Once you and your partner have been diagnosed with fertility issues, it is time to consider your treatment options. Fertility treatment usually refers to drugs that stimulate the production of eggs or sperm or procedures that involve processing eggs, sperm, or embryos. However, infertility treatment is more than just fertility treatment. The treatment of infertility may also include surgery, lifestyle changes, weight loss or treatment of underlying diseases.
Your infertility treatment plan will depend on one or more causes of infertility, whether the problem is on the female side or the male side. The good news is that 85-90% of infertile couples receive low-tech treatments such as drugs or surgery. Less than 5% have received assisted reproductive technology treatments, such as IVF. Of those undergoing fertility treatment, less than half will have children.
This article provides information about the main treatment methods for infertility at Ziva infertility Clinic.
Malefactors cause approximately 40% of infertile couples. Malefactors may include low sperm count, abnormal sperm appearance, blocked vas deferens, or poor sperm motility.
Another 40% of infertile couples have problems related to their female partner. These may include irregular or anovulation, blocked fallopian tubes, or abnormal reproductive organs. Unfortunately, no specific cause can be found in the remaining 20% of infertile couples.
Symptoms of infertility
The main symptom of infertility is the inability to get pregnant after one year of unprotected sex. This is where most doctors recommend seeking fertility care. For women over 35 years of age who have not conceived or have irregular menstrual cycles after six months, it is recommended to see a fertility doctor as soon as possible. Male infertility is as common as female infertility, so it is essential to evaluate both parties.
What is the treatment for male infertility?
In men, the fertility treatment is as follows:
- Surgery: The cause is varicocele (dilation of the scrotal vein) or blockage of the vas deferens (the tube that carries sperm).
- Antibiotics: Treat infections of the reproductive organs—medications and consultations to treat erectile or ejaculation problems.
- Hormone treatment: If the problem is low or high levels of certain hormones, hormone therapy is given.
What are the main treatments for female infertility?
Ovulation Monitoring: Wrong timing can prevent pregnancy. Over-the-counter ovulation tests can help you determine the time of ovulation (egg release) and choose the best time for sexual intercourse. The test measures the hormone levels that increase 12 to 36 hours before ovulation. If the test result is not clear or is always negative, please see a doctor. About one-third of cases of infertility are related to irregular ovulation.
Fertility drugs: Drugs can be used to help women who ovulate irregularly. Clomiphene citrate (Clomid or Serophene) is the most common of these drugs. It is relatively effective and inexpensive. About half of women who take it will get pregnant, usually within three cycles. Clomiphene can cause multiple eggs to be released simultaneously, so the risk of multiple pregnancies (pregnancy with two or more fetuses) is increased.
Hormone injectable: After six months of trying clomiphene, women who have not conceived may prescribe an injection of the hormone to stimulate ovulation. There are several hormone preparations to choose from. Like clomiphene, hormone injections increase the chance of multiple pregnancies.
Obstructed Fallopian Tube Surgery: A blocked or scarred fallopian tube can prevent some women from getting pregnant. This may be due to endometriosis (overgrowth of endometrial tissue outside the uterus), previous surgery, or damage caused by a previous pelvic infection. Laparoscopic surgery can remove scar tissue from some women and increase their chances of getting pregnant.
For both male and female ART: Infertility in men and women It can also be assisted by reproductive technology or ART. There are many types of ART:
- Intrauterine insemination (IUI): Intrauterine insemination (IUI) is used to treat different types of infertility. In this technique, sperm is placed directly into the uterus during ovulation, reducing the distance the sperm can reach the egg. IUI is usually used in combination with drugs to stimulate ovulation. The conception rate is lower than IVF, but this procedure is cheaper and less invasive.
- Artificial insemination with donor sperm: If your male partner has a few healthy sperm, you can also use donor sperm for artificial insemination. It is usually recommended to consult before choosing because the child has no biological relationship with the father. Donor sperm IUI has been very successful for infertile women, with a cumulative pregnancy rate of over 80%.
- In vitro fertilization (IVF): IVF combines eggs and sperm in the laboratory, and it may be an option when other treatments fail. The embryos created in the laboratory are placed in the uterus. IVF involves hormone injections and surgery to retrieve the female partner’s eggs and can be expensive. However, the success rate is increasing. Pregnancy rates per cycle range from 10% in women aged 43 to 44 years old and 46% in women under 35. It may take several treatment cycles.
- IVF with ICSI: When a problem with male sperm is found, a procedure called intracytoplasmic sperm injection (ICSI) may be recommended in combination with IVF. This is a type of laboratory assisted fertilization that involves inserting a single sperm directly into the egg. The resulting embryo is transferred to the uterus in the same way as an in Vitro fertilization embryo. Most IVF cycles now also use ICSI.
- IVF with donor eggs: Women with poor egg quality, older women, or women whose previous IVF cycles were unsuccessful may choose to consider using donor eggs and your partner’s sperm for IVF. The resulting baby is biologically related to the father, not to the mother, even though the mother is pregnant. The success rate of IVF using fresh donor egg embryos is very high, and live births are possible 55% of the time.
- IVF and Multiples: When embryos are transferred to the uterus in IVF, 2 to 4 embryos are usually transferred at a time. This increases the likelihood of pregnancy but also increases the possibility of multiple pregnancies. It is essential to discuss this possibility with your fertility specialist because multiple pregnancies increase risks such as preterm birth, high blood pressure, anaemia, miscarriage, and other complications.
- Blastocyst transfer in vitro fertilization: Blastocyst transfer is a relatively new technique for in vitro fertilization. Traditionally, IVF embryos are transferred to the uterus at the 2-8 cell stage. In this process, the embryos grow for five days until they reach the later stages of development called the blastocyst stage. Then transfer one or two blastocysts to the uterus. This eliminates the possibility of triplets and maintains a high success rate of in vitro fertilization.
- Donor embryos: Donor embryos are embryos donated by a couple who have completed the process of in vitro fertilization. Donor embryo transfer is cheaper than standard IVF or IVF using donor eggs. This app allows the experience of pregnancy. The baby will not have any biological relationship with either parent.
- Surrogacy: For women who cannot conceive, surrogacy may be an option. Traditional surrogacy involves inseminating the surrogate mother with sperm from the male partner. Gestational surrogacy is another option, which involves IVF to create embryos from both partners and transfer these embryos to the pregnant woman’s uterus. This option allows babies to be biologically related to male and female partners.
In this article, we want to introduce you to the treatments at Ziva infertility Clinic. If you cannot have children, you can try IVF under the supervision of a Ziva infertility Clinic expert. Ziva infertility Clinic has expert doctors in the field of IVF. By trying the IVF pregnancy method in Hyderabad, you and your spouse will have another chance to experience motherhood. Our services in choosing hospitals and clinics also benefit from international standards. It should be noted that most doctors and surgeons who travel with us have more than ten years of international degree experience. For best treatment, contact Ziva infertility Clinic at +91-9392834024, +91-9100002737.