Infertility: Understanding the Condition

What-Is-Infertility

What Is Infertility?

Infertility is defined as the inability to achieve pregnancy after 12 months of regular unprotected intercourse for women under 35, or after 6 months for women older than 35.
It is far more common than many people realize and often involves multiple contributing factors rather than a single cause.

At Saga Clinic in Tirana, Dr. Eser Agar provides a thorough and compassionate evaluation for both partners to uncover the underlying reasons and to design the most effective treatment strategy.

Why Infertility Matters

Infertility is not just a medical condition — it is an emotional experience that affects couples physically, mentally, and socially.
Early and accurate diagnosis is essential because:

  • Fertility gradually decreases with age
  • Many causes are treatable when identified early
  • Timely intervention improves the chances of natural conception or successful assisted reproduction

Symptoms and When to Seek Help

Most couples do not show obvious symptoms, but certain signs may indicate the need for evaluation:

For Women

  • Irregular menstrual cycles
  • Painful periods
  • History of pelvic infection
  • Endometriosis
  • Known fibroids or ovarian cysts
  • Difficulty predicting ovulation

For Men

  • Reduced sperm count or motility
  • Varicocele
  • Hormonal imbalances
  • Prior testicular injury or surgery

If you’ve been trying to conceive for the recommended time based on your age, it’s time for a full fertility workup.

Common Causes of Infertility

Female Factors

  • Ovulation disorders (PCOS, hormonal imbalance)
  • Low ovarian reserve or poor egg quality
  • Blocked fallopian tubes
  • Endometriosis
  • Uterine factors (polyps, fibroids, adhesions)

Male Factors

  • Low sperm count or motility
  • Abnormal sperm morphology
  • Ejaculation or hormonal problems
  • Genetic conditions

Combined or Unexplained

  • Both partners contributing
  • No clear cause despite normal tests

Unexplained infertility is more common than expected and still treatable with the right approach.

Diagnostic Approach at Saga Clinic

1. Detailed Medical History & Counseling

We take time to understand your journey, concerns, and family-building goals.

2. Female Evaluation

  • Hormonal panel (FSH, LH, AMH, estradiol, TSH, prolactin)
  • Transvaginal ultrasound
  • Follicle count and ovarian reserve assessment
  • Hysterosalpingography (HSG) for tube patency
  • Endometrial evaluation if needed

3. Male Evaluation

  • Semen analysis
  • Hormonal profile
  • Scrotal ultrasound if necessary

4. Joint Interpretation & Planning

Both partners’ results are reviewed together, and a personalized treatment plan is created.

Treatment Options

Treatment varies depending on the cause:

Lifestyle and Medical Management

  • Hormonal regulation
  • Ovulation induction
  • Treatment of infections
  • Weight optimization
  • Thyroid/prolactin correction

Procedural Treatments

  • Hysteroscopy for polyps, fibroids, or adhesions
  • Laparoscopy for endometriosis or tubal disease

Assisted Reproductive Technologies (ART)

  • Timed intercourse with monitoring
  • Intrauterine insemination (IUI)
  • In vitro fertilization (IVF)
  • ICSI for severe male factor infertility
  • PGT for genetic screening

Why Choose Saga Clinic for Infertility Care?

At Saga Clinic Tirana, infertility evaluation is performed with:

  • A fully personalized approach
  • Advanced ultrasound and laboratory testing
  • Modern fertility protocols
  • Clear communication and emotional support
  • Evidence-based decision-making
  • Direct care by Dr. Eser Agar, who has extensive expertise in reproductive medicine

Every couple receives a diagnosis-driven roadmap focusing on the safest, most effective, and least invasive path first.

Appointments and Contact

If you are experiencing difficulty conceiving, we are here to help.
Contact Saga Clinic Tirana to schedule your comprehensive fertility evaluation.

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 69 362 0838
Available outside office hours via WhatsApp Message only.