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Fertility examination

If you have tried to conceive unsuccessfully for the period of 6-12 months despite regular sexual intercourse, it is high time to find out if everything is as it should be. After more than one year of trying, there is no need to worry about postponing the examination – the sooner you undergo it, the sooner you’ll know what to do.

What happens during the examination


  •  Consultation with a reproductive specialist
  • Ultrasound examination
  • Blood sampling (hormonal screening, genetic screening and other tests)


  •  Consultation with a reproductive specialist

Spermiogram examination

A fertility test for men always begins with a spermiogram, i.e. the ejaculate analysis. This initial examination may later help your physician to decide on the subsequent therapy. The basic parameters to be examined include the determination of volume, pH, liquefaction and the number (concentration) of sperm, its motility and shape (morphology).

Semen sampling

Ejaculate is collected in our centre after two to three days of sexual abstinence. Sperm is collected by masturbation in a special sterile container. If collecting a sample in the collection room is difficult for you, you can bring the sample from home or a hotel after prior agreement with the physician. The sample must be handed out in person by the man to whom it belongs, specifically within 40 minutes of the sampling.
  •  Other sperm tests (these tests are not covered by health insurance)

Halo sperm test - sperm DNA fragmentation test

This complex test shows the percentage of sperm with fragmented or damaged DNA. DNA fragmentation may occur e.g. during radiation treatment, chemotherapy, acute and chronic inflammatory diseases or high fever. DNA fragmentation of sperm is not necessarily connected with deteriorated basic spermiogram parameters. However, it is associated with reduced pregnancy rates and an increased risk of miscarriage. Men with an increased DNA fragmentation have a reduced probability of natural conception or after IUI.

Examination of oxidative stress in ejaculate

Oxidative stress means that the body is no longer able to absorb harmful free radicals. Free radicals, i.e. reactive molecules, lack one electron and as such, they try to obtain an electron from other molecules.

If great quantities of free radicals are formed, oxidative stress occurs in the body. Oxidative stress is caused by stressful influence, such as environmental toxins, UV radiation, unhealthy lifestyle (smoking, excessive alcohol consumption, etc.)

To measure oxidative stress in ejaculate, we use the fastest and most accurate electrochemical test MIOXSYS.

Sperm maturity (Chromatin condensation parameter)

• Properly packaged DNA contributes in 50% to the infant’s individual genome. It is therefore important to acknowledge the importance of sperm DNA – especially the chromatin integrity.

Damage to DNA and/or chromatin correlates with reduced fertilisation, a slower development of embryos when cultured, a reduced implantation or a higher rate of miscarriage. This test focuses on sperm maturity, from the perspective of chromatin, specifically histone replacement with protamines.

 Why choose us for appointment?

Short waiting time

As our patients, you will certainly appreciate that there are minimal waiting times for the introductory interview and the treatment as such. Your treatment at our clinic can start immediately; however, always depending on patients’ menstrual cycle.

Sensitive and personal approach

We approach each couple with sensitivity, taking into account their individual situation, and we always choose the best procedure using our capacities and expertise.

Individual therapies

The couple remains under the care of one physician during the whole therapy.

Make an appointment

Use the on-line contact form or call us directly.

Call daily from 8:00 to 16:00 hours on 
+420 377 279 350


Next Fertility
IVF Prof. Zech Pilsen s.r.o.
Bedřicha Smetany 167/2,
301 00 Plzeň - Vnitřní Město


+420 377 279 350


Surgery hours

Monday08:00 - 16:00
Tuesday08:00 - 16:00
Wednesday08:00 - 16:00
Thursday08:00 - 16:00
Friday08:00 - 16:00