Fertility consultation in Vienna
If pregnancy does not occur as hoped, a structured consultation helps clarify possible factors and sensible next steps. Assessment and treatment depend on the available findings, your age and your personal circumstances. No method can guarantee pregnancy.
Assessment before treatment
The consultation may cover cycle history, previous pregnancies, medication, operations, ultrasound and laboratory results. Where relevant, the partner's assessment includes sperm analysis. Tubal function and other factors are considered before selecting a treatment. Existing results can help avoid repeating tests unnecessarily.
Hormonal stimulation and monitoring
Some fertility treatments use medication to support follicle development or ovulation. Depending on the plan, this may involve tablets or injections and several ultrasound or blood-test appointments during the cycle. Not every treatment requires hormonal stimulation; natural-cycle options may also be appropriate.
The treatment team explains how medication is used and monitors the response. Possible risks, including multiple pregnancy or ovarian hyperstimulation in stimulated treatment, are part of the discussion. Treatment should not be changed without the team's advice.
Timed intercourse and ovulation support
Sometimes called intercourse at the optimal time, or SIO in the earlier practice information, this approach identifies the fertile days and may support ovulation when medically indicated. It can be considered when the fallopian tubes and sperm findings are suitable. A planned date for intercourse is based on the individual cycle, not a fixed day for everyone.
IUI: intrauterine insemination
In IUI, prepared sperm is placed into the uterus around the time of ovulation. Suitability depends on the diagnosis, sperm findings and the presence of a functioning fallopian tube. IUI may be performed with or without stimulation. It is one possible option, not an obligatory next step after timed intercourse.
IVF: in vitro fertilisation
During IVF, eggs are collected and brought together with sperm in a laboratory. An embryo may then be transferred into the uterus. IVF can be considered, for example, where tubal problems make conception through the fallopian tubes difficult, although there are other indications.
The exact stimulation, egg-collection procedure, timing of transfer and use of frozen embryos are planned with the fertility centre. Transfer is not always performed two or three days after egg collection; the timing depends on the treatment plan and embryo development.
ICSI: intracytoplasmic sperm injection
ICSI is a laboratory technique used as part of IVF in which a single sperm is injected into an egg. It may be appropriate with certain sperm problems or previous fertilisation difficulties. It is not automatically beneficial for every IVF treatment.
Choosing the next step
Prof. Gill can discuss the available findings, appropriate treatment options and coordination with a fertility centre. Ask which examinations or treatment steps take place in the practice and which require a specialised centre. Costs, time commitment, alternatives and emotional support should be clear before starting.
General outlook depends on age, diagnosis and several individual factors. You can ask for time to consider the options, a second opinion or support in deciding whether to continue treatment.
Further information: HFEA: IUI · HFEA: IVF · HFEA: ICSI.