Obligatory medical device diagnostics.
- Vaginal ultrasonography (ultrasound using an ultrasound probe inserted into the vagina (sheath))
- [anatomic abnormalities of the genital tract:
- U 0: inconspicuous uterus?
- U 1: dysmorphic uterus?
- U 2: uterus septus? – Complete fusion of the Müller ducts with incomplete resorption of the middle septum, resulting in a varying length and shape of the septum (septum); most common uterine malformation: This results in an externally normal-shaped uterus with an externally broadly expansive smooth fundus (broad part of the uterus lying between the tubal openings) with sagittal median septum. Three forms can be distinguished according to the length of the septum:
- U 3: Uterus bicornis? – Partial fusion of the Müller ducts: this causes a common cervix (cervix) with uterine horns separated to varying degrees. Pregnant women must be at high rates for preterm abortions, preterm births and breech presentation (BEL).
- U4: Hemiuterus? – Uterus unicornis (maldevelopment in a Müller duct): this may result in the presence of a rudimentary horn. In the case of implantation in this horn, the probability of a disturbed pregnancy or tubargravidität (tubaria; tubal pregnancy) is very high.
- U5: Uterine aplasia? – complete absence of the uterus
- U6: unclassified malformations
- Uterine lesions?
- Adnexal findings (monitoring functional and dysfunctional ovarian changes)?
- Folliculometry (= sonographic measurement of the follicle (“egg follicle”) during the menstrual cycle to determine the optimal timing of ovulation induction (treatment to trigger ovulation)); follicle growth of 1-1.4 mm per day in the natural cycle versus 1.7-2 mm after stimulation.
- Determination of tubal patency? by contrast sonography (including evaluation of uterine cavity]
- [anatomic abnormalities of the genital tract:
- Phase contrast microscopy of vaginal secretion (vaginal secretion) – microscopic examination of the vaginal flora.
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic clarification.
- Laparoscopy (abdominal endoscopy) including chromopertubation (method of examining the patency of the fallopian tubes in suspected female infertility).
- Hysteroscopy (reflection of the uterine cavity).
- Thyroid sonography (ultrasound examination of the thyroid gland) – as basic diagnostics to determine the size and volume of the thyroid gland, as well as any structural changes such as nodules; if necessary, with fine needle biopsy.
- Electrical impedance analysis (measurement of body compartments/body composition) – for determination of body fat, extracellular body mass (blood and tissue fluid), body cell mass (muscle and organ mass) and total body water incl. body mass index (BMI, body mass index) and waist-to-hip ratio (THV); e.g. as part of a nutritional consultation.
