Investigation and treatment of infertility
If you are unable to conceive or successfully carry a baby to term, we are ready to help you. The clinic has extensive experience in investigating and treating the causes of infertility. We will perform all the necessary hormonal tests for you, teach you how to monitor and regulate your fertile days, stimulate ovulation, and prolong an insufficient luteal phase. We will find out the causes of recurrent miscarriages and prescribe treatment that supports early pregnancy.
Here are some facts about infertility that you should know:
infertility is a disorder of the reproductive system when a family is unable to have children;
About 10 percent of families of childbearing age complain of infertility;
Both men and women can be infertile;
About 90 percent of infertile families are helped to have children;
In vitro fertilization is required for only 5 percent of infertile families.
Symptoms
The family cannot have children
The family cannot have children without protection for about 2 years (or 1 year if the woman is 35 years old and older)
Treatment
The underlying disease that is the cause of infertility is treated.
Functional changes in the fallopian tubes are treated conservatively – complex anti-inflammatory, enzymatic, physiotherapeutic treatment is prescribed, therapeutic hydrotubation or pertubation procedures (the uterus and fallopian tubes are expanded with increased pressure and special solutions);
anatomical changes are treated surgically – microsurgical operations are performed to restore the patency of the fallopian tubes, video-laparoscopic operations to free the fallopian tubes from adhesions, and operations to restore normal follicle maturation in the ovaries.
Endocrine infertility is treated with hormones. If a deficiency of any hormones is detected, their amount is supplemented in appropriate doses, taking into account the phases of the menstrual cycle. If there is an excess of any hormones, their amount is reduced by prescribing medications.
Treatment of immune infertility is the most difficult and has not yet been fully studied. If sperm-specific antibodies are found in the woman’s cervical mucus and blood, desensitization treatment is prescribed, it is advised to prevent sperm from entering the vagina during sexual intercourse for at least 6 months, and to use a condom.
The last resort in treating infertility is artificial insemination. It is performed in two ways: in vivo insemination and in vitro artificial insemination.
During in vivo insemination, the sperm of her husband or a donor is injected into the woman’s uterus through the external opening of the cervix. The sperm fuse with the egg in the woman’s body. This can be repeated several times until the woman becomes pregnant.
During in vitro artificial insemination, several eggs are taken from the woman, sperm from the man, and the gametes are combined in the laboratory on a microscope slide. The fertilized cells are kept under special conditions and temperatures until they divide many times. Several embryos are obtained from several fertilized cells, of which 2-3 are implanted into the uterine cavity, and the others are frozen. The embryos continue to develop in the woman’s uterus until birth.
Tips
It is very important to measure basal temperature. For 3-6 months in a row, a woman measures her body temperature in the rectum with a thermometer every morning, before getting out of bed, for 10 minutes, and notes the results obtained daily in a special table. The special chart marks the days of the month from the 1st to the 31st and the temperature in degrees from 35oC to 38oC, dividing each degree into 10 parts. The carefully measured temperature is marked every day on the corresponding day and degree. At the end of the month, all 31 points are connected to each other and a curve is obtained.
If the menstrual cycle is normal, the basal body temperature curve is biphasic (consisting of two parts): before ovulation – less than 37oC, after ovulation – more than 37oC. Basal temperature curves must be shown to the gynecologist.
Prevention
Infertility prevention should be started early: in childhood, adolescence, and during puberty. Common infectious diseases in children can disrupt the functioning of the genital and endocrine organs. It is important for girls to instill sexual hygiene skills, to introduce them to sexual life, and they must know that early, casual sexual intercourse can be the cause of genital inflammation and venereal diseases. Proper and timely treatment of genital inflammation, combating abortions, improving working and living conditions, and a healthy lifestyle are important for the prevention of female infertility.
Research
Both spouses in an infertile family are examined. The tests take a long time: the cause of infertility is determined only within a few months or years. The course of the pregnancies of the woman’s close relatives (mother, sisters), complications of childbirth, diseases suffered by the woman in childhood and adolescence, puberty disorders, the beginning of menstruation and their nature, the beginning of sexual life and its disorders, etc. are investigated. A vaginal examination, laboratory (blood, urine) and special tests are performed to determine acute and subacute inflammation of the genitals. If tubal infertility is suspected, the condition of the fallopian tubes is examined.
