Treatment of Infertility
Sometimes the factors affecting a couple’s fertility are easy to detect and treat, but in many cases a specific reason for infertility may be difficult to identify.
After a full evaluation, the physician will be able to give a reasonable idea of a couple’s chances of achieving pregnancy with various treatment options.
There are several treatment options depending on the cause of infertility. It may involve:
- Education and counseling on the condition
- Treatment of underlying conditions such as infections and clotting or thyroid disorders
- Ovulation induction; Hormonal stimulation that help the growth and release of eggs from the ovaries
- Assisted Reproductive Techniques (ART) involving manipulation of sperm and ova or embryos in vitro with the goal of producing a pregnancy. Examples are intrauterine insemination (IUI), in vitro fertilization (IVF).
The Choice of which treatment to pursue, if any, is strictly a personal one. Side effects, costs and expected success rates are important factors to consider when choosing a treatment plan.
OVI – Ovulation Induction and Timed Intercourse
Ovulation induction is a hormonal treatment with which the menstrual cycle is regulated and ovulation will be either detected with LH tests or induced with medicine.
IUI – Intra Uterine Insemination
IUI is a technique in which after mild hormonal stimulation processed semen is placed directly high in the uterus. Indications for IUI include cervical hostility, moderately low quality semen as well as unexplained infertility.
Many variables, such as female age, duration of infertility etc, influence success rates after IUI treatment however, this relatively simple and safe technique has an overall live birth of approximately 10-15% per treatment cycle.
Subsequently IUI has a good patient compliancy (low drop out rate), a low risk of OHHS (ovarian hyper stimulation syndrome) and a low number of multiple pregnancies.
IVF – In Vitro Fertilization
In case of blocked fallopian tubes or very poor sperm quality, IVF or in vitro fertilization, is indicated. This technique involves fertilization of an egg cell outside of the body after which an embryo is transferred into the uterus.
Conventional IVF is very expensive. In the UK, it costs around £5,000 per cycle.
Low Cost IVF – SCS
The Walking Egg Foundation, a charity sprang from the Genk Institute for Fertility Technology in Belgium has developed a Simplified Culture System (SCS), which is an enclosed culture system in a shoe-box size environment.
This technology allows low cost IVF treatment to be carried out without the need for a full laboratory, therefore massively reducing the cost and making it a real possibility in African settings.
Results so far indicate that SCS works at least as well as conventional IVF systems. As of to date 16 healthy babies have been born from this initiative. Presented to the European Society of Human Reproduction and Embryology conference, the Walking egg low cost IVF method showed a pregnancy rate of 30% – approximately the same as conventional IVF
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