Two conventional fertility treatments are usually recommended to treat infertility, which include medication therapy and surgical intervention. Different therapeutic and surgical interventions are available for male and female infertile patients.
However, failure of this conventional treatment or in unfeasible situations embryo implantation through assisted reproductive technology can also be recommended for a successful pregnancy.
Female fertility treatment
The success of fertility treatment depends upon certain factors including
- Underlying cause
- Age of the woman
- previous pregnancy history
- The duration of the infertility problem
- Inclusion or exclusion of male partner infertility issue
Conventional medical therapy can successfully treat ovulation problems associated with female infertility but unable to provide any benefit in case of fallopian tube damage and severe endometriosis. Patients having such types of problems usually require an in-vitro-fertilization technique. In general, the diagnosis and treating the underlying cause are primary to solving the infertility problem. For example, thyroid hormone imbalance often causes female infertility, and medication to regulate the thyroid hormone level helps to conceive patients naturally.
Medication for female fertility
Following are certain medications recommended by the doctors for stimulating ovulation:
Gonadotropins or Human Chorionic Gonadotropin (hCG)
hCG is a hormonal therapy injected into the affected female ovaries for stimulating ovulation. This injection is administered at the initial phase of the menstrual cycle for one week to twelve days. A regular transvaginal ultrasound test is performed during this treatment period to monitor the egg development in the follicles. In addition, a blood test is also performed to monitor the estrogen level in the ovaries.
The mechanism of hCG is similar to a luteinizing hormone, which stimulates egg release after the development of follicles. The probability of multiple births is increased by using this treatment. Most of the patients reported deliverance of twins. However, triplets or more can also be possible with this medication therapy.
Letrozole is an oral medication that reduces estrogen levels in the ovaries and stimulating ovulation. This medication needs to start five days before the end of the menstrual cycle. Medical researchers evaluated that four months of treatment gives an effective result. Almost 19% of infertile couples get an effective result from this medication.
Clomiphene or Clomiphene Citrate
Clomiphene stimulates hormonal release for egg maturation in the ovaries. This medication therapy needs to start at the beginning of the menstruation cycle. The continuation of this therapy for six consecutive menstruation cycles usually gives a positive result. In case of failure doctor change the therapy with another medication. Almost 23% of infertile female got benefit from this medical therapy. However, this therapy also increases the chance of multiple births.
Bromocriptine or Cabergoline
Bromocriptine is also an oral medication to control the prolactin hormone level. Enhancement of the prolactin hormone suppresses the ovulation level. Normalizing prolactin hormone level help to solve female infertility related to ovulation disturbance.
- Blockage or partial damage to fallopian tubes can be solved by surgical intervention. The success rate is not significant to solve the infertility issue. In some cases, surgical interventions increase the risk of ectopic pregnancy, which leads to a medical complication.
- The surgical intervention is also recommended for the removal of endometriosis patches, uterine polyps, fibroids, or scarring to improve the fertility outcome.
Male Infertility treatment
Certain medications are already invented and ordered for correcting hormone imbalances and erectile dysfunction related to male infertility.
Doctors can also recommend surgical interventions for correcting blockage in the sperm tubular structure. This type of surgery helps sperm transportation from the testicles to the penis.
Male reproductive surgery can be used to restore testicles by repairing the varicocele. Medical researchers also reported varicocele repairing through surgical intervention can improve sperm health. The improvement of conception is not significant.
Taking help from Assisted Reproductive Technology (ART) services can help to improve the conception rate.
Surrogacy is the chance for couples or individuals who might not otherwise get a chance to become parents of a baby with the same genetic heritage. Thousands of healthy babies have born through surrogacy in recent years. The advancement of medical technology makes it possible.
Many celebrities opt for surrogacy to become parents. They open up their fertility journey and increase general awareness. Currently, infertile couples have no hesitation to raise queries in this process. The worldwide prevalence of infertility is increasing day by day. Patients often have doubts is surrogacy right choice for them. People also want to know more about how surrogacy can solve their infertility issues.
In surrogacy, a gestational surrogate plays a major role in the whole treatment procedure. A gestational surrogate is a woman who carries the embryo in her womb and delivers a baby after completing the whole gestational term. Therefore, surrogacy is a type of third-party reproduction process.
If female partner of a heterosexual couple unable to carry child or complete whole gestational terms for proper development of the embryo, then eggs are collected from the intended mother and sperm from the intended father artificially fertilized in the clinical laboratory.
The created embryo is implanted in the gestational surrogate for further development and delivery of the child. In such cases, the baby has 100% biological similarities with their intended parents.
This is usually recommended for couples, where the female partner has a congenital uterine problem or the uterus is injured or damaged due to an accident or disease progression or removed by a hysterectomy. But she can produce healthy eggs.
Surrogacy is also an effective measure for individual or transgender people who want to be single parents. In the case of a single woman who opts for surrogacy, the embryo may be created from her own egg and donor sperm. Similarly, a single man can use his sperm and opt for a donor egg to create an embryo. This same method is applicable to lesbian and gay couples.
Both donor egg and donor sperm are used for the transgender population. Therefore, surrogacy can solve the fertility issue for every individual who wants to be an intended parent.
Surrogacy is also considered the best fertility treatment option due to it gives the opportunity to have a biologically similar child even female partner is unable to carry the pregnancy. It is acceptable that biological link is not mandatory for family bonding, but usually, people have a hidden strong desire to have children with similar genetic heritage.
Surrogacy is a solution for couples who have unexplained multiple pregnancy failures. Even fertility experts can also recommend IVF & surrogacy in the presence of a medical history of the mother including cancer, diabetes, hypertension, cardiac disease, or failure of other ART methods.
Infertile couples usually prefer to opt for surrogacy, as no biological connection is present between surrogate and embryo. In addition, the legal documentation and complexity are also less in the case of surrogacy in comparison with traditional surrogacy.
The success rate of surrogacy is also high, as the gestational surrogate and intended parents/ or donors are undergone thorough medical screening and make sure both physical and mental health are in proper condition before initiation of the process.
It is always advisable to do your own research and gain detailed knowledge of all the available options. Discuss with experts and chose the right one. IVF becomes a commonly used fertility treatment option. If you opt for surrogacy, the fertility team of the IVF & surrogacy center assists you in to search the best match for a surrogate.
Ravi Sharma is a self-motivated, successful entrepreneur and has a solid experience in the fertility segment. and he is the director at ARTbaby Global (ARThealthcare). He is a pharmacy graduate with post-graduation in business administration and has 14 years of rich experience in the field of infertility segment. He loves to write about IVF, Surrogacy, and other ART (assisted reproductive technology) news, issues, and updates. He is a Pharmacy graduate (B. Pharm) and M.B.A (marketing).
His most recent success includes the successful launch of the medical tourism company, ARTbaby, which offers treatment options for infertility, egg donation, and surrogacy. He likes spending time with his family and writing about various aspects of IVF surrogacy and donating eggs.