We asked Dr Suresh Nair, Consultant Obstetrician & Gynecologist, what fertility treatments options are available, the option with the highest success rate and how to avoid using medical measures to conceive.
Fertility treatment options and the option with the highest success rate
The fertility treatment options available are as follows:
(i) One of several fertility treatment options is stimulating the growth of eggs from the ovary by using either tablets or injections. An example of a well established tablet which is a fertility medication is Serophene (Clomiphene). In cases which need more stimulation or when tablets don’t work, then fertility injections are required.
A well known example is Gonal F; this is a hormone injection which is similar to the natural hormone, Follicular Stimulating Hormone (FSH).
(ii) Another fertility treatment option is either using natural cycle or the above two ways to stimulate eggs and combining it with the introduction of processed sperm from the husband into the womb which is done in the clinic. This is called intra-uterine insemination or IUI.
(iii) The most efficient and advanced method is assisted reproductive technology or commonly known as IVF. Here higher doses of Gonal F (FSH) are given for about 10 days and thereafter ripening the eggs with an injection called Ovidrel.
The eggs are then ready to be sucked out using a very tiny needle guided by ultrasound through the vagina. This procedure is done under light anaesthesia and does not require a hospital stay.
These eggs are sucked out from the follicles and sperms are injected into them in the laboratory and it is grown from 3 to 5 days to create the very early conceptus or baby called the “embryo”. The best ones are then put back into the uterus from 2 to 5 days after the eggs were taken out.
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