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Q&A: Fertility treatment basics?

We’ve been trying to conceive for a year, and nothing is happening. We’re determined to have a child, though. What fertility treatments are out there?

Re: We’ve been trying to conceive for a year, and nothing is happening. We’re determined to have a child, though. What fertility treatments are out there?

The Bump Expert

The good news: About two thirds of infertile couples have children after treatment. The bad news: Many insurance plans don’t cover infertility treatments. (Thirteen states, however, mandate at least some coverage, and more and more HMOs are covering part or all of it.)

There are a myriad of options, depending on the cause of the problem. For men, medication can often correct impotence and premature ejaculation, and surgery can reverse low sperm count. A procedure called electroejaculation is also available, which sounds scary but is actually just an electric stimulus that elicits ejaculation. (It's especially useful for men with spinal cord injuries who can’t otherwise ejaculate.) Another option is surgical sperm aspiration, in which sperm is harvested from the male reproductive tract. (Specifically, from the epididymis, vas deferens, or testicle – anatomy class all over again!)

For women, oral or injected fertility drugs such as Clomid, Repronex, and Gonal-F can correct ovulation disorders. Injections boost your odds of having multiples- twins or more! Some drugs stimulate the pituitary gland; others go right for the ovaries. Laparoscopic surgery can correct blockages or other problems in the fallopian tubes. Assisted hatching, which helps get the embryo implanted in the uterus, is another option. If you have endometriosis, blocked fallopian tubes or unexplained fertility, your best bet is probably in vitro fertilization (IVF). In IVF, doctors marry sperm from your husband and a mature egg from you in a lab, then deposit the fertilized egg into your uterus three to five days later.

There are complications associated with many of these treatments, so definitely do your research before signing up. In the meantime, improve your odds of conceiving by giving up smoking and drinking, getting enough zzz’s and exercise, and eating healthfully. Foods rich in folic acid (beans, leafy greens, OJ) are important for you and your husband because they increase sperm count and prevent birth defects. Don’t go overboard with the diet, though – being too skinny can throw off a menstrual cycle and make it more difficult to conceive. Good luck!

Paula Kashtan

Q&A: Fertility treatment basics?

Hello, I noticed that someone on this website mentioned our blog. It generated enough traffic that I wanted to come over and introduce myself. I started a network of health professionals who are trained to teach nutrition, acitivity and lifestyle recommendations for improving fertility. Our primary focus is polycystic ovary syndrome, or PCOS, the leading cause of infertility affecting 1 in 10 women. Many don't know they have it. If they have not had any problems with weight, the diagnosis may be missed because many physicians assume it only happens when there is extra weight. We are in many locations across the US, though most active in Southern California and Arizona. There really is a lot you can do naturally before venturing into stressful and expensive medical treatments. And even if bettering your diet isn't the total answer for you, it will definitely prepare your body to give the healthiest possible environment for the baby you have using medical assistance. Please come to our blog to learn more! www.incyst.blogspot.com Monika M. Woolsey, MS, RD Founder, inCYST Programs for Women With PCOS

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Q&A: Fertility treatment basics?

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Q&A: Fertility treatment basics?

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Q&A: Fertility treatment basics?

For women, it is important to make yourself healthy, avoid stress, smoking and alcohol. The most important factor when trying to conceive is to have sexual intercourse during the woman's fertile phase. Visit How to Cure Infertility Tips today where you will find information on how to maximise your chances of getting pregnant.

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Q&A: Fertility treatment basics?

Married for 8 years and since then i've been taking prenatal vit. I was always regular on my periods but last year (2012) before starting nursing school, my period stopped for 6 months (not pregnant) and i haven't been regular eversince. I thought it was just school stress but I was in college 5 years ago for 4 years and i didn't have this problem. My ultrasound revealed PCOS and now i'm devastated. I'm 28 years old now and i wanted to have kids before i turn 30 so i have to sacrifice nursing school for now to relieve any stress. I'm waiting for my doc's referral to consult an OB/GYN but for the meantime, i was searching the internet and came across San Diego Endoscopy Center's article regarding PCOS and their Proposed Natural Treatments. http://www.sandiegoendo.com/apps/HealthGate/Article.aspx?chunkiid=134668 I ordered Inositol today and I will update everyone if it works.

marisue15 |

Q&A: Fertility treatment basics?

My doctor told us for most couples it can take anywhere between a year to two years to conceive on our own. However, if your cycle pattern gets really off, I would recommend you go see your doctor. I am glad I did. We were a year and half into our journey of trying and my cycles got really out of whack! I'd gone about ten weeks without a cycle and decided something's off since all the pregnancy tests we'd done were coming back negative. I was really scarred and nervous that something permanent was wrong and we wouldn't get our dream. I was thinking what if we had to do Artificial Insemination or Invitro-fertilization. What if I couldn't have a baby/ Turns out I wasn't ovulating, but thankfully my problem was such that it could be first treated with a medication without having to jump to those extremes. So, my doctor got me on a regiment of progesterone and clomid medications. The progesterone helps me get my cycle back on track and the clomid helps me produce more eggs when I ovulate so we have a better chance of getting our little one on the way. Scary thing is that the clomid takes to higher risk of having twins! A one in ten chance! yipe! Today after two rounds we've got me on the right dose of the clomid, so now its just a matter of timing. Hopefully, sometime down the road in 2014, Baby Miller will be on the way. We've decided we don't want to find out gender. ;)

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