Causes of infertility


#42

Sometimes, IVF is offered as a primary treatment for infertility in women over age 40. IVF can also be done if you have certain health conditions. For example, IVF may be an option if you or your partner has:
Fallopian tube damage or blockage makes it difficult for an egg to be fertilized or for an embryo to travel to the uterus.
If ovulation is infrequent or absent, fewer eggs are available for fertilization.
Premature ovarian failure is the loss of normal ovarian function before age 40. If your ovaries fail, they don’t produce normal amounts of the hormone estrogen or have eggs to release regularly.
Endometriosis occurs when the uterine tissue implants and grows outside of the uterus. Often affecting the function of the ovaries, uterus and fallopian tubes.
Fibroids are benign tumors in the wall of the uterus and are common in women in their 30s and 40s. Fibroids can interfere with implantation of the fertilized egg.
If you’ve had tubal ligation and want to conceive, IVF may be an alternative to tubal ligation reversal.
Below-average sperm concentration, weak movement of sperm (poor mobility), or abnormalities in sperm size and shape can make it difficult for sperm to fertilize an egg. If semen abnormalities are found, your partner might need to see a specialist to determine if there are correctable problems or underlying health concerns.
Unexplained infertility means no cause of infertility has been found despite evaluation for common causes.
If you or your partner is at risk of passing on a genetic disorder to your child, you may be candidates for preimplantation genetic diagnosis. After the eggs are harvested and fertilized, they’re screened for certain genetic problems, although not all genetic problems can be found. Embryos that don’t contain identified problems can be transferred to the uterus.
Fertility preservation for cancer or other health conditions. If you’re about to start cancer treatment that could harm your fertility, IVF for fertility preservation may be an option. Women can have eggs harvested from their ovaries and frozen in an unfertilized state for later use. Or the eggs can be fertilized and frozen as embryos for future use.
Women who don’t have a functional uterus or for whom pregnancy poses a serious health risk might choose IVF using another person to carry the pregnancy (gestational carrier). In this case, the woman’s eggs are fertilized with sperm, but the resulting embryos are placed in the gestational carrier’s uterus.
To be honest, sometimes I felt alone in my feelings and now traumatized and exceptionally frightened of all things medical/injections I felt. I did feel hope when I started cycling and treatments but it immediately upended my entire life - stopping working, commuting to a clinic, remortgaging a house, facing my fear of surgery, procedures, and injections. To be honest I felt horrified at the massive hole this sent me down, and could only compare it to my friends and siblings all having babies instantly, no problem, each time, so happy and celebratory, and no aspect of their lives sacrificed. The shock of infertility and what it took felt so magnified and sad. I felt such a loss of my “former” life in every way…
Thanks God it’s all just a note from my past now.


#43

At the same time, having had talked about the IVF benefits, I should admit it’s not without risks. I think just like any other med invasion…So be aware of the following steps of IVF treatment which may carry risks:
IVF increases the risk of multiple births if more than one embryo is implanted in your uterus. A pregnancy with multiple fetuses carries a higher risk of early labor and low birth weight than pregnancy with a single fetus does.
Premature delivery and low birth weight. Research suggests that use of IVF slightly increases the risk that a baby will be born early or with a low birth weight.
Use of injectable fertility drugs, such as human chorionic gonadotropin (HCG), to induce ovulation can cause ovarian hyperstimulation syndrome, in which your ovaries become swollen and painful. Signs and symptoms typically last a week and include mild abdominal pain, bloating, nausea, vomiting and diarrhea. If you become pregnant, however, your symptoms might last several weeks. Rarely, it’s possible to develop a more-severe form of ovarian hyperstimulation syndrome that can also cause rapid weight gain and shortness of breath.
The rate of miscarriage for women who conceive using IVF with fresh embryos is similar to that of women who conceive naturally but the rate increases with maternal age. Use of frozen embryos during IVF, however, may slightly increase the risk of miscarriage.
Use of an aspirating needle to collect eggs could possibly cause bleeding, infection or damage to the bowel, bladder or a blood vessel. Risks are also associated with general anesthesia, if used.
About 2 to 5 percent of women who use IVF will have an ectopic pregnancy. And the fertilized egg can’t survive outside the uterus, and there’s no way to continue the pregnancy.
The age of the mother is the primary risk factor in the development of birth defects, no matter how the child is conceived. More research is needed to determine whether babies conceived using IVF might be at increased risk of certain birth defects. Some experts believe that the use of IVF does not increase the risk of having a baby with birth defects.
Although some early studies suggested there may be a link between certain medications used to stimulate egg growth and the development of a specific type of ovarian tumor, more recent studies do not support these findings.
Use of IVF can be financially, physically and emotionally draining. Support from counselors, family and friends can help you and your partner through the ups and downs of infertility treatment.
That’s why when choosing an in vitro fertilization (IVF) clinic, keep in mind that a clinic’s success rate depends on many factors, such as patients’ ages and medical issues, as well as the clinic’s treatment population and treatment approaches. Ask for detailed information about the costs associated with each step of the procedure. IVF is a treatment for infertility or genetic problems. If IVF is performed to treat infertility, you and your partner might be able to try less invasive treatment options before attempting IVF, including fertility drugs to increase production of eggs or intrauterine insemination.


#44

Firstly, I should say that easily regulated causes for anovulatory cycles are stress, overexertion, and eating habits. When women are over or underweight, their bodies will react differently to hormonal changes as they occur. A vigorous exercise program or extremely active lifestyle can affect hormones and thus ovulation and fertility. For example, a lot of gymnasts and ballerinas will experience anovulatory cycles quite often. When women use the pill, they are chemically imitating anovulation. Over an extended period of time, the use of these drugs can negatively affect the function of your reproductive system.Testing progesterone levels, the endometrial lining, and testing for the presence of specific antibodies, will help a physician to diagnose anovulation.
Treatment of anovulatory cycles will depend greatly on the findings of the administered tests. If it is decided that the causes are natural or stemming from outside influence, natural remedies will be prescribed. These include regulating eating habits and other methods that we have already discussed. If the cause of anovulation is decided to stem from internal imbalances, there is no need to worry. There are several fertility boosters that can combat a varied set of factors. These may include drugs designed to increase estrogen, ripen the follicles, or to help a woman release her egg when she is supposed to ovulate. The most drastic and last scenario a woman may encounter would be surgery. Normally this will only take place if she is found to have tumors.
If you or someone you know is experiencing regular bouts of anovulation, heed the advice above.


#45

I’m sorry. I’d get worried too being in your shoes. Some clinics are achieving a high success rate, while the rate at others is as low. We all are anxious to compare the most up-to-date success rates of licensed centres when choosing the one for treatment. But seems complicated. Some clinics appear to have lower success results because they treat particularly difficult cases where the chance of a pregnancy is low. If you are trying to get answers, you need to ask what their success rate is for couples about your age with problems similar to yours. I’m hoping for your better.


#46

I’ve already shared this on another thread. Will post also here. We’re usually much more likely to see B and C grades, but that doesn’t mean that the embryo transfer will fail. Embryo quality is a continuum. YourRE and the embryologists are the ones togive you an honest assessment of the quality of your embies and your chances for successful IVF treatment. Others may reply differently. But I believe it’s safe to say that there are so many variables at work that it would be a mistake to look at embryo quality as the main measure of your chances. There are so many casesof successful pregnancies/deliveries with embryos that weren’t of perfect quality. I alsohave a friend who got prego with a baby girl after transfering median quality embryo. Her grades were 1.5-3, only 1 being the highest. I wish you all the best of luck with your cycle!


#47

One more thing to add. When you are going through IVF, you are likely beyond the point of being over needles. After giving yourself multiple injections a day for several weeks, lying back for an acupuncture appointment may not be at the top of your list of things to do. But I think it’s still worth trying. It has a calming effect which is so helpful while we’re undergoing treatments. If you do decide over it, then when looking for a practitioner, try to seek out someone who has experience working with fertility patients. They will have a greater understanding of the points which should be manipulated.


#48

I should say that getting started is always difficult. Furthermore if it concerns fertility issues preventing you from successful conceiving and pregnancy.
If one is having problems getting pregnant, she has to see GP. They will look at a medical history and give a physical examination. They may also recommend some lifestyle changes to help fertility.
Unless there are reasons that may put a woman at high risk of infertility, such as cancer treatment, she’ll usually only be considered for infertility investigations and treatment. (If she’s been trying for a baby for at least a year without becoming pregnant)
This is what usually happens next. If appropriate, your GP can refer you to a fertility specialist at an NHS hospital or fertility clinic. The specialist will ask about your fertility history, and may carry out a physical examination. Women may have tests to check the levels of hormones in their blood and how well their ovaries are working. They may also have an ultrasound scan or X-ray to see if there are any blockages or structural problems. Men may be asked for a semen sample to test sperm quality. If IVF is the best treatment for you, the specialist will refer you to an assisted conception unit.The most important thing here is not to waste precious time.
Fertility decreases with age, it’s well known…