Infertility treatment by obstetrician-gynecologist Alina Alexandrovna Vasileva in Dnipro.

Patients come with complaints of the absence of the desired pregnancy, irregular menstrual cycles, repeated unsuccessful attempts to conceive, or the need for a second opinion regarding infertility.

The doctor conducts a thorough clinical assessment, reviews complaints and medical history, and when necessary, prescribes examinations to identify possible causes.

The patient receives a clear and understandable plan: what to do immediately, which tests are required, and how to monitor changes during the course of treatment.

Alina Alexandrovna Vasilyeva pays special attention to differential diagnosis of causes and dynamic observation to timely adjust the treatment strategy and respond to any changes.

When to See a Doctor

If you are facing infertility issues, it is important to consult a specialist in a timely manner to identify the causes and decide on further steps. Consulting a doctor will help determine which examinations are necessary and how to best support your health. You should make an appointment with an obstetrician-gynecologist if you notice the following in relation to infertility:

• no pregnancy after prolonged attempts
• irregular or absent menstruation
• painful sensations in the lower abdomen or pelvic area
• discomfort during sexual intercourse
• noticeable changes in the menstrual cycle
• cycles without ovulation or signs of ovulation disorders
• when a symptom recurs or worsens over time
• if attempts to conceive interfere with your sleep or work
• lack of results from self-initiated fertility improvement measures
• need for a second opinion after previous treatment
• situation following stressful or traumatic events
• preparation for IVF procedures or other assisted reproductive methods

Consulting a doctor with such symptoms will allow you to undergo the necessary examinations, receive explanations about the causes of your condition, and, together with your doctor, determine the next steps. Even if the symptoms seem minor, a consultation can help prevent complications and support the overall health of your reproductive system.

Emergency Conditions or When to See a Doctor Immediately

• sudden and severe pain in the lower abdomen
• heavy vaginal bleeding that does not stop for a long time
• high fever accompanied by a worsening overall condition
• a combination of severe pain, weakness, and dizziness
• progressively worsening symptoms that rapidly deteriorate

If you experience any of these symptoms, do not wait for a scheduled appointment—seek emergency medical care immediately. Our clinic offers a home visit service, which can be a convenient option in such situations.

Causes and Risk Factors of Infertility

Understanding the possible causes of infertility helps to determine the directions for examination and further work with a doctor. It is important to consider the various mechanisms that may affect the ability to conceive, as well as factors that increase the risk of developing the problem.

Main Causes / Mechanisms (Briefly)

• Hormonal disorders affecting ovulation
• Pathological changes in the reproductive organs
• Problems with fallopian tube patency
• Abnormalities in the composition and quality of the partner’s sperm
• Chronic inflammatory processes in the pelvic organs

Risk Factors

• Woman’s age over 35 years
• Excessive or insufficient body weight
• Harmful habits (smoking, alcohol)
• Chronic stress and fatigue
• Presence of chronic diseases (including endocrine disorders)
• Previous surgeries on the pelvic organs
• Environmental and occupational factors (exposure to toxins)
• Irregular lifestyle and unbalanced diet

Reversible Causes That Are Important to Exclude

• Temporary hormonal imbalances due to stress or illness
• Acute inflammatory processes amenable to treatment
• Menstrual cycle disorders related to lifestyle
• Factors related to the use of certain medications or contraceptives

Infertility is a complex process with many possible causes that require careful examination and evaluation by a specialist.

Diagnosis

Diagnosis in infertility is aimed at identifying possible causes and developing an effective plan for further actions. The doctor helps you understand which examinations are necessary specifically for you and how to monitor your condition.

Approach to Diagnosis

• collecting a detailed medical history, including menstrual cycle history and attempts to conceive
• performing a gynecological examination and pelvic ultrasound
• ordering basic laboratory tests as indicated
• conducting additional examinations if necessary to clarify the causes
• evaluating results and forming a plan for further steps

Typical Examinations as Indicated

May include:

• hormonal profile to assess ovarian function and hormone levels
• pelvic ultrasound with folliculometry
• analysis of the partner’s spermogram
• examination of fallopian tube patency
• tests for inflammatory processes and infections

What to Bring to the Appointment

• results of previous examinations and tests
• list of medications and supplements being taken
• records or diary of the menstrual cycle
• list of questions and complaints to discuss with the doctor

Infertility diagnosis requires a systematic approach and an individual selection of tests for the most accurate assessment of the condition.

Treatment

Treatment for infertility is aimed at eliminating the causes, maintaining health, and improving the chances of successful conception. The therapy plan is selected individually, taking into account the characteristics of each patient and the results of examinations.

Therapy Goals

• reducing symptoms that interfere with the conception process
• correcting causes affecting reproductive function
• improving overall condition and quality of life
• preventing complications related to reproductive health

Main Treatment Approaches

• may include medication therapy as indicated to restore hormonal balance
• non-medication methods aimed at improving general health and supporting the body
• use of reproductive technologies and procedures if necessary
• lifestyle and nutrition recommendations to increase the chances of conception
• treatment of comorbidities affecting fertility

What the Doctor Does

• selects and adjusts the therapy plan individually
• takes into account comorbidities and patient specifics
• monitors possible side effects and therapy effectiveness
• explains the goals and stages of treatment to the patient in simple language
• coordinates interaction with other specialists as indicated

What to Expect: Plan and Monitoring

• an approximate sequence of steps and treatment timelines is determined
• effectiveness is assessed based on tests and changes in the patient’s condition
• the therapy plan is adjusted if necessary, considering progress
• follow-up visits are required for monitoring and supporting treatment

You can learn more about treatment options during a consultation with Dr. Alina Alexandrovna Vasilieva.

Prevention

Prevention is important for reducing the risk of infertility and maintaining reproductive health. A prevention plan is tailored individually, taking into account the specific characteristics of each patient.

Main Primary Prevention Measures

• Control and normalize body weight to maintain hormonal balance
• Quit smoking and limit alcohol consumption
• Reduce stress levels and ensure adequate rest
• Timely treatment of infections and inflammatory processes
• Regular physical activity within the doctor’s recommendations

Screening and Secondary Prevention / Regular Monitoring

• Regular gynecological examinations as indicated
• Monitoring hormonal balance if risk factors are present
• Screening for sexually transmitted infections as recommended by a doctor
• Monitoring the condition of pelvic organs with ultrasound when necessary

Practical Advice

• Discuss the optimal physical activity regimen with your doctor
• Avoid excessive stress and ensure quality sleep
• Pay attention to changes in your menstrual cycle and overall well-being
• Manage chronic diseases and undergo timely check-ups
• Take any medication only after consulting with your doctor

Preventing infertility is an important step toward maintaining health and should always be discussed with a doctor on an individual basis.

Important to Know

Treating infertility requires a careful and consistent approach to identify the cause and choose the right strategy. Early assessment helps reduce the risk of complications and increases the chances of successful restoration of function. Often, dynamic monitoring is necessary — the treatment plan may be adjusted as new information emerges. The course of the problem is influenced by various factors: stress levels, quality of sleep, comorbidities, and overall lifestyle. Self-medication without consulting a specialist can lead to a blurred clinical picture and delay an accurate diagnosis.

• It is important not just to eliminate symptoms, but to find and address the causes of infertility
• Consulting a doctor helps identify individual risk factors and prescribe appropriate examinations
• Regular monitoring allows treatment to be adjusted as the condition changes
• Stress and chronic fatigue can affect therapy outcomes and general well-being
• Self-treatment can interfere with correct diagnosis and lead to unwanted effects
• A comprehensive approach ensures all aspects of the patient’s health are taken into account

Additional questions and treatment details are best discussed during an appointment, where Dr. Alina Alexandrovna Vasilyeva can provide detailed answers tailored to your situation. Full information about infertility is available on our general page "All About Infertility."

Self-Care Before the Appointment: What You Can and Cannot Do

Before your infertility appointment, there are several safe steps you can take to ease your condition and prepare for the consultation. It is important to avoid actions that could distort the picture and complicate diagnosis. If your condition worsens, seek urgent help from Dr. Alina Aleksandrovna Vasilyeva.

What You Can Do Before the Appointment

• Note when and how symptoms started and any possible triggers
• Keep a diary of your menstrual cycle and any changes in your well-being
• Bring a list of all medications and supplements you are taking
• Reduce physical exertion and ensure adequate rest
• Drink enough water to avoid dehydration
• Measure and record your temperature and other objective indicators if possible
• Pay attention to stressful situations and try to minimize them
• Gather results of any previous examinations and tests, if available

What You Should Avoid Doing Before the Appointment

• Do not stop or change medications without consulting your doctor
• Do not start taking new medications or supplements on your own
• Do not use “folk” remedies without the approval of a specialist
• Do not attempt to diagnose yourself or interpret test results without medical education
• Do not ignore worsening symptoms or new complaints
• Do not delay visiting the doctor if alarming signs appear
• Do not make radical changes to your diet or lifestyle without specialist recommendations
• Avoid stressful situations, but do not isolate yourself for long periods

If you experience signs of an emergency, seek help immediately from Dr. Alina Aleksandrovna Vasilyeva.

How I Can Help as a Doctor with Infertility Issues

During an infertility consultation, I will help you understand the causes and characteristics of your condition, assess risks, and choose the most appropriate treatment strategy. Together, we will clarify the action plan, support your health, and monitor the progress of therapy to achieve the best possible outcome. At an infertility consultation, I can assist you with the following:

• Analyzing symptoms and medical history to identify potential causes
• Assessing the severity of the problem and associated risk factors
• Reviewing current prescriptions and evaluating therapy tolerance
• Developing a step-by-step plan: examination → treatment → monitoring
• Considering comorbidities and current medications when selecting treatment
• Providing recommendations on lifestyle and daily routine tailored to your individual needs
• Discussing criteria for progress monitoring and scheduling follow-up appointments
• Conducting an initial evaluation and differential diagnosis of possible causes
• Adjusting therapy if there is no effect or if side effects occur

This comprehensive approach helps not only to alleviate symptoms but also to address the root cause and maintain your condition throughout the entire treatment period. As needed, we can adapt the plan to account for changes and improve outcomes.

What Questions Can You Ask a Doctor About Infertility

During a consultation regarding infertility, you can discuss the following situations and symptoms with Alina Aleksandrovna Vasilyeva: absence of pregnancy after prolonged attempts, irregular menstrual cycle, painful sensations in the lower abdomen, repeated failures to conceive, and lack of results from previous treatments. The doctor will also help you understand if symptoms recur or if complications arise. In case of sudden severe pain in the lower abdomen, heavy bleeding, or rapid loss of strength — emergency assistance is required; do not wait for a scheduled appointment.

• absence of pregnancy despite regular attempts to conceive
• irregular or absent menstruation
• painful sensations or discomfort in the pelvic area
• repeated failures when trying to get pregnant
• complications or accompanying inflammatory processes
• symptoms that recur or worsen over time
• lack of effect from previously prescribed treatment
• need for a second opinion on examination results

A visit to the doctor helps get a comprehensive assessment of your condition and develop a clear plan of further actions considering all nuances of the problem. In some cases, additional examinations or consultations with specialists from related fields are required. Emergency conditions require immediate medical help.

Questions You Can Discuss During the Consultation:

• What is happening to me, and what could it be?
• Why might the problem with conception have appeared now?
• How can I understand if it is related to infertility and not other causes?
• What examinations are necessary in my particular case?
• Which analyses and tests are mandatory for diagnosis?
• How should I properly prepare for examinations and the appointment?
• What treatment options are available, and how do they differ?
• Is this condition fully treatable, or will long-term monitoring be needed?
• Why is the prescribed treatment not working, and what should I do next?
• Is it possible to try managing without medications or procedures?
• How long does the treatment usually last, and how often is follow-up needed?
• How can I tell if my condition is improving or worsening?
• What should I do if symptoms suddenly worsen or flare up?

If you experience the symptoms described or need clarification, a consultation with Dr. Alina Aleksandrovna Vasilyeva will help determine the most appropriate steps. In all cases, careful and timely medical attention contributes to more accurate diagnosis and effective management.

How the Consultation Proceeds

A consultation with an obstetrician-gynecologist for infertility includes reviewing your complaints, assessing your general condition, and developing a plan for further actions. The extent and nature of examinations are determined individually and only based on indications. It is not always possible to obtain a complete diagnosis in a single appointment, so a consistent and thorough evaluation is important.

1. Clarifying complaints and the purpose of the visit: determining what exactly is bothering you, how long the symptoms have been present, what affects them, and what expectations the patient has.
2. Taking the medical history and assessing risk factors, including details about the menstrual cycle, previous pregnancies, and any chronic illnesses.
3. Discussing previous examinations and treatments, if any; it is recommended to bring the results of any tests and a list of medications you are currently taking.
4. Conducting an examination and ordering specialized tests as indicated, for example, ultrasound of the pelvic organs or hormone tests.
5. Forming a preliminary conclusion: the doctor assesses probable causes and excludes serious conditions, without making a definitive diagnosis at this stage.
6. Determining the examination plan, which may include ultrasound with folliculometry, blood tests for hormones, a partner’s semen analysis, and other necessary investigations.
7. Developing an overall treatment and management plan based on examination results, the body’s capabilities, and individual factors.
8. Discussing monitoring the condition’s progress: scheduling follow-up visits, criteria for evaluating treatment effectiveness, and recommendations on when to seek earlier consultation.

If this is your first visit, the focus will be on clarifying symptoms and possible causes. If previous treatment has been ineffective, we will thoroughly review past therapy and adjust the plan of action.

Such a careful and step-by-step approach helps to conduct a comprehensive assessment of the condition and organize effective follow-up care.

Preparation for the Appointment

Preparing for an appointment with an obstetrician-gynecologist for infertility will help speed up diagnosis and the development of a treatment plan. Following simple recommendations makes the consultation as productive as possible.

• Bring a list of all current medications with names and dosages, if known
• Take previous examination results, including pelvic ultrasound, hormonal tests, and your partner’s semen analysis
• Write down your main complaints: when and how symptoms start, what worsens or relieves them
• If fasting is required for tests, do not eat or drink for 8–12 hours before the visit (unless otherwise advised; confirm when making the appointment)
• Do not stop taking prescribed medications without consulting your doctor
• Avoid using cosmetics, creams, or other products on the abdomen and neck areas before the examination (if applicable)
• Come prepared with questions and be ready to discuss your medical history and treatment in detail
• If possible, bring records of your menstrual cycle or other self-monitoring diaries
• If you have images or results from previous examinations in electronic form, prepare them for easier viewing

If you have any doubts about preparation, it is best to clarify the details with the reception when booking to avoid misunderstandings and receive the necessary instructions. Do not stop taking medications without consulting your doctor, as this is important for safety and accurate diagnosis.

About the Doctor

Alina Aleksandrovna Vasilyeva is an obstetrician-gynecologist, reproductive specialist, and ultrasound doctor with over 10 years of experience. She specializes in infertility treatment, most often working with patients during their initial consultation, in cases of repeated unsuccessful attempts at conception, and in complex situations requiring additional diagnostics.

In her practice, the doctor emphasizes differential diagnosis of infertility causes and dynamic patient monitoring. During the consultation, you will receive a clear analysis of your situation and a plan of further actions that takes into account your individual health characteristics.

Why Patients Choose Dr. Alina Aleksandrovna Vasilyeva

When working with infertility, Dr. Vasilyeva places great emphasis on thorough diagnostics, especially analyzing causes and conducting differential diagnosis. She reviews previous treatments and assesses therapy tolerance, which helps to adjust the treatment if no effect is observed or side effects appear. Special attention is given to considering comorbidities and medications taken to ensure the patient’s safe and effective care. Patients receive a clear plan of further steps with precise monitoring criteria and scheduled follow-up visits. The doctor monitors progress dynamically, promptly evaluating results and adjusting tactics as needed.

• A clear action plan: what to do now, which tests to undergo, and when to return for follow-up
• Examinations prescribed strictly based on indications, avoiding unnecessary procedures and expenses
• Consideration of comorbid conditions and medications for safe treatment
• Monitoring dynamics and timely adjustment of therapy if effectiveness is insufficient
• Review of previous test results and development of recommendations based on them
• Explanation of treatment goals and risks in simple language without excessive technical details
• Focus on complication prevention to improve the patient’s quality of life
• Experience managing complex and repeat cases, including requests for second opinions

This approach allows patients to gain a clear understanding of their health status and a realistic plan for managing infertility. Collaborative work helps achieve systematic control and timely response to changes in the condition.

Case Studies

Diagnostic Evaluation at Initial Consultation

A middle-aged female patient presented with complaints of infertility lasting for an extended period. It was important to rule out major causes, including hormonal disorders and fallopian tube patency. A comprehensive review of medical history, examinations, and previous results was conducted. Over time, the condition stabilized, and many symptoms decreased following the implementation of a personalized management plan. The patient continues regular follow-up with ongoing monitoring and therapy adjustments based on new test results.

Treatment Strategy Adjustment Due to Lack of Effect

A young woman came after a treatment course that failed to achieve the desired outcome. Special attention was given to evaluating drug tolerance and possible comorbid factors that could reduce therapy efficacy. Repeat tests and an expanded review of current prescriptions were performed. After treatment plan modifications, partial improvement of her condition and symptom severity was observed. Dynamic monitoring with regular assessment of treatment effectiveness is ongoing.

Chronic Course with Comorbidities

A middle-aged female patient has long struggled with infertility against the background of chronic gynecological diseases and other conditions affecting reproductive function. A comprehensive assessment of all factors, including interactions with medications taken, was a crucial step. The approach included individualized therapy adjustments and overall health support. Following the treatment course, symptom stabilization and improved quality of life were achieved. The physician established a plan for ongoing monitoring and prevention of exacerbations.

Exacerbation and Control Plan

A woman presented with a sudden worsening of symptoms leading to markedly deteriorated well-being. The key priority was the prompt exclusion of serious conditions and determination of the severity of the problem. Emergency examination and necessary indicated tests were performed. After stabilizing the condition, a long-term management and prevention plan for recurrent exacerbations was developed. Gradual improvement was noted over several weeks, followed by scheduled follow-up visits.

Second Opinion and Detailed Examination Review

A patient with a prolonged history of conception attempts sought a second opinion because previous examinations were incomplete and results unclear. The physician thoroughly analyzed all available information and conducted additional investigations as necessary. A meticulous treatment approach was formulated focusing on differential diagnosis and monitoring of progression. The patient’s condition gradually improved, with measures taken for ongoing control and evaluation of treatment outcomes.

How long does the consultation last?

The consultation usually takes from 30 to 60 minutes; please confirm the exact duration when booking.

How to prepare for the appointment?

It is recommended to write down your main complaints, bring a list of medications, and results of previous examinations.

What should I bring to the appointment?

Bring your test results, images, medical records, and a list of all medications you are currently taking.

Do I need to come on an empty stomach?

Usually no, unless otherwise specified in advance.

How many visits are usually required?

The number of visits depends on the complexity of the situation and treatment strategy; usually several visits are needed.

When can I expect the first results of the treatment?

It varies individually depending on the chosen therapy and the patient's condition.

What should I do if my condition worsens before the appointment?

If alarming symptoms appear, you should contact the doctor as soon as possible.

Is it possible to combine treatment with current medications?

Discuss medication compatibility with your doctor; do not change your medication regimen on your own.

Is it possible to have an online consultation?

Yes, online consultations are available by appointment and with the necessary data provided.

Can I come with examinations that have already been done?

Yes, please bring all relevant results for a complete analysis.

Do I need to come back for follow-up visits and how often?

Follow-up visits are scheduled based on therapy results and the patient's condition.

Can I get a second opinion from this specialist?

Yes, the doctor is willing to review previous examination results and provide advice.

What should I do if symptoms return after improvement?

Inform the doctor about any changes to adjust the treatment plan accordingly.

What examinations are usually prescribed for infertility?

The examination plan depends on individual indications and assessment of the condition.

How does the initial infertility consultation go?

The doctor clarifies complaints, collects medical history, conducts an examination, and orders necessary tests.

Can I refuse certain examinations?

Discuss this with the doctor to ensure diagnostic effectiveness is maintained.

Are there any restrictions on taking medications before the visit?

Do not stop prescribed medications without consulting the doctor.

Can I seek help at the first signs of infertility?

Yes, early consultation helps to timely identify and begin addressing the problem.

What should I do if I missed an appointment or examination?

Inform the doctor to adjust the plan and schedule next steps.