Infertility treatment

Today,infertility is considered to be the world problem. If a family couple fails to achieve a desired pregnancy during the period of one year, husband and wife should not shelve this problem and should be seen by a good specialist. Any delay may only aggravate the situation.

Infertility Treatment – Methods

Hormonal Infertility Treatment

Nowadays, there exist a considerable number of infertility treatment methods. If a woman starts facing an ovulation problem, she is prescribed a course of treatment, involving the use of special hormonal medicines, which would normalize the functions of ovaries and oocyte maturation process.

Besides, hormonal medicines are used to treat male secretory infertility forms.

It is important to note that patients are forbidden to take hormones for treatment purposes without professional prescription. Such treatment will not do the patient any good and, apart from it, may give rise to a number of grave complications. Hormonal treatment prescribed by a qualified doctor is the indispensable condition of favorable and effective application of hormones. The doctor must control hormonal stimulation of ovarian operation with the use of ultrasonic testing equipment and, if and when necessary, prescribe hormonal blood tests.

Antibacterial Infertility Treatment

Antibacterial drugs are used to treat inflammatory diseases of sexual organs, bacterial infections and excretory-toxic infertility diseases.

Microsurgical Infertility Treatment

If a woman suffers obstruction of uterine tubes, commissural problems, endometriosis, as well as must have her large myomatous nodules or ovarian cysts removed, she undergoes laporoscopy – the advanced method of internal organ surgery via small (normally, 0.5-1.5 cm) apertures. Unlike laparotomy techniques (i.e. dissection of anterior abdominal walls), this microsurgical interference method reduces the risk of recurrent generation of commissures.

Microsurgical treatment of tube infertility is limited. Only 10-40 % of women succeed in achieving the onset of pregnancy. This depends on severity of abnormal changes.  Doctors are of the opinion that, if pregnancy condition is not attained during one year after the operation, no more time is to be wasted,  and treatment, involving the use of attendant reproductive methods (ARM) should start.  Any further uterine tube surgery has no prospects.

Microsurgical interference is prescribed to men who suffer obstruction of spermoducts. In certain cases reproduction recovery operations may not be possible owing to the following reasons: advanced age of a patient, earlier voluntary surgical sterilization, which was applied improperly, prolonged period of time that passed following obturation, i.e. obstruction of spermoducts, presence of spermatic antibodies.

As male spermogram parameters get lower, the insemination operation is performed.

IVF

Today, IVF (in-vitro fertilization) is the most effective infertility treatment method. This method involves fertilization of oocytes outside a female body with further transfer of resulting embryos into the uterine cavity.

Likeliness of the onset of pregnancy in one IVF cycle is from 40 to 58 % and often depends on the age of spouses and infertility causes.

If the quality of sperm is proved low, eggs are fertilized with the use of the ICSI method. Using micromanipulation techniques, a good-quality spermatozoon is injected into an egg. This method permits to enhance the chances of fertilization even under conditions of severe male infertility.

In cases of azoospermia, i.e. the absence of spermatozoa in ejaculate, spermatozoa can be successfully retrieved from epididymis, or from testicles directly.

If sperm contains no spermatozoa, while a woman has no ovaries, or her ovaries are exhausted, or no oocytes generate, husband and wife can make use of the services of a sperm and egg donor.

In those cases where a woman is incapable of carrying pregnancy, a surrogacy program could be applied to her. In the course of a similar program embryos resulting from fusion of eggs and spermatozoa of genetic parents are transferred into the uterine cavity of a surrogate mother who will carry a child.  

It is often the case that doctors render professional assistance to family couples whose genetic systems  suffer various diseases. In any such case comprehensive genetic diagnostics of embryos is conducted prior to their transfer into the uterine cavity.