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Treatments Used for Infertility Issues in Couples
IVF, IUI, ICSI, FET, TESA
13 January 2017 Visits: 34222
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Treatments Used for Infertility Issues in Couples

Treatments Used for Infertility Issues in Couples
Dr. Neha Gupta
Written by

Dr. Neha Gupta

We are no more in the age when infertility had no combat. Today various infertility treatments like ICSI, IVF and IUI have come into existence and are efficient.

Infertility Treatments can be grouped into three categories:

1. Medicines to Improve Fertility:These are sometimes used alone but can also be used in addition to assisted conception.

2. Surgical Treatments:These may be used when the cause of the infertility is found that may be helped by an operation.

3. Assisted Conception: This type of infertility treatment includes several techniques such as:

  • Intrauterine insemination (IUI)
  • Donor Sperm
  • In vitro fertilization (IVF)
  • Intracytoplasmic sperm injection (ICSI)
  • Donor Eggs
  • Surrogacy
  • Donor Embryos
  • Gamete intrafallopian transfer (GIFT)
  • Zygote Intrafallopian Transfer (ZIFT)

Let us deep dive in each of them & understand them in detail:

1. Fertility Drugs:

Drugs are injected or taken in the form of a pill, the drugs release hormones that trigger ovulation to boost egg production and make the uterus more receptive to embryo implantation. Women who don't ovulate regularly or who have partners with very poor sperm quality are given fertility drugs.

Infertility Treatment, IVF, Infertility

 Fertility drugs should be avoided if you have damaged or blocked fallopian tubes or any damage from endometriosis (they require IVF).

2. Surgical Treatments:

The situations where an operation may be an option include:

  • Fallopian Tube Problems: Surgery may help some women with infertility caused by Fallopian tube problems. For example, if your fallopian tubes are damaged due to a previous disease, infection, or other problem. Some women who have got sterilization or tubal tie done in the past for contraception may be able to get their fertility restored by tubal surgery. These days, most fallopian tube surgeries are done by keyhole surgery. 
  • Endometriosis: This is a condition that occurs when cells from the lining of the womb (uterus) grow in other areas of the body. Surgery may help in improving fertility in women with endometriosis.
  • Polycystic Ovary Syndrome (PCOS):An operation on the ovaries may be suitable for some women with PCOS. The procedure is sometimes called ovarian drilling or ovarian diathermy. Again keyhole surgery is used. The tiny cysts in the ovaries can be removed or destroyed with the help of a heat source (diathermy). It may be done if other treatments for PCOS haven't worked.
  • Fibroids: For women with fibroids, surgery (to remove the fibroid) may be considered if there is no other explanation for infertility. However, small fibroids may not cause infertility.
  • Male Infertility: When sperm are blocked by an abnormality in the tube inside the scrotum that is used to store sperm (epididymis) in the testicle (testis), surgery may help.

Infertility Treatment, Infertility, IUI

A condition where there are varicose veins of the testes (varicocele) in men who have an abnormal sperm count may occasionally be repaired. However, whether it actually improves fertility is still unknown.

3. Assisted Conception:

Current infertility treatment techniques are described briefly below. Your specialist will advise on which are options for your particular cause of infertility and will explain the chance of success.

  • Intrauterine Insemination (IUI): Specially processed ("washed") sperm is inserted into the uterus, directly through a thin, flexible catheter during IUI, the most common fertility method. If you opt for this method, your doctor might recommend that you start on fertility drugs as well, to increase the chances of fertilization. This method is used for cases in which men have slow-moving or lower quality sperm or a low sperm count. Also for women who have produced antibodies to their partner's sperm or whose cervical mucus is too scant, acidic, or thick to transport the sperm to the egg.
  • Donor Sperm: Sperm from a man other than the intended father is used during IUI or IVF. This method is used for couples experiencing male infertility issues, men with genetic disorders they don't want to pass on to their children, single women, or lesbian couples.
  • In Vitro Fertilization (IVF): IVF involves a multistep process or in which a woman's eggs are extracted and fertilized with sperm in a lab. After the embryos are developed, one or two are implanted in the uterus and the rest are stored for later use. This method is used for Older women or women with blocked or severely damaged fallopian tubes or scarring from endometriosis; men with very poor sperm quality; couples with unexplained infertility.
  • Intracytoplasmic Sperm Injection (ICSI): In ICSI, an embryologist selects a healthy-looking, single sperm from the male's semen and injects it directly into the egg with a microscopic needle. After the development of an embryo, it's transferred into the uterus through IVF. This method is used for couples in which the man has a very low sperm count or poor sperm quality.
  • Donor Eggs: Eggs are extracted from the ovaries of another woman (usually younger) and fertilized by infusing with a sperm extracted from the recipient's partner. Resulting embryos are then transferred into the recipient's uterus. This method is used when the ovaries of a woman are damaged or prematurely failing, or for women who have undergone chemotherapy and/or radiation; older women with poor egg quality; as well as women with genetic disorders who do not want to pass it along.
  • Surrogacy: The surrogate carries a baby for another woman. Artificial insemination is used to get a surrogate pregnant, using the man's sperm or through IVF with the couple's embryo. Donor eggs and sperm may also be used. This method is used for women who can't carry a baby because of disease, hysterectomy, or infertility. In rare instances, both partners are infertile.

ICSI, Infertility, IVF

  • Donor Embryos: Some couples undergoing IVF, who become pregnant and no longer need unused fertilized eggs, donate their embryos. The embryo, which is donated, is then transferred into the recipient. This method is used for couples in which both woman and man are infertile but want to experience a pregnancy.
  • Gamete Intrafallopian Transfer (GIFT): Eggs from the woman are collected, fused with sperm from the man in a petri dish, and then placed directly into the fallopian tubes, where fertilization can occur. This method is used for couples in which the woman has at least one functioning fallopian tube and/or the man has a low sperm count or sperm with poor motility, and couples who are suffering from unexplained fertility or who consider IVF anti-moral or anti-religious
  • Zygote Intrafallopian Transfer (ZIFT): Like IVF, but in this case, the embryo is inserted into the fallopian tube, not the uterus. This method is used for couples who have unexplained infertility or those in which the man has a low sperm count, the woman has at least one tube open, and/or there are ovulation problems.
Dr. Neha Gupta

About The Author

Infertility Specialist, IVF Specialist

Dr. Neha Gupta

Gurgaon

Dr. Neha Gupta is an Obstetrician and Gynaecologist in Gurgaon. She has been practicing for many years now. Her rich experience in Normal Vaginal Delivery, Intrauterine Insemination (IUI), In-Vitro Fertilization (IVF), Hysterectomy and Tubectomy makes her the most preferred names in Gurgaon. She has acquired MBBS in 2004, DNB from National Board of Examinations in 2009 and MS - Obstetrics and Gynaecology from Maulana Azad Medical College in 2009. She is a member of the Royal College of Obstetricians and Gynaecologists, London. Dr. Neha Gupta has an expertise in Intrauterine Insemination and is practicing at Fortis Memorial Research Institute in Gurgaon. You can get the contact details of Dr. Neha Gupta at elawoman.com

SOURCES AND REFERENCES:

  1. Branswell, Helen (15 December 2008) Success rate climbs for in vitro fertilization. The Canadian Press.
  2. Chatterjee, Paramita "IVF: Fertile Ground" BW Businessworld. Retrieved 8 July 2017.
  3. Goldstein, Jacob (19 August 2008) California Doctors Can’t Refuse Care to Gays on Religious Grounds. Wall Street Journal.
  4. IVF costs to NHS 'must be capped', says fertility expert.BBC News. 29 October 2015. Retrieved 30 October 2015.
  5. "IVF Treatment Step Four: Final Oocyte" Infertility.about.com. Retrieved 22 May 2012.
  6. Natural cycle IVF Archived 12 May 2012 at the Wayback Machine. at the Human Fertilisation and Embryology Authority homepage.
  7. "NHS access to IVF being cut in England"BBC News. 7 August 2017. Retrieved 5 September 2017.

2 Comments

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Shrabani Saha
Nov. 1, 2017, 3:46 p.m.
 4.5
There are several cases where ICSI is recommended. Your doctor may ask for the treatment if the male partner has a very low sperm count or higher percentage of abnormally shaped or slow sperm. Males having issues with erection and ejaculation due to spinal cord injuries or diabetes, can also go f...
user_img
Varsha Gautam
Nov. 1, 2017, 3:41 p.m.
 5.0
I know that IVF is an intricate and costly procedure and I have read somewhere that just around 5% of couples with infertility issues search it out.
Rating :

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The information displayed on this webpage covers general information on several medical conditions, fertility treatments, IVF ICSI, surrogacy procedure, home remedies, and their respective treatments. The exclusive purpose of the displayed information is for the sake of general understanding and it has been collected from open sources which heavily rely on research and laboratory tests. However, the information shared here should not be considered as a medical advice or an alternative to consultation with a registered medical practitioner or licensed healthcare professional.

It is not advised to self-diagnose or treat any medical condition or disease following the information given in this article. We insist you to consult a registered practitioner and never try to replace their advice or discontinue treatment in between by relying solely on the information obtained. External links to different websites as well as videos given on the website serve the purpose of sharing knowledge only. Ela being an Independent Medical Information platform is neither responsible nor guarantees the authenticity, reliability, and accuracy of these videos and websites in any way. We do not intend the information displayed here to be used for a medical emergency, if you seek medical attention for yourself (or any other person with whom you want to share the information with), we advise you to directly get in touch with the hospital or the doctor.

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