Infertility is defined as not being able to conceive a child despite trying for at least a year. According to the American Society for Reproductive Medicine, infertility affects 6.1 million American women and their partners, about 10 percent of the reproductive age population. This infertility percentage is almost the same for Cincinnati.
Though this issue concerns most women, it is a myth that infertility is always a woman’s problem. Experts say that 80 percent of cases which was diagnosed with infertility are due to male problems. Infertility may be due to a single cause in either a woman or her partner, or a combination of factors that may prevent a pregnancy from occurring or continuing. According to the NWHRC (National Women’s Health Resource Center), most women in their late 30s are 30 percent less fertile than they were in their early 20s. About 20 percent of infertility cases are the result of fallopian tube disease. It also added that between 30 and 40 percent of women with endometriosis are infertile. In 85 to 90 percent of all cases, infertility is treated with either medication or surgery. However, recent improvements and innovations in medications such as microsurgery, and Assisted Reproductive Technologies (ART) such as In Vitro Fertilization (IVF), make pregnancy possible. There are now more than 45, 000 babies that were born using IVF.
In Vitro Fertilization is a fertility procedure which was first done successfully in 1978 in England by Dr. Robery Edwards, an embryologist and Dr. Patrick Steptoe, a gynecologist. Since then, the technology has been further advanced and developed by physicians and embryologists, with over 20,000 babies born worldwide. The possibility of a continuing pregnancy being achieved through IVF has improved from practically nothing to a one-time chance in 4 to 6 trials.
IVF is the original 'test-tube' baby technique. It was developed more than 30 years ago for the treatment of women with damaged Fallopian tubes, and this remains an important reason for treatment today.
How does IVF work?
All IVF treatments begin with a course of hormone therapy to stimulate the development of several follicles in the ovary. These are collected as eggs, which are then fertilised in a test-tube ('in vitro') to create several embryos. After between two and five days in an incubator, one or two of these embryos are transferred through the vagina to the uterus, where implantation occurs and pregnancy begins. However, in IVF as in natural conception, not every embryo implants to become a pregnancy, which is why surplus embryos are frozen - so that a subsequent transfer might be tried if the first one fails. Freezing is now an essential part of every clinic's IVF programme.
Single Embryo Transfer
Because the transfer of two or more embryos is associated with multiple pregnancy, there has been a determined effort in recent years to cut this multiple rate by transferring just one embryo and freezing the remainder. At the LWC we encourage single embryo transfer in patients with a good chance of success.
The most widely reported 'side effect' associated with IVF is a multiple pregnancy. There is also a very small risk that some women (1-2%) will over-react to the hormone drugs used to stimulate the ovaries, but ultrasound and hormone monitoring during this drug treatment phase usually ensures that any over-reaction is foreseen and any risk avoided. Egg collection can be uncomfortable, and is often performed with a local anaesthetic.
As with other type of fertility treatment, success rates in IVF decline once patients reach the age of 35 or so. Before that, IVF pregnancy rates at the LWC are around 50% per cycle.
In Vitro Fertilization: New Hope for Overcoming Infertility
: What is IVF
The effectiveness of every treatment method plays an important role for the patient having fertility issues, when selecting a course of treatment solution and also when choosing fertility treatment clinics. When fertility medicines weren't effective alone, lots of people are faced with a choice of IUI (Intrauterine Insemination), generally known as Artificial Insemination.This IUI fertility treatment works by using a catheter to help insert cleaned sperm cell into the uterus. This technique improves the possibilities of sperm cell getting to the fallopian tubes, which will improve the possibility of fertilization.Accomplishing this occasionally includes medication to help stimulate the ovaries and also improve the eggs production. The hormone HCG (human Chorionic Gonadotropin) will be used which affects the release of the eggsThe IUI fertility treatment is normally a treatment course taken into consideration by married couples who've been failed in getting pregnant when struggling for a year or longer. Lots of fertility treatment solution clinics recommend IUI fertility treatment as a possible solution to treat situations just like: sperm cell with low mobility, very low sperm cell volume, cervical environments not conducive to sperm cell, sexual dysfunctionsThe Side EffectOne of the primary worries about the IUI is usually, when fertility cycles have already been stimulated, it comes with a higher risk of generating OHSS (Ovarian Hyper stimulation Syndrome). OHSS is usually produced if a woman's body system reacts too well to the fertility medicines consumed to stimulate ovulation, resulting in the ovaries to enlarge and then leak the liquid directly into abdomen. Your medical professional must check for OHSS and then the fertility treatment solution clinic could possibly have a client admitted to go to the hospital for several days to get observation while the ovaries return to its healthy condition.