Infertility personalized diagnosis: key to choose the treatment and reach the pregnancy. Infertility has its origins in lot of causes that can come from both men or women. It is necessary to perform studies to the couple in order to discard possible causes and get to the personalized diagnosis. Once the correct diagnosis is done, it is possible to choose the treatment with better results. Origin of infertility problems When studying couples with infertility problems, it is found that 40% of the problems come from men, 40% from women and 20% from a combination of both. That is why, it is key to go to the appointment together in order to have all the necessary studies. What is the natural course of ovulation, fertilization and embryo implantation? Before going deep into the infertility causes, it is convenient to know how the ovulation, fertilization and embryo implantation happen in a natural way. For a natural pregnancy it is necessary that: Ovulation happens At least one Fallopium tube is permeable so the sperm can meet the egg Enough number of motile sperm that reach and fertilize the egg Integrity of endometrium and womb to allow the implantation of the embryo Infertility causes There are several causes or factors that cause infertility. For a better study and understanding, they are grouped as follows: Ovarian factor Tubarian factor Male factor Uterine factor Embryonary factor Necessary studies for an infertility diagnosis The results of some studies allow us to discard some infertility causes. As some of these studies most be done according the womans menstrual cycle, it is important to be coordinated in order to finish them as soon as possible. If well programmed, the results can take less than 2 months after the first appointment. There are 4 basic infertility studies: Hormonal blood test: to study ovulation Hysterosalpingography: to study the Fallopian tubes Sperm study: to study the male factor Transvaginal ultrasound: to study the uterus, ovaries and cervix With these 4 studies, it is possible to discard 90% of infertility causes; therefore it is very important to perform them accordingly. Infertility personalized diagnosis As we can see, infertility causes are very diverse and affect couples and people in different ways, thus it is very important to have a personalized diagnosis. This is accomplished by performing the right studies to the couple. Once the personalized diagnosis is done, it is possible to, together with the patients, choose the treatment that will bring the best results.