The most complex fertility treatment, this course will help you do it right the first time. Lab quality determines success.
This course explains how to vet a lab to give yourself the best chance of a good outcome. We cover how many embryos to transfer, medicated vs. Breaking down all the data and information on what endometriosis is, how to best diagnose it, and what the best treatment is depending on who you are. Preparing you to be a confident self-advocate as you make decisions around fertility preservation.
Alexis had a physical exam, an ultrasound and a number of blood tests to determine her hormone levels and whether she was ovulating. Alexis told her mom they were going for testing but asked her to keep it to herself. When the test results were ready, Alexis and James had an appointment together with the fertility specialist.
They were both nervous but hopeful. The answer they got was both good news and bad news. About one in five of those couples who come to a fertility specialist are diagnosed with unexplained infertility. As the fertility specialist explained to Alexis and James, this means the available testing did not find a reason they were not getting pregnant. This study showed a higher success rate at lower cost with IVF after three cycles than with continuing for more cycles of Clomid and IUI.
I never expected this to happen. James was upset that she felt that way. They actually had an argument about it, and Alexis cried. Talk to your doctor about your options and consider holding off on treatment if you have a good chance of getting pregnant without it.
Get your timing right Your window of opportunity to fall pregnant each month is small. Pregnancy is only possible if you have sex during the three days leading up to ovulation or on the day of ovulation. This calculator can help you work out when you are likely to ovulate. Knowing your body and how it changes when ovulation is approaching can help. For example, a few days before ovulation, vaginal mucus changes and becomes clear and slippery; a bit like egg white which is perfect for sperm to swim along!
Be as healthy as possible Some lifestyle factors can affect your chance of getting pregnant and the health of your baby. When trying to conceive, men and women should both strive to:. Have a pre-conception health check It's important for all women to visit their doctor for a pre-conception health check prior to trying for a baby. Two new prediction rules for spontaneous pregnancy leading to live birth among subfertile couples, based on the synthesis of three previous models.
Hum Reprod ; Pregnancy is predictable: a large-scale prospective external validation of the prediction of spontaneous pregnancy in subfertile couples. Steures, M. Eijkemans, J. Habbema, P. Sometimes, in cases of ongoing unexplained infertility beyond basic IVF, somewhat controversial treatments are considered. Below is a closer look at each of these approaches and the odds of pregnancy success. Especially when the cause of infertility is unknown, improving your overall health is important.
The most commonly suggested lifestyle changes to improve your fertility naturally are to:. However, these factors are associated with decreased fertility. However, in some cases, it may be a good plan. But only after testing has confirmed your diagnosis as unexplained.
A randomized clinical trial was conducted comparing expectant management for couples with a good prognosis with IUI plus fertility drugs. The study took place over a six-month period.
For the women who received IUI plus fertility drugs:. The couples that kept trying on their own were just as likely to conceive as those who received treatment. Given treatment costs , fertility drug risks , and the increased risk of a multiple pregnancy , trying on your own for a limited period of time may be the best choice. Building on this research, another study looked at what happens when couples are assigned a treatment plan based on prognosis.
In this study, couples were assigned to one of three paths: start with expectant management, start with IUI with fertility drugs, or go straight to IVF treatment. Of those pregnancies, Those are excellent odds, especially when you consider success rates for infertility in general. As always, discuss your options with your doctor.
Both of the studies above only included couples with a good prognosis. They were on the younger side and had not been trying for years. Generally speaking, expectant management for six months to a year is only a good approach if:. Clomid is the most commonly prescribed fertility drug, and it can help women who are not ovulating. It can also boost sperm production for some causes of male infertility.
The first doctor you will see when trying to treat your infertility is your gynecologist. They are most likely prescribe you Clomid, even if you have unexplained infertility, and send you on your way. This may be a waste of time and expose you to risks and side effects for no benefit. A randomized control trial in Scotland included women with unexplained infertility. The women were randomized to one of three groups for six months of treatment:.
The live birth rate for each group was:. Clomid side effects actually reduce some aspects of your fertility. A meta-analysis of several randomized control trials of Clomid for unexplained infertility considered the results of seven different studies. A total of 1, couples were included in this study. This study also found that there is no evidence that Clomid alone is an effective treatment for unexplained infertility.
Clomid treatment is not harmless.
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