Couple infertility in Oujda: when to consult and what work-up?
the pathway, from first doubts to ART.
Have you been trying to conceive for several months without success? Here's when to consult in Oujda, what work-up to expect, and the ART options available at Clinique Achark.
1. When to consult for infertility in Oujda?
- Woman < 35: after 12 months of regular intercourse (2 to 3 times a week) without contraception and no pregnancy.
- Woman ≥ 35: after 6 months — fertility declines and time is critical.
- Specific history (very irregular cycles, known endometriosis, pelvic surgery, or oncological history in man or woman): consult without delay.
2. The couple infertility work-up
At Clinique Achark in Oujda, the initial work-up lasts 2 to 4 weeks and systematically involves both partners.
For the woman:
- hormonal work-up (FSH, LH, oestradiol, AMH, progesterone, TSH, prolactin);
- pelvic ultrasound with follicle count;
- hysterosalpingography or hysterosonography to check tubal patency;
- diagnostic laparoscopy in case of suspected endometriosis.
For the man:
- semen analysis + spermocytogram;
- semen culture if infection is suspected;
- hormonal work-up and testicular ultrasound based on results;
- genetic work-up in case of severe oligo-asthenospermia.
3. The most common causes
- Male origin: ~30 % (oligo-astheno-teratospermia, varicocele, azoospermia).
- Female origin: ~30 % (ovulation disorders, endometriosis, tubal issues, uterine pathologies).
- Mixed cause: ~20 %.
- Unexplained: ~15 % after complete work-up.
- Maternal age: decisive factor after 35, regardless of other causes.
4. ART options available in Oujda
At Clinique Achark in Oujda, several levels of assistance are possible depending on the diagnosis:
- Ovulation induction alone: in case of isolated ovulation disorder. Simple ultrasound monitoring.
- Intrauterine insemination (IUI): prepared sperm deposited into the uterus at ovulation. Indicated for moderate sperm abnormalities, unexplained infertility.
- IVF (in vitro fertilisation): eggs and sperm are put together in the laboratory.
- ICSI (Intra-Cytoplasmic Sperm Injection): a single sperm is micro-injected into each egg. Essential for severe male infertility.
- Cryopreservation: supernumerary embryos or eggs for fertility preservation.
For details of the IVF / ICSI pathway, see the dedicated page: IVF & ICSI in Oujda.
5. Fertility preservation before cancer
If you are diagnosed with cancer in Oujda and plan chemotherapy or pelvic radiotherapy, an urgent onco-fertility consultation can be organised at Clinique Achark within 5 to 10 days to preserve your eggs or sperm. This step must not delay oncological treatment but be integrated with it.
6. The right reflexes while trying
- Intercourse every 2 to 3 days during the fertile window (days 10 to 18 of the cycle).
- Lifestyle: stop tobacco and alcohol, weight loss if overweight, balanced nutrition.
- Folic acid recommended for the woman from the trying phase.
- Avoid self-medication with so-called fertility supplements — always talk to the doctor.
Key takeaways
- Consult after 12 months (6 months after 35) without pregnancy despite regular intercourse.
- Complete couple work-up in 2-4 weeks at Clinique Achark in Oujda.
- Causes are balanced between male, female, mixed and unexplained origin.
- Several ART levels available: induction, IUI, IVF, ICSI, cryopreservation.
- Oncofertility available on an urgent basis before chemo/radiation.
Frequently asked questions
12 months of regular intercourse without contraception for a woman under 35, 6 months after 35. In case of irregular cycles, history of pelvic surgery or known endometriosis, consult without delay.
A question about your file in Oujda?
The administrative team at Clinique Achark will call you back within one business hour to verify your insurance and book your next consultation.