Infertility Overview
Comprehensive Infertility Care in Tirana
Evaluation for both partners, ovulation monitoring, IUI, IVF, PGT, and donor programs—planned with evidence-based protocols and clear follow-up.
Request an appointment via the Contact Form or WhatsApp.
Infertility is defined as the inability to achieve pregnancy after 12 months of regular, unprotected sexual intercourse. For women aged 35 and older, evaluation is recommended after 6 months. Affecting nearly 10–15% of couples worldwide, infertility requires a structured, evidence-based diagnostic approach for both partners to identify contributing factors accurately.
At Saga Clinic, infertility is assessed comprehensively using the latest international standards, including ESHRE-based protocols. Our evaluation integrates hormonal testing, ovarian reserve assessment, ovulation monitoring, uterine and tubal evaluation, and semen analysis—allowing us to develop individualized treatment strategies tailored to each couple.
What Causes Infertility?
Infertility may arise from female factors, male factors, combined factors, or may remain unexplained despite complete evaluation.
Female Factors
- Ovulation disorders
- Diminished ovarian reserve
- Tubal blockage or pelvic adhesions
- Endometriosis
- Uterine abnormalities
- Hormonal disorders (thyroid dysfunction, hyperprolactinemia, PCOS)
Male Factors
- Low sperm count
- Reduced motility
- Abnormal morphology
- Ejaculatory dysfunction
- Hormonal or genetic abnormalities
Unexplained Infertility
Around 10–15% of couples have no clear cause even after a full work-up.
→ Read More --> Causes of Infertility
How We Evaluate Infertility
A complete infertility evaluation includes both partners and follows a structured sequence.
Female Fertility Evaluation
- Comprehensive hormone testing (AMH, FSH, LH, estradiol, prolactin, TSH)
- Transvaginal ultrasound
- Antral follicle count
- Ovulation assessment
- Evaluation of the uterus and endometrium
- Tubal patency testing when indicated
→ Read More --> Female Fertility Evaluation, Ovulation Disorders, Ovulation Tracking, Endometriosis and Infertility, PCOS, Thyroid Disorders, Hyperprolactinemia
Male Fertility Evaluation
- Semen analysis based on WHO standards
- Hormonal testing when clinically necessary
- Urological assessment for selected cases
→ Read More --> Male Fertility Evaluation, Male Factor Infertility
Infertility Treatment Options
Treatment is tailored according to the underlying cause, age, reproductive goals, and clinical findings.
Ovulation Induction
Medication-based stimulation to achieve predictable ovulation.
→ Read More --> Ovulation Induction
Intrauterine Insemination (IUI)
Placement of motile, prepared sperm directly into the uterus during ovulation.
→ Read More --> IUI Treatment
In-Vitro Fertilization (IVF)
Egg retrieval, laboratory fertilization, and embryo transfer into the uterus.
→ Read More --> IVF Treatment
Preimplantation Genetic Testing (PGT)
Recommended for recurrent pregnancy loss, genetic risks, or advanced maternal age.
→ Read More --> PGT & Genetic Testing
Donor Programs
Suitable for ovarian insufficiency or severe male factor infertility.
→ Read More --> Donor Conception
Recurrent Pregnancy Loss Management
Targeted evaluation of genetic, anatomic, hormonal, and immunologic factors.
→ Read More --> Recurrent Pregnancy Loss
When Should Couples Seek Specialist Care?
Couples should consider professional evaluation if:
- They have tried to conceive for 12 months (or 6 months if the woman is over 35).
- Menstrual cycles are irregular or absent.
- Symptoms suggest endometriosis or PCOS.
- A semen analysis has shown abnormalities.
- There is a history of pelvic infection, surgery, or miscarriage.
Early evaluation improves success rates and allows faster, personalized treatment planning.
Saga Clinic’s Approach to Infertility Care
At Saga Clinic, we believe that every couple deserves a precise diagnosis, clear communication, and a structured, personalized treatment plan. Using ESHRE-aligned protocols and advanced reproductive technologies, our team offers a comprehensive, patient-centered approach to infertility. We combine scientific expertise with compassionate care to support couples at every stage of their fertility journey, from initial assessment to treatment and long-term follow-up.
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–Saturday, 09:00–16:00.
💬 WhatsApp (Outside Office Hours)
+355 69 456 4467
Available outside office hours via WhatsApp Message only.
Author: Asst. Prof. Eser Ağar, MD — Obstetrician and Gynecologist
This page is for informational purposes and does not replace examination and physician evaluation.
Medically reviewed: Asst. Prof. Eser Ağar, MD —
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