Basic Infertility Treatments at PRC Dubai
A range of fertility options exist for the couple who receive a diagnosis of infertility. A reproductive endocrinologist and fertility specialist will recommend a course of treatment based on the man’s and/or woman’s diagnosis, age, overall health, personal preferences, and duration of infertility. According to the American Society for Reproductive Medicine (ASRM), for more than 25% of infertile couples, two or more factors will contribute to infertility.
Treatments for Women
According to the ASRM, female infertility accounts for 30% of all cases. Treatment options for female infertility include:
- Lifestyle changes – A woman may alter some of her lifestyle practices to increase her chances of achieving pregnancy. Some self-controllable lifestyle choices that reduce fertility are weight, smoking cigarettes, caffeine consumption, use of alcohol, and sexually transmitted diseases.
- Ovulation induction – Ovulation induction can help women who suffer from absent or irregular ovulation. The treatment involves hormonal medications, which stimulate the ovaries to release one or more mature eggs. These medications increase the quality and number of eggs a woman releases in a menstrual cycle. Ovulation induction is often done in conjunction with other fertility therapies, such as in vitro fertilization (IVF). The main ovulation induction medications are letrozole (Femara), clomiphene citrate (Clomid), and follicle-stimulating hormone (FSH).
- Intrauterine insemination (IUI) – This fertility treatment helps women with a range of fertility problems. It is also used when the male partner has suboptimal sperm quality. Artificial insemination involves using a thin catheter to inject prepared sperm directly into the woman’s uterus during ovulation. Additionally, IUI can be used for couples who require donor sperm.
- Minimally invasive surgery – When a woman has structural problems in her reproductive anatomy, minor surgery can be helpful to remove or repair physical issues. The fertility specialist can remove growths, such as uterine fibroids, polyps, or cysts, repair damaged fallopian tubes, or correct cervical defects. For many women, hysteroscopic and minimally invasive procedures work best, allowing for smaller incisions, quicker recovery, and less pain.
- In vitro fertilization (IVF) – When other treatment is not effective, and for older women, IVF is an option. Mature eggs are retrieved from the woman to be combined with sperm in the laboratory setting. An embryologist monitors progress and chooses the highest quality embryos to place back into the woman’s uterus.
Treatment for Men
Male infertility accounts for 30% of all cases. There are many treatment options for men, such as:
- Lifestyle changes – The man’s overall health is a significant factor in fertility. To improve quantity and quality of sperm, lifestyle modifications include avoidance of smoking, regular exercise, decreasing stress, not drinking alcohol, and maintaining a healthy weight.
- Medications – To treat sexual dysfunction and hormonal imbalances, medications are used. Problems treated include low or high levels or pituitary, hypothalamus, adrenal, and thyroid hormones. Along with counseling for psychological issues, medication can assist with erectile dysfunction.
- Sperm retrieval – For assisted reproductive therapies, sperm can be retrieved in a minor procedure. Treatment options include IUI and IVF.
- Corrective surgery – Many things contribute to structural damage of the reproductive tract, such as sexually transmitted diseases, trauma, and mumps. This causes blockages, which interferes with sperm production, ejaculation, and maturation. For many men, surgical correction and repair of these blockages assist with fertility.
- Intracytoplasmic sperm injection – With this procedure, sperm are injected directly into an egg to increase chances of fertilization. This technique is useful for people with low sperm quality or insufficient quantity.