In case if within a year of regular sexual life without use of contraceptives you did not get pregnant, it does not necessarily mean that you are infertile.
The likelihood of spontaneous pregnancy is still possible, but chances are dwindling every year. In order not to lose the chances, one has to seek help from the specialists to be examined and to receive timely treatment.
Due to the success of modern reproductive medicine, the infertility is not inevitable anymore. Despite the prevailing opinion that female infertility occurs more often than the male one, statistically, there are 40% of cases that fall on the share of both sexes nowadays. The remaining 20% represent the immunogenic incompatibility of the partners, also known as unexplained infertility.
Individual choice of treatment can be made upon complete diagnostics only.
Choice of the tactics and method of treatment depends on the cause of infertility by default.
It can be treated by medications or surgically.
Final diagnosis is preceded by a number of specific tests and examinations of the couple, including consultations of related specialists, such as a mammologist, andrologist, physician, endocrinologist, etc.
All required examinations and consultations of specialists can be performed and are available directly on the premises of the Clinic.
Should the treatment outcomes fail to provide the intended effect and no success in getting pregnant achieved within a year, it is then recommended to use the methods of assisted reproductive technologies, including:
IUI — Intrauterine insemination with the husband’s or donor’s sperm. Seminal fluid should first be washed and enriched, and then injected into the uterine cavity through the cervical canal of the cervix using the specific catheter, which should be done during ovulation.
IVF — extracorporeal fertilization, better known as «in vitro» fertilization, is performed by induction of superovulation, aspiration of follicular contents, retrieval of oocytes, and then adding 100-150 thousand active sperm cells to each of them, and then the resulting embryos are inserted in the uterine cavity.
ICSI (intracytoplasmic sperm injection) is applied for the so called “male factor infertility”. In case of male infertility, characterized by no sperm count in the ejaculate, invasive methods of sperm cells retrieval are used:
TESA (testicular sperm aspiration, which is a needle biopsy of several areas of the testicles. It is the least invasive method of the sperm cells retrieval. Should there be no sperm cells detected upon 5-6 sessions of each testicle puncturing, upon the patient’s consent the next step shall be the microsurgical variation of puncture – ТESЕ.
TESE (testicular sperm extraction) – is the aspiration of testicular tissue for the subsequent extraction of the sperm cells. This is one of the most efficient methods to treat male infertility. TESE implies a testicular biopsy. Sperm cells are then retrieved from the obtained tissue in order to fertilize the egg.