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At the time of birth, one woman has about 500,000 oocytes, the number of which is steadily decreasing throughout her life. Today, women and couples tend to postpone their desire to have children in their life planning.
The age of oocytes plays a significant role. The older they are, the more often the disturbances of egg maturation or luteal weakness develop.
The therapy depends on the cause of the examination. Depending on the type of disorders, different treatment approaches are possible:
- Hormonal stimulation of female ovary
- Seed transmission (insemination)
- Artificial insemination (in vitro fertilization, IVF for short)
- Micro-injection or ICSI (Intracytoplasmic Sperm Injection)
- Intratubar gamete transfer (Gamete Intrafallopian Transfer, short GIFT)
- Obtaining sperm directly from the testes (TESE) or epididymis (MESA)
- Freezing of eggs (cryopreservation)
Factors affecting fertility in women are various, but most of them can be referred to three groups of factors:
- Physiological causes of childlessness in women
- Age of female patients
- Psychological causes of childlessness in women
The leaders on the list of infertility causes in a woman are ovulation difficulties, blocked fallopian tubes, hormone disorders (hyperprolactinemia, hypothyroidism, hyperandrogenism).
About 35% of all reported infertility cases are attributed to endometriosis, i.e. inability of the fеrtilized egg to get to the womb. Another reason of infertility in women, is infection, such as chlamydia. In case the tubes of a woman get bonded with adhesions due to the inflammatory process, the eggs can no longer get into the uterus. But even if fallopian tubes remain patent, they are often damaged by the infection and scarring, so that they can no longer fulfill their missions. The first signs of female infertility are irregular periods or absence of menstrual bleeding. On facing such a problem, please, don’t postpone your visit to the gynaecologist and fertility specialist.
Female fertility tests
The therapy is based on the cause of impaired fertility. In some cases, the initial consultation is enough for preliminary diagnosis of infertility in a woman. Nevertheless the German specialists usually make detailed examinations to find the problem. Three basic components are highlighted during the diagnostic investigation:
- Ovulation tests
- Hormone tests
- Examination of reproductive organs
- Physical check-up
The basic fertility diagnostics including thorough medical consulting, lab tests, ultrasound and physiological examination costs about 800-1200 euro at the German fertility clinics and 1200-1500 euro at the Austrian and the Swiss ones.
Conservative treatment of infertility in women
Hormonal causes of infertility occur in men as often as in women. Normalization of hormone profile is the first step to achieve pregnancy.
The excess or lack of certain hormones can adversely affect the cycle, so that pregnancy is prevented. Although the ovulation takes place, improper hormone status during the implantation often leads to early miscarriage.
The European specialists have achieved excellent results in normalizing the hormonal status with modern medications. The hormones produced in the ovaries and in the adrenal cortex can be substituted with the synthetic ones, which allows the specialists to regulate the hormone disruption and increase the chances of healthy pregnancy.
Assisted methods of female infertility treatment
Depending on the type of female fertility disorder, different approaches are implemented at European clinics:
- Hormonal stimulation of the female ovary
- Artificial insemination
- Micro-injections of sperm (ICSI)
- «Conception in the glass» (IVF)
- Gamete intrаfallopian transfer (GIFT)
Most frequently asked questions
Where it is better to undergo the fertility diagnosis and treatment?
The infertility diagnostics must be performed in a specialized, well-equipped departments or centers. The reputation and professionalism of its doctors are decisive factors for your choice. Due to the fact that the reproductive medicine in Germany, Switzerland and Austria is a privileged and governmentally sponsored branch, the infertility treatment at these countries is especially efficient and safe: The IVF, insemination and ICSI pregnancy rates are steadily growing, which can be ascribed to the implementation of new technologies, better quality management and well-monitored embryo support. Due to holistic and interdisciplinary approach the pregnancy rate at the best European IVF centers accounts for more than 55% for women of reproductive age.
Going overseas for infertility treatment is not a 100% guarantee of pregnancy. Nevertheless treatment at the highly equipped clinics by experienced specialists increases chances of becoming a mother.
Is IVF safe?
As we mentioned before, IVF is a minimally traumatic and safe procedure. However, the improperly selected hormone therapy can affect the patient’s endocrine profile and can lead to problems in ovaries functioning. That is why selecting the competent and trustworthy specialists for performing IVF therapy is highly important.
The German fertility experts pay a special attention to infertility diagnostics and preparation. Many specialists recommend hysteroscopy before IVF to check the condition of uterine lining and tubal patency. Correct diagnostics of the fertility impairment, its proper treatment and gentle hormonal stimulation are preconditions of successful IVF.
After performing the procedure and successful test results the supervision of an experienced gynaecologist, preferably the one, who has performed IVF, is highly important. With the view to the available communication tools, you can get in touch with the specialist and report him or her on your condition.
What should I know before going abroad for infertility treatment?
Infertility treatment abroad is more and more popular for patients all over the world. In case of infertility treatment you should, however, realize that your come should be well adjusted to your monthly cycle and thus planned up to the detail. Being a medical tourism facilitator we endeavor to give the international patients direct access to the best reproductive centers and to eliminate all kinds of barriers. We will assist you in planning your medical travel, obtaining medical visa (if you need one) and will consult you on the methods and costs.
If you cannot get a child, do not lose hope! Apply for treatment at one of the best clinics in Europe and solve your infertility problem within the following months.