Female Fertility Evaluation

Understanding Female Fertility

Female fertility depends on a complex balance of hormones, healthy ovaries, open fallopian tubes, and a receptive uterus.
When any part of this system is disrupted, conception may become difficult.

At Saga Clinic Tirana, Dr. Eser Agar performs a complete, step-by-step evaluation to identify the exact cause and guide couples toward an effective treatment.

Why a Female Fertility Evaluation Is Important

Many women do not experience any symptoms until they try to conceive. Early evaluation helps us:

• Detect hormonal disorders
• Assess ovarian reserve
• Identify ovulation problems
• Evaluate the uterus and fallopian tubes
• Plan treatment before fertility declines further

Early diagnosis is key to choosing the safest and most successful approach.

When Should a Woman Seek Fertility Evaluation?

You should be evaluated if:

• You are under 35 and have been trying to conceive for 1 year
• You are over 35 and have been trying for 6 months
• You have irregular periods
• You have a history of polycystic ovaries (PCOS)
• You have known fibroids, cysts, or endometriosis
• You experience severe menstrual pain
• You had previous pelvic infection or surgery

Components of Female Fertility Evaluation at Saga Clinic

1. Detailed Medical & Reproductive History

We take time to understand:

• Menstrual cycle patterns
• Pregnancy history
• Past surgeries or infections
• Symptoms such as pain or abnormal bleeding
• Lifestyle factors and stressors

This forms the foundation of accurate diagnosis.

2. Hormonal Testing

Hormones control ovulation, egg development, and menstrual regulation.
We analyze:

• FSH, LH
• AMH (Anti-Müllerian Hormone) – ovarian reserve
• Estradiol (E2)
• Progesterone
• Prolactin
• TSH and thyroid panel
• Androgens (if PCOS is suspected)

These results show whether the ovaries are functioning normally.

3. Ovarian Reserve Assessment

Ovarian reserve reflects the number and quality of remaining eggs.

Methods include:

• AMH level
• Antral Follicle Count (AFC) on transvaginal ultrasound
• Day-3 FSH/E2 levels

This helps determine the most suitable treatment and whether time is a critical factor.

4. Ultrasound Examination

A high-resolution transvaginal ultrasound is performed to assess:

• Ovaries (follicles, cysts, PCOS structure)
• Uterus (shape, thickness, fibroids, adenomyosis)
• Endometrial lining
• Any anomalies affecting implantation

Ultrasound is one of the most important tools in fertility assessment.

5. Ovulation Evaluation

We confirm whether ovulation is happening regularly by:

• Mid-luteal progesterone level
• Follicular tracking via ultrasound
• Cycle pattern interpretation

Irregular or absent ovulation is a common and treatable cause of infertility.

6. Fallopian Tube Assessment

Healthy, open tubes are essential for natural conception.

We evaluate tube patency using:

• Hysterosalpingography (HSG)
• Laparoscopy (if needed)

Tubal blockage or damage significantly affects fertility and guides treatment choices.

7. Uterine Cavity Assessment

The uterine environment must support embryo implantation.

We may perform:

• Saline infusion sonography (SIS)
• Diagnostic hysteroscopy
• Evaluation for polyps, fibroids, adhesions, or congenital anomalies

These issues can often be corrected with minimally invasive procedures.

8. Additional Tests (If Needed)

• Genetic testing
• Blood clotting panels
• Autoimmune markers
• Endometrial biopsy (for inflammation or receptivity problems)

Used selectively depending on the clinical picture.

Treatment Planning

After all evaluations are completed, Dr. Eser Agar creates a personalized plan which may include:

• Cycle regulation
• Ovulation induction
• Treatment of hormonal disorders
• Surgical correction of structural issues
• IUI or IVF if indicated

The goal is always the least invasive and effective approach first.

Why Choose Saga Clinic for Female Fertility Assessment?

• Comprehensive one-visit evaluation
• Modern ultrasound and laboratory diagnostics
• Evidence-based fertility strategies
• Personalized, compassionate care
• Expertise of Dr. Eser Agar in both diagnostics and treatment
• Clear communication throughout your journey

Your fertility journey is personal — and so is our approach.

Appointments and Contact

If you need a complete fertility evaluation, we are here to support you with accuracy and care.
Contact Saga Clinic Tirana to book your appointment.

Contact & Appointments

For appointment requests or medical inquiries, please contact us using the options below.

📞 Clinic Phone (Office Hours)
+355 69 836 1565
Available Monday–Friday 09:00–15:30, Saturday 09:00–14:00.

💬 WhatsApp (Outside Office Hours)
+355 69 456 4467
Available outside office hours via WhatsApp Message only.

Update date: 07.01.2026 00:58