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| Treatment of Infertility |
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The treatment of infertility will depend on the problems defined during evaluation and can range from:
REASSURANCE AND ADVICE
This may be all that is necessary especially in newly married couples where no problem has been defined or where the problem is not serious enough to require treatment and where the couple have not been trying to achieve pregnancy for a long time.
OVULATION INDUCTION
A woman who is not releasing an egg every month has an ovulation problem and the treatment ranges from dietary advice to either gaining or loosing weight to taking medication which can be in the form of tablets or injections.
INTRA-UTERINE INSEMINATION (IUI)
This is the introduction of a prepared sample of the husband's sperm into the uterus. It is used for the treatment of unexplained infertility. It could be done with or without drugs to stimulate the ovaries.
DONOR INSEMINATION (DI)
This is like IUI, but the sperm is obtained from the sperm bank where we have vials of infection-free donor sperm.
IN-VITRO FERTILIZATION (IVF)
This is the fertilisation of the woman's egg with the husband's sperm out of the body. Subsequently, the embryos are transferred through the cervix into the womb for continued development and hopefully a pregnancy. IVF is commonly used for the treatment of infertility caused by fallopian tube problems.
There are many variations to this process to the basic conventional IVF process:
ICSI (Intra Cytoplasmic Sperm Injection)
This is used when the man has abnormal sperm that are unable to fertilise the eggs naturally during conventional IVF. ICSI involves the use of very fine needles to inject the sperm directly into the egg for fertilisation to occur. The fertilised eggs are further cultured and the resulting embryos are transferred into the womb.
Ovum donation
There is a natural decline in female fertility as a woman advances in age. Some women are unable to produce eggs due to genetic reasons, premature ovarian failure. Women who require IVF and are unable to produce good quality eggs will require ovum donation. Eggs can be donated either from known donors such as a sister or friend to the couple or anonymous donors. Anonymous donors are usually part of the egg share scheme where a woman undergoing an IVF treatment chooses to share some of her eggs. In an ovum donation cycle, the donated eggs are fertilized by the husband's sperm and after fertilisation, the resulting embryos are transferred into the uterus.
IVF surrogacy
Women with functioning ovaries but without a uterus, or women who have experienced repeated miscarriages, or with severe medical conditions that are incompatible with pregnancy may require IVF surrogacy.
The ovaries of the woman are stimulated; the eggs collected and fertilized with her husband's sperm and then the embryos are transferred into a surrogate's womb where the pregnancy will hopefully develop.
Embryo cryopreservation
Frozen Embryo Transfer has been shown to result in good conception rates following a stimulation cycle. Embryo freezing can be offered to all clients who have three or more top quality embryos available after embryo transfer.
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