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Fertility Treatments

For many people, having a child comes easily, but others face challenges that require assistance. Some women simply don't start trying to conceive until they are past their optimal fertility; others may have medical conditions that impact the quality of their eggs or their ovulation.

Some men have motility problems with their sperm, or a low sperm count. Whether male or female, young or old, medical science and natural treatments alike can provide answers that overcome the myriad obstacles that keep people from getting pregnant.

Fertility Treatments For Women

Couples who want to get pregnant are advised that they should first try it on their own, without any medical intervention. When the woman is under the age of 35, she is told to try for a full year, and if she is over 35 she is told to proceed on her own for six months. If the specified period of time for trying to get pregnant goes by without success, the next step is for the woman to go to her gynecologist to have an initial assessment of what might be wrong.

In some cases the physician will perform diagnostic tests themselves, while in others the woman will be referred to an infertility specialist or reproductive endocrinologist.

Tests will include blood and urine analysis, a Pap smear, tracking of the woman's basal temperature to determine whether she is ovulating, ultrasound to check for abnormal growths, and even a post-coital test to make sure that the woman's mucus is providing the correct environment for her partner's sperm.

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If nothing is found during these investigations, more invasive procedures like laparoscopy and hysterosalpingograms can be performed to check the condition of the fallopian tubes. These tests determine which of the possible fertility treatments is most appropriate.

In some cases medication may be prescribed to increase the number of eggs the woman releases. In other cases assisted technologies such as artificial insemination or in vitro fertilization will provide the needed connection between egg and sperm.

Fertility Treatments For PCOS

One of the most common reasons why fertility treatments are required is when a woman suffers from PCOS, which is polycystic ovarian syndrome. PCOS is a medical condition in which a woman has too high a level of androgens, which are male hormones, in her system.

It interferes with ovulation, making the release of the egg happen on an irregular basis, or sometimes not at all. It also causes hirsutism and often leads to obesity and diabetes. PCOS treatment for infertility usually consists of either taking Clomid, a fertility medication which stimulates ovulation, taking metformin, a medication that is used to treat diabetes, or a combination of the two. This treatment not only increases the chance of getting pregnant, but also helps to prevent miscarriage.

Fertility Treatments For Women Over 40

When a woman who is over forty has been unsuccessful in her attempts to get pregnant, it is not unusual for her physician to choose to begin with aggressive fertility treatments immediately. This is because once a woman is over thirty five her chances of getting pregnant diminish considerably.

In these cases doctors will generally combine ovarian stimulation with intrauterine insemination, in which the sperm is inserted directly into the uterus.

If this doesn't work, most doctors will turn to in vitro fertilization, a process in which a woman's eggs are retrieved via needle aspiration, combined with sperm in the laboratory so that the possibility of fertilization is maximized, then after fertilization takes place it is returned to the uterus.