00aded inter\u00adcourse after twelve months, a med\u00adical eval\u00adu\u00ada\u00adtion is rec\u00adom\u00admend\u00aded. From age 35, you should take this step after around six months, as fer\u00adtil\u00adi\u00adty declines with age. For women over 40, an imme\u00addi\u00adate evaluation\u2014or a con\u00adsul\u00adta\u00adtion right at the start of try\u00ading to conceive\u2014may be advis\u00adable, because time is a deci\u00adsive fac\u00adtor at this stage of life.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Regard\u00adless of age, an ear\u00adli\u00ader appoint\u00adment is worth\u00adwhile if your cycle is irreg\u00adu\u00adlar or stops, you have severe peri\u00adod pain, endometrio\u00adsis or PCOS is known, there are changes in the uterus or fal\u00adlop\u00adi\u00adan tubes, there are indi\u00adca\u00adtions of reduced male fer\u00adtil\u00adi\u00adty, or there have been repeat\u00aded mis\u00adcar\u00adriages. In prin\u00adci\u00adple, both part\u00adners should be exam\u00adined. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-871128fc\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>How does the ini\u00adtial con\u00adsul\u00adta\u00adtion with us work?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-4e536ccd\">\n<div>\n<p class=\"wp-block-paragraph\">At the first appoint\u00adment, we want to under\u00adstand where you are med\u00adical\u00adly and per\u00adson\u00adal\u00adly. Our fer\u00adtil\u00adi\u00adty spe\u00adcial\u00adists take plen\u00adty of time to review your med\u00adical his\u00adto\u00adry, your cycle, your pre\u00advi\u00adous expe\u00adri\u00adences and your ques\u00adtions, and to inter\u00adpret any exist\u00ading find\u00adings. This is fol\u00adlowed by an ultra\u00adsound exam\u00adi\u00adna\u00adtion, and togeth\u00ader we plan the next diagnostics\u2014such as hor\u00admone tests, cycle mon\u00adi\u00adtor\u00ading, tubal diag\u00adnos\u00adtics or a semen analy\u00adsis.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We also explain open\u00adly what we rec\u00adom\u00admend and why. This helps to nar\u00adrow down pos\u00adsi\u00adble caus\u00ades quick\u00adly and define the next steps indi\u00advid\u00adu\u00adal\u00adly. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-5612b58a\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>What do I need for the ini\u00adtial con\u00adsul\u00adta\u00adtion, and do I have to decide on a treat\u00adment before\u00adhand?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-5b1a3c47\">\n<div>\n<p class=\"wp-block-paragraph\">No deci\u00adsion is required in advance. Espe\u00adcial\u00adly if you are still unsure, the con\u00adsul\u00adta\u00adtion pro\u00advides ori\u00aden\u00adta\u00adtion: we clar\u00adi\u00adfy your ques\u00adtions and give you a well-found\u00aded med\u00adical assess\u00adment, on the basis of which you can plan your next steps at your own pace. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After you book your appoint\u00adment, you will receive a detailed med\u00adical his\u00adto\u00adry ques\u00adtion\u00adnaire so that we can pre\u00adpare in a tar\u00adget\u00aded way. No pri\u00ador diag\u00adnos\u00adtics are required. You are wel\u00adcome to send us any exist\u00ading find\u00adings, lab results or doc\u00adu\u00adments from pre\u00advi\u00adous treat\u00adments in advance, or bring them with you to the appoint\u00adment.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-833cfec0\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>Can the ini\u00adtial con\u00adsul\u00adta\u00adtion also take place by video?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-e423ff87\">\n<div>\n<p class=\"wp-block-paragraph\">Yes. In addi\u00adtion to in-per\u00adson con\u00adsul\u00adta\u00adtions at our pri\u00advate cen\u00adter in Munich, we offer video con\u00adsul\u00adta\u00adtions. They are con\u00adfi\u00adden\u00adtial and encrypt\u00aded via a cer\u00adti\u00adfied sys\u00adtem and take about an hour. You will receive the nec\u00ades\u00adsary doc\u00adu\u00adments in advance by email, com\u00adplete them online and send them back to us.   <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The video con\u00adsul\u00adta\u00adtion cov\u00aders all aspects of fer\u00adtil\u00adi\u00adty counseling\u2014for cou\u00adples, sin\u00adgle women, les\u00adbian cou\u00adples and patients who would like infor\u00adma\u00adtion about social freez\u00ading.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-0f80eaf5\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>Which exam\u00adi\u00adna\u00adtions are part of fer\u00adtil\u00adi\u00adty diag\u00adnos\u00adtics?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-684045c9\">\n<div>\n<p class=\"wp-block-paragraph\">Com\u00admon\u00adly, this includes a hor\u00admone analysis\u2014especially the AMH val\u00adue to assess ovar\u00adi\u00adan reserve\u2014an ultra\u00adsound of the ovaries and uterus, cycle diag\u00adnos\u00adtics to eval\u00adu\u00adate fol\u00adli\u00adcle devel\u00adop\u00adment, and an assess\u00adment of tubal paten\u00adcy. For the part\u00adner, this includes a semen analy\u00adsis, sup\u00adple\u00adment\u00aded as need\u00aded by expand\u00aded semen diag\u00adnos\u00adtics. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Depend\u00ading on the sit\u00adu\u00ada\u00adtion, spe\u00adcial\u00adized tests may be added, such as analy\u00adses of the endometri\u00adum or immuno\u00adlog\u00adi\u00adcal exam\u00adi\u00adna\u00adtions after repeat\u00aded mis\u00adcar\u00adriages.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-863a6500\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>What could be the rea\u00adson if preg\u00adnan\u00adcy does not occur?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-cc86f285\">\n<div>\n<p class=\"wp-block-paragraph\">The rea\u00adsons may lie with the woman, the man, or both\u2014and not uncom\u00admon\u00adly, sev\u00ader\u00adal fac\u00adtors inter\u00adact. In women, the main issues include dis\u00ador\u00adders of egg mat\u00adu\u00adra\u00adtion or ovu\u00adla\u00adtion, endometrio\u00adsis, changes in the fal\u00adlop\u00adi\u00adan tubes or uterus, age-relat\u00aded decline in egg qual\u00adi\u00adty, and hor\u00admon\u00adal con\u00addi\u00adtions such as PCOS, thy\u00adroid dys\u00adfunc\u00adtion or ele\u00advat\u00aded pro\u00adlactin lev\u00adels. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In men, it is pri\u00admar\u00adi\u00adly about sperm pro\u00adduc\u00adtion and qual\u00adi\u00adty, as well as varic\u00ado\u00adce\u00adles, tes\u00adtic\u00adu\u00adlar con\u00addi\u00adtions, genet\u00adic changes, infec\u00adtions, dis\u00ador\u00adders of sperm trans\u00adport or cer\u00adtain med\u00adica\u00adtions. In some cou\u00adples, no clear cause is found ini\u00adtial\u00adly despite thor\u00adough eval\u00adu\u00ada\u00adtion (idio\u00adpath\u00adic infertility)\u2014which does not mean there is none. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-e4105be9\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>Should my part\u00adner also be exam\u00adined?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-e9ee4254\">\n<div>\n<p class=\"wp-block-paragraph\">Yes. Male fac\u00adtors play an equal\u00adly impor\u00adtant role: in about half of affect\u00aded cou\u00adples, a male cause or con\u00adtribut\u00ading cause is found. Reduced fer\u00adtil\u00adi\u00adty in men often goes unno\u00adticed for a long time and can only be iden\u00adti\u00adfied through a semen analy\u00adsis.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That is why, ide\u00adal\u00adly, both part\u00adners should be exam\u00adined togeth\u00ader from the out\u00adset. Many men also have their fer\u00adtil\u00adi\u00adty checked even before or at the begin\u00adning of try\u00ading to conceive\u2014the semen analy\u00adsis is a straight\u00adfor\u00adward test and pro\u00advides an ear\u00adly ini\u00adtial assess\u00adment. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-f077f5f9\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>Do you also treat sin\u00adgle women and les\u00adbian cou\u00adples?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-cd72079b\">\n<div>\n<p class=\"wp-block-paragraph\">Yes. In addi\u00adtion to het\u00adero\u00adsex\u00adu\u00adal cou\u00adples, we sup\u00adport many sin\u00adgle women and female cou\u00adples on their path to hav\u00ading a child\u2014using donor sperm. We often start with insem\u00adi\u00adna\u00adtion; depend\u00ading on age and med\u00adical pre\u00adreq\u00adui\u00adsites, how\u00adev\u00ader, IVF or ICSI may be the more sen\u00adsi\u00adble approach from the out\u00adset.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In the ini\u00adtial con\u00adsul\u00adta\u00adtion, we dis\u00adcuss the med\u00adical, legal and orga\u00adni\u00adza\u00adtion\u00adal steps\u2014from select\u00ading a sperm bank to plan\u00adning the treat\u00adment.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-3febb8e7\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>Can I come to you for a sec\u00adond opin\u00adion?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-13cc0461\">\n<div>\n<p class=\"wp-block-paragraph\">Yes. Many patients and cou\u00adples ask us to inter\u00adpret exist\u00ading find\u00adings, pre\u00advi\u00adous treat\u00adments or a pro\u00adposed treat\u00adment plan\u2014for exam\u00adple, if ques\u00adtions remain open, sev\u00ader\u00adal treat\u00adments have already tak\u00aden place, or an impor\u00adtant deci\u00adsion is pend\u00ading. We review your doc\u00adu\u00adments, assess the course to date, and dis\u00adcuss whether the cur\u00adrent approach still makes sense or what alter\u00adna\u00adtives are avail\u00adable.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is help\u00adful to pro\u00advide as many lab find\u00adings, med\u00adical let\u00adters, stim\u00adu\u00adla\u00adtion plans and\u2014after IVF\/ICSI\u2014embryology reports as pos\u00adsi\u00adble, ide\u00adal\u00adly before the appoint\u00adment. Chang\u00ading clin\u00adics is not manda\u00adto\u00adry: whether you con\u00adtin\u00adue your cur\u00adrent path or pro\u00adceed with treat\u00adment with us is a deci\u00adsion you can make at your own pace. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-8ed6195c\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>It is not work\u00ading for a sec\u00adond child\u2014should we have an eval\u00adu\u00ada\u00adtion?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-0e57ac87\">\n<div>\n<p class=\"wp-block-paragraph\">If no fur\u00adther preg\u00adnan\u00adcy occurs for at least twelve months after a preg\u00adnan\u00adcy has already occurred (from age 35: six months), this is referred to as sec\u00adondary infer\u00adtil\u00adi\u00adty. Esti\u00admates sug\u00adgest this affects about one in ten cou\u00adples try\u00ading to con\u00adceive. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Since the first preg\u00adnan\u00adcy, ovar\u00adi\u00adan reserve, cycle pat\u00adtern, hor\u00admone bal\u00adance, the uterus or fal\u00adlop\u00adi\u00adan tubes may have changed; more rarely, adhe\u00adsions after a cesare\u00adan sec\u00adtion or a niche defect in the scar can make implan\u00adta\u00adtion more dif\u00adfi\u00adcult. The partner\u2019s sperm qual\u00adi\u00adty can also change unno\u00adticed. Tar\u00adget\u00aded diag\u00adnos\u00adtics can there\u00adfore show whether treat\u00adment is necessary\u2014often it is suf\u00adfi\u00adcient to treat the under\u00adly\u00ading cause.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-ed456de5\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>When is fur\u00adther eval\u00adu\u00ada\u00adtion advis\u00adable after a mis\u00adcar\u00adriage?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-d8ef2515\">\n<div>\n<p class=\"wp-block-paragraph\">A mis\u00adcar\u00adriage is a major bur\u00adden. The good news is that after a sin\u00adgle mis\u00adcar\u00adriage, the chances of the next preg\u00adnan\u00adcy are still very good; the most com\u00admon cause of ear\u00adly mis\u00adcar\u00adriages is ran\u00addom chro\u00admo\u00adso\u00admal changes in the embryo. Fur\u00adther diag\u00adnos\u00adtics are pri\u00admar\u00adi\u00adly advis\u00adable after repeat\u00aded mis\u00adcar\u00adriages or if addi\u00adtion\u00adal risk fac\u00adtors or pre-exist\u00ading con\u00addi\u00adtions are present.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pos\u00adsi\u00adble caus\u00ades then include, for exam\u00adple, changes in the uterus, hor\u00admon\u00adal or meta\u00adbol\u00adic con\u00addi\u00adtions, clot\u00adting and autoim\u00admune dis\u00ador\u00adders such as antiphos\u00adpho\u00adlipid syn\u00addrome, more rarely genet\u00adic fac\u00adtors in the par\u00adents, or increased sperm DNA frag\u00admen\u00adta\u00adtion. We clar\u00adi\u00adfy which exam\u00adi\u00adna\u00adtions are nec\u00ades\u00adsary in a per\u00adson\u00adal con\u00adsul\u00adta\u00adtion. <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-tabs__item dl-tab-content\" role=\"tabpanel\" id=\"gb-tab-item-32082933\">\n<div class=\"dl-grid--33-67 dl-blocks--faq\">\n<div>\n<img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1814\" class=\"gb-media-df37e4b9\" alt=\"Consultation with Dr. med. Corinna Mann at the fertility center in Munich regarding fertility treatment.\" src=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10331-2-scaled.jpg\" srcset=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10331-2-scaled.jpg 2560w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10331-2-300x213.jpg 300w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10331-2-1024x725.jpg 1024w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10331-2-768x544.jpg 768w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10331-2-1536x1088.jpg 1536w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10331-2-2048x1451.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\n\n\n\n<h2 class=\"gb-text\">Fre\u00adquent\u00adly asked ques\u00adtions about diag\u00adnos\u00adtic pro\u00adce\u00addures &amp; treat\u00adments<\/h2>\n<\/div>\n\n\n\n<div>\n<div class=\"gb-accordion dl-accordion\">\n<div class=\"gb-accordion__item gb-accordion__item-b101c92c\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>Which treat\u00adment makes sense for unmet desire to have chil\u00addren?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-3e45d344\">\n<div>\n<p class=\"wp-block-paragraph\">We always decide this based on your find\u00adings. Not every woman or cou\u00adple needs assist\u00aded repro\u00adduc\u00adtion: often it is suf\u00adfi\u00adcient to treat the under\u00adly\u00ading cause in a tar\u00adget\u00aded way or to opti\u00admize the cycle. Depend\u00ading on the find\u00adings, the fol\u00adlow\u00ading options are par\u00adtic\u00adu\u00adlar\u00adly con\u00adsid\u00adered:  <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Cycle mon\u00adi\u00adtor\u00ading or timed inter\u00adcourse (VZO, \u201cinter\u00adcourse at the opti\u00admum time\u201d):<\/strong> Using ultra\u00adsound and hor\u00admone lev\u00adels, we deter\u00admine your fer\u00adtile days as pre\u00adcise\u00adly as pos\u00adsi\u00adble.<\/li>\n\n\n\n<li><strong>Hor\u00admon\u00adal stim\u00adu\u00adla\u00adtion:<\/strong> It sup\u00adports egg mat\u00adu\u00adra\u00adtion and ovu\u00adla\u00adtion, for exam\u00adple in the case of hor\u00admon\u00adal abnor\u00admal\u00adi\u00adties.<\/li>\n\n\n\n<li><strong>Insem\u00adi\u00adna\u00adtion (IUI):<\/strong> It is advis\u00adable if the fal\u00adlop\u00adi\u00adan tubes are open and semen qual\u00adi\u00adty is at most mild\u00adly reduced.<\/li>\n\n\n\n<li><strong>IVF or ICSI:<\/strong> These may be con\u00adsid\u00adered in the case of blocked fal\u00adlop\u00adi\u00adan tubes, sig\u00adnif\u00adi\u00adcant\u00adly reduced sperm qual\u00adi\u00adty, or if pre\u00advi\u00adous treat\u00adments were not suc\u00adcess\u00adful.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">We will dis\u00adcuss togeth\u00ader with you which approach is best suit\u00aded to you after the diag\u00adnos\u00adtics.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-5034b1a2\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>What does the fer\u00adtil\u00adi\u00adty test show, and can it pre\u00addict whether I will become preg\u00adnant?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-a10d1099\">\n<div>\n<p class=\"wp-block-paragraph\">No sin\u00adgle blood val\u00adue and no exam\u00adi\u00adna\u00adtion can reli\u00adably pre\u00addict whether or when you will become preg\u00adnant. How\u00adev\u00ader, the fer\u00adtil\u00adi\u00adty test pro\u00advides impor\u00adtant infor\u00adma\u00adtion: how your ovar\u00adi\u00adan reserve should be assessed in rela\u00adtion to your age, whether there are indi\u00adca\u00adtions of an unusu\u00adal\u00adly low reserve or hor\u00admon\u00adal abnor\u00admal\u00adi\u00adties (for exam\u00adple with PCOS or thy\u00adroid dis\u00ador\u00adders), and whether fur\u00adther exam\u00adi\u00adna\u00adtions make sense. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The AMH val\u00adue shows the size of the egg sup\u00adply, not the qual\u00adi\u00adty of the eggs\u2014age is the deci\u00adsive fac\u00adtor for that. A low val\u00adue does not auto\u00admat\u00adi\u00adcal\u00adly rule out a nat\u00adur\u00adal preg\u00adnan\u00adcy. Abnor\u00admal results are reviewed by one of our physi\u00adcians before you receive your report; if there are sig\u00adnif\u00adi\u00adcant devi\u00ada\u00adtions, we will con\u00adtact you per\u00adson\u00adal\u00adly.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-c4a5ad62\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>How does the fer\u00adtil\u00adi\u00adty test work?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-30bc5bd5\">\n<div>\n<p class=\"wp-block-paragraph\">You have a choice: with the at-home test, you col\u00adlect the blood sam\u00adple with a small fin\u00adger prick and send it in; alter\u00adna\u00adtive\u00adly, we take the blood at our cen\u00adter. In both cas\u00ades, we ana\u00adlyze sev\u00aden hor\u00admone val\u00adues in our laboratory\u2014AMH as well as FSH, LH, estra\u00addi\u00adol, pro\u00adlactin, testos\u00adterone and TSH\u2014and a fer\u00adtil\u00adi\u00adty spe\u00adcial\u00adist eval\u00adu\u00adates them indi\u00advid\u00adu\u00adal\u00adly. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Because FSH, LH and estra\u00addi\u00adol depend on the cycle, the blood draw should take place between cycle day 1 and 5. The AMH base\u00adline check alone is pos\u00adsi\u00adble on any cycle day. Unlike ovu\u00adla\u00adtion tests from drug\u00adstores, which only mea\u00adsure the LH surge, the test pro\u00advides an overview of ovar\u00adi\u00adan reserve and hor\u00admone bal\u00adance.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-dfa5decb\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>How should the man pre\u00adpare for a semen analy\u00adsis?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-fa805019\">\n<div>\n<p class=\"wp-block-paragraph\">Please fol\u00adlow the guid\u00adance on the peri\u00adod of absti\u00adnence that you receive in advance\u2014the WHO cur\u00adrent\u00adly rec\u00adom\u00admends two to sev\u00aden days; depend\u00ading on the ques\u00adtion, a short\u00ader absti\u00adnence peri\u00adod may also be advan\u00adta\u00adgeous. Alco\u00adhol, drugs, intense phys\u00adi\u00adcal exer\u00adtion and fever can tem\u00adporar\u00adi\u00adly wors\u00aden the val\u00adues. Please let us know about any reg\u00adu\u00adlar med\u00adica\u00adtions or recent ill\u00adness\u00ades.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you live near\u00adby, you can col\u00adlect the sam\u00adple at home by arrange\u00adment; it must then reach us with\u00adin 40 min\u00adutes, trans\u00adport\u00aded close to the body. Because sperm qual\u00adi\u00adty fluc\u00adtu\u00adates, a repeat test after a few weeks is often advis\u00adable if val\u00adues are abnormal\u2014and an abnor\u00admal semen analy\u00adsis does not auto\u00admat\u00adi\u00adcal\u00adly rule out a nat\u00adur\u00adal preg\u00adnan\u00adcy. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-4ad508df\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>What is insem\u00adi\u00adna\u00adtion and how does it work?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-d800aba0\">\n<div>\n<p class=\"wp-block-paragraph\">With insem\u00adi\u00adna\u00adtion (IUI), motile sperm pre\u00adpared in the lab\u00ado\u00adra\u00adto\u00adry are placed direct\u00adly into the uterus at the opti\u00admal time using a thin catheter. It is suit\u00adable, for exam\u00adple, in cas\u00ades of unex\u00adplained infer\u00adtil\u00adi\u00adty, mild\u00adly reduced sperm qual\u00adi\u00adty, mild endometrio\u00adsis, or when using donor sperm. At least one patent fal\u00adlop\u00adi\u00adan tube is required.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We deter\u00admine the tim\u00ading via cycle mon\u00adi\u00adtor\u00ading, if nec\u00ades\u00adsary with ovu\u00adla\u00adtion triggering\u2014in a nat\u00adur\u00adal or mild\u00adly stim\u00adu\u00adlat\u00aded cycle. Prepar\u00ading the sam\u00adple takes about 1.5 to 2 hours; the pro\u00adce\u00addure itself takes only a few min\u00adutes and is usu\u00adal\u00adly pain\u00adless. A preg\u00adnan\u00adcy test is pos\u00adsi\u00adble about 14 days lat\u00ader. Depend\u00ading on age, three to six cycles are com\u00admon before con\u00adsid\u00ader\u00ading IVF.   <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-a9329c93\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>What is the dif\u00adfer\u00adence between IVF and ICSI?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-48f7f0d7\">\n<div>\n<p class=\"wp-block-paragraph\">With IVF (in vit\u00adro fer\u00adtil\u00adiza\u00adtion), eggs and sperm are brought togeth\u00ader in the lab\u00ado\u00adra\u00adto\u00adry and fer\u00adtil\u00adiza\u00adtion occurs on its own. With ICSI (intra\u00adcy\u00adto\u00adplas\u00admic sperm injec\u00adtion), a sin\u00adgle sperm is inject\u00aded direct\u00adly into the egg. This is main\u00adly con\u00adsid\u00adered when sperm qual\u00adi\u00adty is sig\u00adnif\u00adi\u00adcant\u00adly reduced or when few eggs were fer\u00adtil\u00adized in a pre\u00advi\u00adous IVF cycle.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Which method makes sense depends on the cause of infertility\u2014one is not inher\u00adent\u00adly more suc\u00adcess\u00adful than the oth\u00ader. If there is no male fac\u00adtor fer\u00adtil\u00adi\u00adty dis\u00ador\u00adder, IVF and ICSI achieve com\u00adpa\u00adra\u00adble preg\u00adnan\u00adcy and live birth rates in many cas\u00ades. Even in women over 40, ICSI alone has no proven advan\u00adtage sole\u00adly due to age, because it can\u00adnot com\u00adpen\u00adsate for age-relat\u00aded changes in egg qual\u00adi\u00adty.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-dab348d2\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>What are the risks of IVF?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-a9991b0e\">\n<div>\n<p class=\"wp-block-paragraph\">The most impor\u00adtant risk is ovar\u00adi\u00adan hyper\u00adstim\u00adu\u00adla\u00adtion syn\u00addrome (OHSS). In this case, the ovaries react very strong\u00adly to the hor\u00admones and enlarge; flu\u00adid can also accu\u00admu\u00adlate in the abdomen. Indi\u00advid\u00adu\u00adal\u00adly dosed med\u00adica\u00adtion, mod\u00adern pro\u00adto\u00adcols and close mon\u00adi\u00adtor\u00ading sig\u00adnif\u00adi\u00adcant\u00adly reduce the risk; if the risk is increased, embryos can be frozen and trans\u00adferred lat\u00ader. Com\u00adpli\u00adca\u00adtions dur\u00ading retrieval, such as bleed\u00ading or infec\u00adtion, are rare.   <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The risk of mul\u00adti\u00adples depends pri\u00admar\u00adi\u00adly on the num\u00adber of embryos transferred\u2014when a sin\u00adgle embryo is trans\u00adferred, it is very low and com\u00adpa\u00adra\u00adble to a nat\u00adur\u00adal preg\u00adnan\u00adcy.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-c4189303\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>At what age does social freez\u00ading make sense, and how many eggs should be frozen?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-6fb36ce9\">\n<div>\n<p class=\"wp-block-paragraph\">Bio\u00adlog\u00adi\u00adcal\u00adly, the rule is: the younger you are when freez\u00ading, the bet\u00adter the lat\u00ader chances, because the num\u00adber and qual\u00adi\u00adty of eggs decline\u2014usually notice\u00adably from the mid-30s. The years between the late 20s and mid-30s are there\u00adfore a good time to address the top\u00adic. Social freez\u00ading is still pos\u00adsi\u00adble at 40, but the chances of suc\u00adcess are then sig\u00adnif\u00adi\u00adcant\u00adly low\u00ader.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As a guide, depend\u00ading on age and the desired num\u00adber of chil\u00addren, around 20\u201330 mature eggs may be sen\u00adsi\u00adble. Even a high num\u00adber of eggs does not guar\u00adan\u00adtee a child, because not every egg sur\u00advives thaw\u00ading. In the con\u00adsul\u00adta\u00adtion, we cal\u00adcu\u00adlate your indi\u00advid\u00adual chances and a sen\u00adsi\u00adble tar\u00adget num\u00adber.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-5fd8e3eb\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>How does social freez\u00ading work, and does it use up my ovar\u00adi\u00adan reserve?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-96d4e26b\">\n<div>\n<p class=\"wp-block-paragraph\">A cycle takes about two weeks: after around ten to twelve days of hor\u00admon\u00adal stim\u00adu\u00adla\u00adtion with ultra\u00adsound and blood checks, final mat\u00adu\u00adra\u00adtion is trig\u00adgered; about 36 hours lat\u00ader, egg retrieval fol\u00adlows under short anes\u00adthe\u00adsia. The mature eggs are vit\u00adri\u00adfied the same day and stored at around \u2212196\u00b0C, where they do not con\u00adtin\u00adue to age bio\u00adlog\u00adi\u00adcal\u00adly. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This does not use up ovar\u00adi\u00adan reserve faster, and menopause does not start ear\u00adli\u00ader: stim\u00adu\u00adla\u00adtion uses fol\u00adli\u00adcles that would mature in each cycle any\u00adway and would oth\u00ader\u00adwise be lost. Tem\u00adpo\u00adrary symp\u00adtoms such as a feel\u00ading of tight\u00adness, bloat\u00ading or fatigue are pos\u00adsi\u00adble; accord\u00ading to cur\u00adrent knowl\u00adedge, long-term health risks are not known. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-a97b7245\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>Can sperm also be frozen?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-8ff183f2\">\n<div>\n<p class=\"wp-block-paragraph\">Yes\u2014for per\u00adson\u00adal rea\u00adsons, for exam\u00adple if hav\u00ading chil\u00addren is planned much lat\u00ader, before a vasec\u00adto\u00admy, or before treat\u00adment such as chemother\u00ada\u00adpy that can impair fer\u00adtil\u00adi\u00adty. There is no gen\u00ader\u00adal age lim\u00adit. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After semen analy\u00adsis and infec\u00adtion screen\u00ading, the sam\u00adple is pre\u00adpared, mixed with a cry\u00adopro\u00adtec\u00adtant medi\u00adum and cry\u00adop\u00adre\u00adserved in liq\u00aduid nitro\u00adgen. How many sam\u00adples are sen\u00adsi\u00adble depends on sperm qual\u00adi\u00adty and your fam\u00adi\u00adly planning\u2014more sperm are usu\u00adal\u00adly need\u00aded for lat\u00ader insem\u00adi\u00adna\u00adtion than for ICSI. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-e714852f\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>Where does donor sperm come from, and is sperm dona\u00adtion anony\u00admous?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-3d6e5781\">\n<div>\n<p class=\"wp-block-paragraph\">We work with licensed sperm banks in Ger\u00admany and abroad, includ\u00ading in Ger\u00admany and Den\u00admark. Donors are com\u00adpre\u00adhen\u00adsive\u00adly screened, for exam\u00adple for infec\u00adtions as well as genet\u00adic and chron\u00adic con\u00addi\u00adtions. You choose the donor your\u00adself based on ver\u00adi\u00adfied pro\u00adfiles; a known donor may also be an option. If you lat\u00ader wish to have a sib\u00adling from the same donor, addi\u00adtion\u00adal sam\u00adples can be reserved depend\u00ading on the sperm bank.   <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The dona\u00adtion is not anony\u00admous: donor data are record\u00aded in the sperm donor reg\u00adis\u00adter so that the child can learn their genet\u00adic origin\u2014up to the 16th birth\u00adday via the par\u00adents, and there\u00adafter inde\u00adpen\u00addent\u00adly. The donor has no legal parental role and is not liable for child sup\u00adport. <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-tabs__item dl-tab-content\" role=\"tabpanel\" id=\"gb-tab-item-d08fddcb\">\n<div class=\"dl-grid--33-67 dl-blocks--faq\">\n<div>\n<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1536\" class=\"gb-media-05b042f9\" alt title=\"Kiwu-40_4\" src=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Kiwu-40_4-1.jpg\" srcset=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Kiwu-40_4-1.jpg 1024w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Kiwu-40_4-1-200x300.jpg 200w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Kiwu-40_4-1-683x1024.jpg 683w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Kiwu-40_4-1-768x1152.jpg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\n\n\n\n<h2 class=\"gb-text\">Fre\u00adquent\u00adly asked ques\u00adtions from patients<\/h2>\n<\/div>\n\n\n\n<div>\n<div class=\"gb-accordion dl-accordion\">\n<div class=\"gb-accordion__item gb-accordion__item-f188c7ee\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>Which online ser\u00advices are avail\u00adable for patients in treat\u00adment?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-536b355c\">\n<div>\n<p class=\"wp-block-paragraph\">In our patient por\u00adtal, you can con\u00adve\u00adnient\u00adly com\u00adplete impor\u00adtant steps online:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Report cycle day: sub\u00admit the first day of your peri\u00adod so that we can plan the next treat\u00adment steps.<\/li>\n\n\n\n<li>Request a repeat pre\u00adscrip\u00adtion: send pre\u00adscrip\u00adtion requests for your ongo\u00ading treat\u00adment online.<\/li>\n\n\n\n<li>Book a mon\u00adi\u00adtor\u00ading appoint\u00adment: for exam\u00adple, sched\u00adule ultra\u00adsound and blood draw appoint\u00adments online.<\/li>\n\n\n\n<li>Cal\u00adcu\u00adlate due date: deter\u00admine your esti\u00admat\u00aded due date and oth\u00ader impor\u00adtant preg\u00adnan\u00adcy dates.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-ee723822\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>Why is the first cycle day impor\u00adtant for my treat\u00adment?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-d42b16ca\">\n<div>\n<p class=\"wp-block-paragraph\">Plan\u00adning your next treat\u00adment steps begins with the first day of your period\u2014for exam\u00adple for insem\u00adi\u00adna\u00adtion, IVF, ICSI, social freez\u00ading or a frozen cycle. So that we can coor\u00addi\u00adnate your appoint\u00adments in good time, please let us know briefly. You can do this eas\u00adi\u00adly online via our patient por\u00adtal.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cycle day 1 is the first day of true men\u00adstru\u00adal bleed\u00ading with fresh, red blood; light spot\u00adting before\u00adhand does not count. If bleed\u00ading starts after 6 PM, the fol\u00adlow\u00ading day is con\u00adsid\u00adered cycle day 1. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-c66948db\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>How often do I need to come in for mon\u00adi\u00adtor\u00ading dur\u00ading hor\u00admon\u00adal stim\u00adu\u00adla\u00adtion?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-b153d165\">\n<div>\n<p class=\"wp-block-paragraph\">Reg\u00adu\u00adlar ultra\u00adsound checks are impor\u00adtant to assess fol\u00adli\u00adcle mat\u00adu\u00adra\u00adtion and num\u00adber and to adjust med\u00adica\u00adtion; depend\u00ading on the course, we also mea\u00adsure hor\u00admone lev\u00adels. The inter\u00advals depend on how your ovaries respond\u2014during cycle mon\u00adi\u00adtor\u00ading, it is usu\u00adal\u00adly two to three appoint\u00adments per cycle, spaced two to three days apart. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If no fol\u00adli\u00adcle matures, we adjust the dose or med\u00adica\u00adtion. You can book your mon\u00adi\u00adtor\u00ading appoint\u00adments online. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-a394fc00\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>Can I work or exer\u00adcise dur\u00ading treat\u00adment?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-5071ac23\">\n<div>\n<p class=\"wp-block-paragraph\">Yes, treat\u00adment can usu\u00adal\u00adly be com\u00adbined well with work and every\u00adday life. You only need to plan a lit\u00adtle time for mon\u00adi\u00adtor\u00ading appoint\u00adments. Exer\u00adcise is also gen\u00ader\u00adal\u00adly pos\u00adsi\u00adble. If the ovaries become more enlarged due to stim\u00adu\u00adla\u00adtion or symp\u00adtoms increase, we rec\u00adom\u00admend tem\u00adporar\u00adi\u00adly reduc\u00ading inten\u00adsive activ\u00adi\u00adty.   <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You should take the day off for egg retrieval. After seda\u00adtion or anes\u00adthe\u00adsia, you must not dri\u00adve your\u00adself for at least 24 hours. We will be hap\u00adpy to dis\u00adcuss what makes sense in your sit\u00adu\u00ada\u00adtion indi\u00advid\u00adu\u00adal\u00adly.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-40b4241e\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>Do I need to take it easy after insem\u00adi\u00adna\u00adtion or embryo trans\u00adfer?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-4d98b550\">\n<div>\n<p class=\"wp-block-paragraph\">No, bed rest is not nec\u00ades\u00adsary and does not improve the chances. After insem\u00adi\u00adna\u00adtion, you can resume your nor\u00admal rou\u00adtine, includ\u00ading work and exer\u00adcise, after a short rest. After embryo trans\u00adfer, nor\u00admal activ\u00adi\u00adties such as walk\u00ading are usu\u00adal\u00adly pos\u00adsi\u00adble; whether and when light exer\u00adcise is advis\u00adable depends on how you feel and how your ovaries respond, and is dis\u00adcussed indi\u00advid\u00adu\u00adal\u00adly.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-bf619c09\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>When can I take a preg\u00adnan\u00adcy test?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-0231d142\">\n<div>\n<p class=\"wp-block-paragraph\">After IVF or ICSI with a fresh trans\u00adfer, we mea\u00adsure the preg\u00adnan\u00adcy hor\u00admone hCG in the blood, usu\u00adal\u00adly about 14 days after egg retrieval\u2014i.e., depend\u00ading on the trans\u00adfer day, nine to eleven days after the trans\u00adfer. We will tell you the exact date. After insem\u00adi\u00adna\u00adtion, a urine or blood test is pos\u00adsi\u00adble after about 14 days.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Please do not test too ear\u00adly at home: detectable hCG from the trig\u00adger injec\u00adtion can dis\u00adtort the result.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-887112e9\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>Which symp\u00adtoms mean I should con\u00adtact you imme\u00addi\u00adate\u00adly?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-c435c446\">\n<div>\n<p class=\"wp-block-paragraph\">After egg retrieval, mild low\u00ader abdom\u00adi\u00adnal pain or a feel\u00ading of tight\u00adness is nor\u00admal for a few days. Please con\u00adtact us if pain is severe or increas\u00ading. If you have severe or increas\u00ading abdom\u00adi\u00adnal pain, per\u00adsis\u00adtent vom\u00adit\u00ading or short\u00adness of breath, imme\u00addi\u00adate med\u00adical eval\u00adu\u00ada\u00adtion is impor\u00adtant, as this may indi\u00adcate ovar\u00adi\u00adan hyper\u00adstim\u00adu\u00adla\u00adtion syn\u00addrome (OHSS).  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bleed\u00ading in an exist\u00ading preg\u00adnan\u00adcy should also always be med\u00adical\u00adly eval\u00adu\u00adat\u00aded.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-1779938b\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>What hap\u00adpens to embryos that are not trans\u00adferred?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-8757855e\">\n<div>\n<p class=\"wp-block-paragraph\">Suit\u00adable fer\u00adtil\u00adized eggs or embryos can be frozen with your con\u00adsent and stored in our in-house cry\u00adobank. This allows anoth\u00ader attempt as a frozen embryo trans\u00adfer, with\u00adout renewed stim\u00adu\u00adla\u00adtion and egg retrieval. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We will keep you informed about fer\u00adtil\u00adiza\u00adtion and the fur\u00adther devel\u00adop\u00adment of your embryos dur\u00ading treat\u00adment.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-623cb026\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>How can I cal\u00adcu\u00adlate my due date?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-528dd135\">\n<div>\n<p class=\"wp-block-paragraph\">In the patient por\u00adtal, you will find a due date cal\u00adcu\u00adla\u00adtor. It deter\u00admines your esti\u00admat\u00aded due date and oth\u00ader impor\u00adtant dates dur\u00ading pregnancy\u2014after nat\u00adur\u00adal con\u00adcep\u00adtion (based on the first day of the last peri\u00adod or the day of ovu\u00adla\u00adtion and cycle length) as well as after insem\u00adi\u00adna\u00adtion, IVF\/ICSI or a frozen cycle (based on the date of egg retrieval, insem\u00adi\u00adna\u00adtion or embryo trans\u00adfer on day 3 or day 5). <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-9ba4bf45\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>I live abroad\u2014how does treat\u00adment work?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-e208421b\">\n<div>\n<p class=\"wp-block-paragraph\">Many steps take place before you trav\u00adel: in a secure video con\u00adsul\u00adta\u00adtion, you meet your treat\u00ading physi\u00adcian and dis\u00adcuss your med\u00adical his\u00adto\u00adry and find\u00adings. Many pre\u00adlim\u00adi\u00adnary examinations\u2014such as hor\u00admone analy\u00adses, ultra\u00adsound or semen analysis\u2014can be car\u00adried out in your home coun\u00adtry. Before treat\u00adment begins, how\u00adev\u00ader, an in-per\u00adson vis\u00adit in Munich is required, dur\u00ading which we assess your find\u00adings and expand the diag\u00adnos\u00adtics.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We then cre\u00adate your indi\u00advid\u00adual treat\u00adment and time\u00adline plan. For steps such as egg retrieval or embryo trans\u00adfer, you come to Munich; after you return home, we can con\u00adtin\u00adue to sup\u00adport you as need\u00aded, for exam\u00adple via video con\u00adsul\u00adta\u00adtion. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-193e9425\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>How often and for how long do I need to trav\u00adel to Munich?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-e880e93c\">\n<div>\n<p class=\"wp-block-paragraph\">This depends on your ther\u00ada\u00adpy and your treat\u00adment plan\u2014for IVF, ICSI or social freez\u00ading, for exam\u00adple, the length of stay dif\u00adfers. We coor\u00addi\u00adnate appoint\u00adments as ear\u00adly as pos\u00adsi\u00adble and, as far as med\u00adical\u00adly fea\u00adsi\u00adble, bun\u00addle them so that your stay is easy to plan and effi\u00adcient. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Our cen\u00adter is cen\u00adtral\u00adly locat\u00aded in Munich and is eas\u00adi\u00adly acces\u00adsi\u00adble from the main train sta\u00adtion and the air\u00adport.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-61781481\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>In which lan\u00adguages is con\u00adsul\u00adta\u00adtion pos\u00adsi\u00adble?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-027aa4ff\">\n<div>\n<p class=\"wp-block-paragraph\">Our physi\u00adcians speak Ger\u00adman, Eng\u00adlish, Ital\u00adian and French. This means you can dis\u00adcuss all ques\u00adtions about diag\u00adnos\u00adtics and treat\u00adment direct\u00adly and calm\u00adly with us in your pre\u00adferred lan\u00adguage. <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-tabs__item dl-tab-content\" role=\"tabpanel\" id=\"gb-tab-item-a5c86fec\">\n<div class=\"dl-grid--33-67 dl-blocks--faq\">\n<div>\n<img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1814\" class=\"gb-media-0548e25e\" alt title=\"IMG_10628 (1)\" src=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10628-1-scaled.jpg\" srcset=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10628-1-scaled.jpg 2560w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10628-1-300x213.jpg 300w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10628-1-1024x725.jpg 1024w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10628-1-768x544.jpg 768w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10628-1-1536x1088.jpg 1536w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10628-1-2048x1451.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\n\n\n\n<h2 class=\"gb-text\">Fre\u00adquent\u00adly asked ques\u00adtions about costs &amp; financ\u00ading<\/h2>\n<\/div>\n\n\n\n<div>\n<div class=\"gb-accordion dl-accordion\">\n<div class=\"gb-accordion__item gb-accordion__item-fc1af44d\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>How much does a con\u00adsul\u00adta\u00adtion appoint\u00adment cost?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-733b84f6\">\n<div>\n<p class=\"wp-block-paragraph\">There are var\u00adi\u00adous con\u00adsul\u00adta\u00adtion for\u00admats for get\u00adting started\u2014in per\u00adson at our cen\u00adter or by video. The fol\u00adlow\u00ading guide\u00adline amounts apply, each plus any VAT that may apply: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>In-per\u00adson ini\u00adtial con\u00adsul\u00adta\u00adtion on site (approx. 30 min\u00adutes): \u20ac120<\/li>\n\n\n\n<li>Video con\u00adsul\u00adta\u00adtion (approx. 1 hour): \u20ac120<\/li>\n\n\n\n<li>Con\u00adsul\u00adta\u00adtion on fer\u00adtil\u00adi\u00adty, social freez\u00ading or sperm dona\u00adtion includ\u00ading ultra\u00adsound and basic hor\u00admone test\u00ading (approx. 1 hour): \u20ac470\u2013\u20ac550<\/li>\n\n\n\n<li>Con\u00adsul\u00adta\u00adtion for hor\u00admon\u00adal dis\u00ador\u00adders includ\u00ading ultra\u00adsound and basic hor\u00admone test\u00ading (approx. 30 min\u00adutes): \u20ac120<\/li>\n\n\n\n<li>Sec\u00adond opin\u00adion with review of pri\u00ador find\u00adings and an in-depth con\u00adsul\u00adta\u00adtion: approx. \u20ac250\u2013\u20ac320<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Addi\u00adtion\u00adal exam\u00adi\u00adna\u00adtions as part of a sec\u00adond opin\u00adion, such as lab\u00ado\u00adra\u00adto\u00adry analy\u00adses, are billed sep\u00ada\u00adrate\u00adly based on effort.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-cf2798ea\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>What costs should I expect for exam\u00adi\u00adna\u00adtions?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-0158abe2\">\n<div>\n<p class=\"wp-block-paragraph\">We bill our ser\u00advices in accor\u00addance with the Ger\u00adman Med\u00adical Fee Sched\u00adule (GO\u00c4). The fol\u00adlow\u00ading amounts there\u00adfore serve as guid\u00adance, each plus any VAT that may apply: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>On-site fer\u00adtil\u00adi\u00adty test (AMH and six addi\u00adtion\u00adal hor\u00admones, eval\u00adu\u00ada\u00adtion with\u00adin five days): \u20ac207<\/li>\n\n\n\n<li>At-home fer\u00adtil\u00adi\u00adty test, includ\u00ading test kit, ship\u00adping, lab\u00ado\u00adra\u00adto\u00adry analy\u00adsis and med\u00adical eval\u00adu\u00ada\u00adtion: \u20ac199<\/li>\n\n\n\n<li>AMH base\u00adline check: approx. \u20ac87<\/li>\n\n\n\n<li>Hor\u00admone analy\u00adsis: \u20ac220\u2013\u20ac380<\/li>\n\n\n\n<li>Cycle mon\u00adi\u00adtor\u00ading with ultra\u00adsound and hor\u00admone mea\u00adsure\u00adment: approx. \u20ac150\u2013\u20ac170 per appoint\u00adment<\/li>\n\n\n\n<li>Tubal diag\u00adnos\u00adtics (HyCoSy\/HyFoSy): \u20ac295 plus approx. \u20ac90 for the con\u00adtrast foam<\/li>\n\n\n\n<li>Semen analy\u00adsis: \u20ac165<\/li>\n\n\n\n<li>DNA frag\u00admen\u00adta\u00adtion test: \u20ac410 includ\u00ading semen analy\u00adsis; approx. \u20ac265 if a cur\u00adrent semen analy\u00adsis is already avail\u00adable<\/li>\n\n\n\n<li>Endome\u00adtri\u00adal biop\u00adsy: \u20ac200 plus the costs of exter\u00adnal lab\u00ado\u00adra\u00adto\u00adries<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">You can con\u00adve\u00adnient\u00adly pay for the fer\u00adtil\u00adi\u00adty test online, for exam\u00adple by cred\u00adit card. Before any fur\u00adther exam\u00adi\u00adna\u00adtions take place, we will inform you trans\u00adpar\u00adent\u00adly about the expect\u00aded costs. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-73fb90ce\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>What costs are incurred for IVF or ICSI?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-b6851e65\">\n<div>\n<p class=\"wp-block-paragraph\">An IVF cycle costs around \u20ac3,200 to \u20ac3,600, and an ICSI around \u20ac6,200 to \u20ac6,900; the final ICSI costs depend, among oth\u00ader things, on the num\u00adber of eggs retrieved. In addi\u00adtion, there are anes\u00adthe\u00adsia, exter\u00adnal lab\u00ado\u00adra\u00adto\u00adry tests and med\u00adica\u00adtions, which amount to around \u20ac400 to \u20ac1,500 depend\u00ading on age and ovar\u00adi\u00adan reserve. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Option\u00adal add-on pro\u00adce\u00addures such as blas\u00adto\u00adcyst cul\u00adture, Embryo\u00adGlue or the ZyM\u014dt cham\u00adber may be use\u00adful; your physi\u00adcian will dis\u00adcuss these with you indi\u00advid\u00adu\u00adal\u00adly on request.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-b72211ad\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>What costs arise when freez\u00ading eggs or sperm?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-141190fd\">\n<div>\n<p class=\"wp-block-paragraph\">A social freez\u00ading cycle costs around \u20ac3,000 to \u20ac3,500, plus anes\u00adthe\u00adsia, exter\u00adnal lab\u00ado\u00adra\u00adto\u00adry and med\u00adica\u00adtions. Stor\u00adage of the eggs costs \u20ac380 per year (stor\u00adage with FERTILA GmbH). <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When freez\u00ading sperm, the costs con\u00adsist of diag\u00adnos\u00adtics, cry\u00adop\u00adreser\u00adva\u00adtion and long-term stor\u00adage. If mul\u00adti\u00adple sam\u00adples are advis\u00adable, you will receive an indi\u00advid\u00adual cost overview in advance. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-b15eb129\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>Can I come to you if I have statu\u00adto\u00adry health insur\u00adance, and will my insur\u00ader pay?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-b083ff24\">\n<div>\n<p class=\"wp-block-paragraph\">Yes, patients with statu\u00adto\u00adry health insur\u00adance are very wel\u00adcome and use our ser\u00advices as self-pay\u00ading patients. How\u00adev\u00ader, as a pure\u00adly pri\u00advate cen\u00adter, we can\u00adnot bill statu\u00adto\u00adry health insur\u00aders, and they do not reim\u00adburse our ser\u00advices. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In gen\u00ader\u00adal, statu\u00adto\u00adry health insur\u00adance (GKV) con\u00adtributes 50% toward fer\u00adtil\u00adi\u00adty treat\u00adment under cer\u00adtain con\u00addi\u00adtions. There is no cost shar\u00ading, among oth\u00ader things, if the cou\u00adple is not mar\u00adried, the woman is over 40 or the man is over 50, from the 9th insem\u00adi\u00adna\u00adtion cycle with\u00adout stim\u00adu\u00adla\u00adtion, from the 4th IVF or ICSI cycle, after a ster\u00adil\u00adiza\u00adtion that is not med\u00adical\u00adly indi\u00adcat\u00aded, or if donor sperm is required. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-91dc4a3b\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>Will my pri\u00advate health insur\u00adance cov\u00ader the costs?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-9cef6b41\">\n<div>\n<p class=\"wp-block-paragraph\">Each pri\u00advate health insur\u00ader has its own rules\u2014depending on the plan, treat\u00adment with\u00adout co-pay\u00adment may even be pos\u00adsi\u00adble. A pre\u00adreq\u00adui\u00adsite is usu\u00adal\u00adly an organ\u00adic cause of infer\u00adtil\u00adi\u00adty in the insured per\u00adson and a prob\u00ada\u00adbil\u00adi\u00adty of suc\u00adcess of at least 15%. Fixed age lim\u00adits or an upper lim\u00adit on the num\u00adber of cycles usu\u00adal\u00adly do not exist, and mar\u00adriage is gen\u00ader\u00adal\u00adly not required. Accord\u00ading to data from the Ger\u00adman IVF Reg\u00adistry, the chances for women up to and includ\u00ading 42 years of age are often still above 15%.   <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If the part\u00adner has statu\u00adto\u00adry health insur\u00adance and is also infer\u00adtile, pri\u00advate health insur\u00adance (PKV) will also cov\u00ader their treat\u00adment costs if statu\u00adto\u00adry insur\u00adance does not pay. We sup\u00adport you with the appli\u00adca\u00adtion process by pro\u00advid\u00ading a med\u00adical report, a cost plan and the nec\u00ades\u00adsary doc\u00adu\u00adments. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-224ea4a7\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>Are pre\u00adven\u00adtive and add-on ser\u00advices such as social freez\u00ading, fer\u00adtil\u00adi\u00adty test\u00ading or PRP reim\u00adbursed?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-fe38a8d0\">\n<div>\n<p class=\"wp-block-paragraph\">In most cas\u00ades, these are self-pay ser\u00advices. Social freez\u00ading for per\u00adson\u00adal rea\u00adsons is gen\u00ader\u00adal\u00adly not cov\u00adered; if there is a med\u00adical indication\u2014for exam\u00adple before chemother\u00ada\u00adpy or radio\u00adther\u00ada\u00adpy, or in indi\u00advid\u00adual cas\u00ades of endometriosis\u2014coverage may be pos\u00adsi\u00adble. A pre\u00adven\u00adtive fer\u00adtil\u00adi\u00adty test with\u00adout indi\u00adca\u00adtion is gen\u00ader\u00adal\u00adly not paid for by statu\u00adto\u00adry health insur\u00adance. For PRP, endome\u00adtri\u00adal diag\u00adnos\u00adtics or HyCoSy, reim\u00adburse\u00adment by pri\u00advate health insur\u00adance depends on the plan and the med\u00adical indi\u00adca\u00adtion.   <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is best to clar\u00adi\u00adfy pos\u00adsi\u00adble reim\u00adburse\u00adment with your insur\u00ader in advance\u2014we will pro\u00advide you with the required med\u00adical doc\u00adu\u00adments.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-9cb81dbe\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>Does my employ\u00ader con\u00adtribute to the costs?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"208 96 128 176 48 96\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><span class=\"gb-accordion__toggle-icon-close\"><svg aria-hidden=\"true\" viewBox=\"0 0 256 256\"><rect width=\"256\" height=\"256\" fill=\"none\" \/><polyline points=\"48 160 128 80 208 160\" fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"16\" \/><\/svg><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-b22b7a04\">\n<div>\n<p class=\"wp-block-paragraph\">More and more com\u00adpa\u00adnies offer employ\u00adees so-called fer\u00adtil\u00adi\u00adty ben\u00ade\u00adfits and cov\u00ader part of the costs for fer\u00adtil\u00adi\u00adty diag\u00adnos\u00adtics, for treat\u00adments such as insem\u00adi\u00adna\u00adtion or IVF, and for freez\u00ading eggs or sperm. It is best to ask your HR depart\u00adment whether your employ\u00ader offers such a pro\u00adgram. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Our cen\u00adter coop\u00ader\u00adates with Car\u00adrot Fer\u00adtil\u00adi\u00adty, an inter\u00adna\u00adtion\u00adal\u00adly active provider of such employ\u00ader ben\u00ade\u00adfits. If your employ\u00ader is a Car\u00adrot part\u00adner, you can receive treat\u00adment with us as part of your Car\u00adrot pro\u00adgram.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We will be hap\u00adpy to help you com\u00adpile the required doc\u00adu\u00adments for reim\u00adburse\u00adment and dis\u00adcuss with you which ser\u00advices may be con\u00adsid\u00adered.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":16109,"parent":0,"menu_order":66,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"wp_typography_post_enhancements_disabled":false,"footnotes":""},"class_list":["post-15099","page","type-page","status-publish","has-post-thumbnail"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>FAQ Fertility Treatment Munich \u00bb Die Kinderwunsch\u00e4rztin<\/title>\n<meta name=\"description\" content=\"Answers to the most frequently asked questions about fertility, initial consultation, IVF, social freezing and costs \u27a4 from the fertility specialists in Munich.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kinderwunschaerztin.de\/en\/faq\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"FAQ Fertility Treatment Munich \u00bb Die Kinderwunsch\u00e4rztin\" \/>\n<meta property=\"og:description\" content=\"Answers to the most frequently asked questions about fertility, initial consultation, IVF, social freezing and costs \u27a4 from the fertility specialists in Munich.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/kinderwunschaerztin.de\/en\/faq\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr. med. 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