Fertility Problems (cont.)
IN THIS ARTICLE
Insemination flushes the sperm through a thin, flexible tube directly into a woman's vagina, cervix, uterus, or fallopian tube. This puts sperm closer to the egg. And it can overcome fertility barriers such as low sperm count and cervical mucus.
Insemination can be used with donor sperm. It can be combined with other fertility treatments, such as clomiphene or hormone shots.
Assisted reproductive technology (ART)
ART is used to remove eggs from a woman's ovaries (or use donor eggs) and fertilize them with the man's sperm (or donor sperm) outside the body. One or more fertilized eggs are then transferred to the woman's uterus or fallopian tubes.
ART procedures are expensive and complex. Most of the time they are used only after other treatment has failed.
In vitro fertilization
In vitro fertilization (IVF) is the most common form of ART.
Usually, more than one embryo is put in the uterus. This increases your chances that one will develop into a baby. Because of this, IVF increases your chance of having more than one baby at a time.
Side effects of IVF can include bloating, weight gain, and nausea. And you risk having serious side effects such as liver and kidney problems. The embryos may not grow into babies, so the IVF may need to be repeated.
If you have several miscarriages or unsuccessful IVF attempts, talk to your doctor about genetic testing.
Other types of ART
When insemination doesn't work, your doctor may recommend ICSI (say "ICK-see"). In a lab, the doctor injects one sperm into an egg. If fertilization occurs, the doctor puts the embryo into the woman's uterus, just as in vitro fertilization (IVF).
Your doctor may also recommend ICSI when the man has had a vasectomy or has retrograde ejaculation. In retrograde ejaculation, the semen is ejaculated into the bladder instead of out through the penis. In these cases, sperm can be taken from the testicles so that they can be injected into an egg.
Another less common treatment is gamete or zygote intrafallopian transfer (GIFT or ZIFT).
Success rates with IVF are as good as with GIFT and ZIFT or better. And IVF is less expensive. It is also less risky, because it isn't a surgical procedure.
Complementary and alternative treatments
These treatments include:
It is important to talk with your doctor before you use any complementary or alternative treatments.
eMedicineHealth Medical Reference from Healthwise
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