Infertility treatment

Infertility is when a couple fail to conceive (get pregnant) despite having a regular, unprotected sex for at least a year. Primary infertility means that there has never been a pregnancy and secondary infertility is when there is no wanted pregnancy after at least a year since the last pregnancy whilst all the above conditions have been met.

There can be many reasons for infertility and in 10%-15% of all cases the reasons can not be explained. Infertility treatment can be a long - lasting process and hard work that requires not only expert knowledge but also patience from the patient and the doctor.

Diagnostic procedures:

Since the fertility process depends on both partners it is necessary that they are examined at the same time.

Examination of women includes:

• Gynaecological examination
• Hormone tests
• Bacteriological tests
• Microbiological tests
• PCT – Post-coital test of the mucous membrane of the cervix
• Examination of the mucus membrane of the cervix after the sexual intercourse
• Ultrasound examination
• HSG – x-ray of the uterus and ovaries
• Immunological tests
• Genetic tests

Examination of men includes:

• Examination of the semen (spermogramme and biochemistry)
• Urological examination
• Bacteriological tests
• Microbiological tests
• Hormone tests
• Immunological tests
• Genetic tests

Therapies depend on the causes of infertility:

• Correction of the ovarian function when there is a disorder
• Treatment with antibiotics where there is an inflammatory process
• Surgical corrections where there are mechanical obstacles
• IVF where there are changes that can not be treated or absence of ovaries
• Artificial insemination with the partner’s sperm where there is a reduced number of cells or more serious damage of the male fertility cells
• Artificial insemination with a donor’s sperm where there is a total absence of the male fertility cells or hereditary diseases
• IVF or artificial insemination is carried out where there are problems with immunity