Gynaecology · Reproductive health
Fertility and recurrent miscarriage
For many years I have assessed couples having difficulty conceiving and women after pregnancy loss. The aim of the first visit is to review existing results and decide what is worth investigating next.
Fertility investigations
Investigations involve both partners. Investigations in the practice include:
- a consultation with a review of your previous records
- ultrasound assessment of the ovaries and endometrium
- hormone tests — selection and interpretation
- tubal patency testing with ultrasound (HyFoSy)
- assessment and interpretation of semen analysis and genetic test results
- intrauterine insemination (after assessment)
If assisted reproduction (IVF) is indicated, I explain the possible pathways and help you choose a fertility centre.
Fertility treatment has been part of my work from the start: I was clinical director of IVF Clinic in Katowice, worked at the Centre for Reproductive and Genetic Health in London, and from 2019 to 2025 performed IVF procedures — ovarian stimulation, oocyte retrieval and embryo transfer — as a consultant at Reprofit in Ostrava. This helps me judge when treatment in the practice is enough and when it is better to refer straight to an IVF centre.
Tubal patency testing
HyFoSy — ultrasound assessment of tubal patency
This test shows whether the fallopian tubes are open and also allows the uterine cavity to be assessed. A thin, flexible catheter is passed through the cervix into the uterus and a special contrast gel is introduced; its flow is observed with a transvaginal probe. The test does not use X-rays and usually takes about 20 minutes.
How to prepare
- the test is done in the first half of the cycle — after bleeding has stopped and before ovulation
- you may take a painkiller about an hour beforehand — cramping can occur while the gel is introduced
- before the test we review current results, including swabs, and any need for infection prophylaxis
The date is arranged individually — it is best to contact reception at the start of your cycle.
Recurrent miscarriage
Consultation after pregnancy loss
Losing a pregnancy is a difficult experience. After repeated miscarriages it is worth looking for a cause — although one cannot always be found, structured investigations help plan care in the next pregnancy.
Depending on your history and previous results, investigations may include:
- assessment of the uterus — ultrasound and, if needed, hysteroscopy
- hormone tests, including thyroid function
- tests for antiphospholipid syndrome and selected clotting disorders
- genetic tests for the couple
- assessment of general health and infections
The scope of tests and any treatment is tailored individually, in line with current guidelines. I also look after pregnancies following previous losses.
Book a gynaecology consultation
Appointments take place at 1 Maja 88a, Katowice. Check available times in the ZnanyLekarz calendar or call the reception desk. Consultations are available in English.