The treatment of unwanted infertility depends on the factors responsible for the infertility (diagnoses). Evaluation of the various factors will then be used as a basis for recommending and carrying out a “tailored” treatment plan.
Factors influencing the choice of treatment:
- Length of childlessness
- Level of psychological strain on the couple
- Financial situation
- Couple’s wishes
Brief introduction to the treatments offered:
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- Monitoring/optimal time for intercourse Depending on the couple’s wishes, the findings obtained and the fulfilment of other basic conditions (age, duration of childlessness, etc.), initial intensive testing (hormone levels and ultrasound) may be indicated in order to track the course of the natural cycle. The result may inform you of an optimal time for conception (the best time to become pregnant).
- Hormone therapy If the initial hormone testing (and any repeat testing, if required) reveals a significant hormone disorder, it can be treated using a targeted approach. Of course, it is also possible that different hormone disorders are present at the same time, as a result of which multiple medications may occasionally need to be taken simultaneously.
- IUI, insemination Insemination is a comparatively simple procedure and is mostly performed in cases of milder male fertility problems or problems in the cervical canal, such as abnormal mucous formation or previous cervical conisation. Depending on whether there are any problems with egg cell maturation, this treatment can be performed with or without hormone treatment. The goal of this treatment is to introduce prepared sperm at a high concentration close to the egg cell in order to increase the chance of fertilisation.
- IVF (in-vitro/test tube fertilisation) IVF (in-vitro/test tube fertilisation) is typically used when a woman has two blocked fallopian tubes. However, the man’s semen quality, the age of the woman, the level of psychological strain on the couple and a lack of success from other treatments may also affect the decision to attempt IVF.
- IVF + ICSI If the semen quality is severely impaired or if sperm can only be obtained by means of testicular biopsy, ICSI will be necessary in addition.
- Cryostored ET In this treatment, “excess” (partially) inseminated egg cells which were frozen during the IVF or IVF + ICSI process can be used in what is known as the “cryo cycle”.
- Donor sperm treatment, ADI If no sperm at all is available, the use of sperm from a donor can also be considered. There may also be other reasons for why this appears to be indicated.
- Blastocyst culture Blastocyst culture involves cultivating the embryos up to day 5.