Do I really need an IVF?

When is it Right for me to go for an IVF?

  • As per standard medical guidelines, one would need an IVF treatment in case of an unexplained failure to conceive in a normal way even after two years of consistent unprotected sexual intercourse
  • A failure to conceive can be due to fertility problems in both women and men alike
  • A need for a conception through IVF is decided only after a meticulous fertility evaluation of the couple and failure on their part to respond to the available medications and treatment options for infertility
  • A professional fertility clinic shall always recommend the couple go for a fertility evaluation, look for simpler treatment options before embarking on a medical recommendation for an in vitro fertilization (IVF) treatment plan.

                                                                    Source; http://tohavebaby.com.hk
In women, infertility could be due to

  • Block in fallopian tubes, through which the mature egg from the ovaries move to the uterus
  • Fallopian tube blocks can occur due to uterine infection especially through the sexual route; infection due to an abortion, a ruptured appendix or past abdominal surgery
  • A complete absence of ovulation known as anovulation
  • Irregular ovulation known as oligoovulation
  • Endometriosis, a medical condition, where, unnecessary and abnormal tissue growth occurs at the external part of the uterus
  • Unable to have normal sexual intercourse due to pain during coitus

In men, infertility can be due to

  • A complete absence of sperms in the semen, a condition called azoospermia
  • A low sperm count, known as oligospermia
  • Unusual and abnormal shapes of sperms known as teratozoospermia
  • Complications related to the inadequate motility (movement) of sperms known as asthenozoospermia
  • Complete absence of motility of the live sperms, known as necrozoospermia
  • Snags pertaining to the delivery of sperms into the vagina during normal sexual intercourse due to obstruction, vasectomy in the past or retrograde ejaculation
  • Erectile dysfunction
  • Premature ejaculation
  • Presence of varicocele, a varicose vein in the scrotum that causes low sperm count and impaired sperm movement.

Thus, IVF is usually the last option for couples

  • Who had failed to conceive normally even after regular unprotected sexual intercourse for more than two years
  • Have had a fertility evaluation done and failed to respond to the available fertility treatments for the problems diagnosed after evaluation
    It is hence, right and prudent to go for an IVF at a point of time when, all other treatment options including
  • Fertility medications
  • Intrauterine insemination, a procedure that involves transfer of specially washed semen directly into the uterus
  • Surgical procedures including laparoscopic surgery, surgical hysteroscopy, vasectomy reversal and tubal ligation reversal prove futile.

Further, age does matter in the realm of fertility and conception.

  • Your IVF treatment options after evaluation is obviously determined by your age especially, when, you are in 30s and moreover, beyond 35.
  • Age to a great extent determines the pregnancy rate (the number of confirmed pregnancies) and the number of live births, called the live birth rate in IVF procedures.

                                   Source; www.midlandfertility.com

Reference

  • Evans, J.; Hannan, N. J.; Edgell, T. A.; Vollenhoven, B. J.; Lutjen, P. J.; Osianlis, T.; Salamonsen, L. A.; Rombauts, L. J. F. (2014). “Fresh versus frozen embryo transfer: backing clinical decisions with scientific and clinical evidence”. Human Reproduction Update. 20 (6): 808–821.
  • Farquhar C, Rishworth JR, Brown J, Nelen WL, Marjoribanks J (2015). “Assisted reproductive technology: an overview of Cochrane Reviews”. Cochrane Database Syst Rev. 7: CD010537.
  • Hansen M, Kurinczuk JJ, Milne E, de Klerk N, Bower C (2013). “Assisted reproductive technology and birth defects: a systematic review and meta-analysis”. Hum. Reprod. Update. 19 (4): 330–53.
  • Nice.org Fertility: Assessment and Treatment for People with Fertility Problems. London: RCOG Press. 2004.

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