Infertility is defined as not being able to get pregnant (conceive) after one year (or longer) of unprotected sex.
There are many options for treating infertility, however deciding on which one is best for the couples can feel a bit overwhelming at first. Start with learning about all of the options that are available to you. With advancing medical technology there are more choices for both men and women trying to conceive. It can be a broad spectrum of hormonal treatments, ovulation induction and Intrauterine insemination to more advanced technologies like in vitro fertilization, ICSI. Doctors recommend most specific treatment for the couple.
Generally, a couple who has undergone IVF and embryo transfer isn’t sure of the procedure’s success until about one or two weeks after it’s completed. The first test to determine whether implantation has occurred involves measurement of a hormone called human chorionic gonadotropin, or HCG, which is produced by the cells surrounding the embryo. This measurement is usually made during the second week, preferably 12ndday.
If you go to see a doctor who, after hearing that you have difficulty getting pregnant, if he or she immediately recommends one of the assisted reproductive technology (ART) procedures like IVF at this point, head for the exit!
The safest, simplest, and least expensive part of the evaluation will be the history – which is where all doctors should start.
With fertility check-up, doctors will figure out the causes of infertility. Problems with ovulation, damage to fallopian tubes or uterus, problems with the cervix, hormone imbalance, Thyroid gland problems, a tumor or cyst, polyps in the uterus, scar tissue or adhesions, or previous infections may cause infertility. Several blood tests are available to determine if you, your partner, or both of you have a problem that is causing infertility.
A variety of physical problems can cause male infertility. These problems are usually characterized by a low sperm count and/or abnormal sperm morphology.
A varicocele is an enlargement of the veins that drain blood from the testicle to the abdomen (back to the heart) and are present in 15% of the general male population and 40% of infertile men. Varicoceles raise the temperature in the testes, which may affect sperm production.
Infection and Disease:
A low sperm count and low sperm motility are indicators of this condition.
It is the most common genital problem encountered in pediatrics. Cryptorchidism literally means hidden or obscure testis and generally refers to an undescended or maldescended testis.
Prolonged use of medication:
Exposure to certain medications such as flutamide, cyproterone, bicalutamide, spironolactone, ketoconazole, or cimetidine.
Since the cause of azoospermia can be varied, there will be different treatment options, depending on the cause. Several tests will be run to determine if there is any sperm cell production, if there is, the sperm may be extracted for IVF. PESA, MESA, TESA, TESE, MicroTESE are surgical sperm retrieval techniques for azoospermic males.
Many of my patients worry the most about what they can and cannot do after an embryo transfer. The fear is if they do something wrong, the embryo won’t attach or fall out.
The first 48 hours after an embryo is transferred are most likely the most critical. Therefore, for the first one to two days, stay home and chill out. You may resume normal activities after the first 24 hours.
For the first 24 hours after your IVF egg retrieval, you should just rest at home. You should not drive or operate machinery. You may resume normal activities after the first 24 hours.
Sexual activity may be resumed after your vaginal bleeding has stopped.
If you are hesitant to use regular hair dyes during pregnancy, there are some safer alternatives to consider. For example, having highlights put in your hair decreases any risk as the dye is only placed on strands of your hair and does not touch the scalp. Thus, the skin does not absorb the chemicals into the bloodstream. Another alternative is pure vegetable dyes including henna.
Smoking affects each stage of the reproductive process, including egg and sperm maturation, hormone production, embryo transport, and the environment in the uterus. It can also damage the DNA in both eggs and sperm. Smoking increases a woman’s chance of experiencing a miscarriage or ectopic pregnancy.
While IVF has proven to be very successful in helping women become pregnant, for some patients, IVF and miscarriage are a concern. However, Miscarriage rates are the same in those who conceived naturally and those who conceived through IVF. In many cases of miscarriage, the cause of the loss is not determined. However, in the case where a couple has experienced a series of miscarriages, tests may be done to determine the cause of miscarriage so that all possible precautions can be taken to help reduce the risk of a future miscarriage.
You may have an intuitive sense as to which fertility specialist feels comfortable to you. So during your visit, the doctor should make you comfortable listing your concerns. For an infertile couple, the doctor-patient relationship is the ultimate one-to-one relationship, in which you confide fully in your doctor and trust him to help you to conceive.
The doctor and health care team will lead you to achieving this goal, so it is critical that you have a bond of trust and caring.
It is usually recommended patients in their 20s and early 30s try to conceive or at least not use birth control for 12 months before visiting a fertility specialist.
In Professional clinics, success rate for women under 35 is around 50-55%. This percentage depends on age, anatomy, stress level and egg&sperm quality.
Once your fertility specialist recommends in vitro fertilization (IVF) treatment, you probably want to know what IVF costs, what may be covered by insurance, what programs exist that make the cost more manageable, and what financing options you may have. For these questions please do not hesitate to contact us: +90 530 258 10 96 / [email protected]
First fertility specialists inform the couples about the stages of the treatment. Secondly, couples start using fertility medications to stimulate egg production. A transvaginal ultrasound is used to examine the ovaries, and blood test samples are taken to check hormone levels. Thirdly, eggs are retrieved through a minor surgical procedure that uses ultrasound imaging to guide a hollow needle through the pelvic cavity to remove the eggs.
The male is asked to produce a sample of sperm, which is prepared for combining with the eggs. In a process called insemination, the sperm and eggs are mixed together and stored in a laboratory dish to encourage fertilization. In some cases where there is a lower probability of fertilization, intracytoplasmic sperm injection (ICSI) may be used. Fertilized eggs considered as embryos. The embryos are usually transferred into the woman’s uterus three to five days following egg retrieval and fertilization.
Women facing cancer treatment (radiation or chemotherapy), surgery, endometriosis, or who take medicines for some rheumatologic and other diseases that damage or destroy their ovarian function, who has low ovarian reserve can freeze their eggs.
According to laws and policies frozen eggs can remain up to 5 years in the clinic.