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World Infertility Awareness Month: Treatment options for those trying to conceive

“There is always hope. If you are struggling to conceive, start by making lifestyle changes. If that fails, seek help from a fertility specialist,” said Dr Hansen.

WITH 34 years’ experience in gynaecology and fertility, and thousands of success stories later, Dr Jonathan Hansen has made numerous couples’ dreams come true by helping them have their own child.

Last week, and in support of World Infertility Awareness Month this June, the gynaecologist and fertility specialist spoke about the most common causes of infertility in women and men. This week, he touches on some of the options available to couples who are having difficulty in conceiving naturally.

RELATED STORY: Fertility specialist speaks the conceivable truth this World Infertility Awareness Month

“Treatment is always directed to the cause of the infertility problem. It is wise for the patient (female) to keep proper records of her menstrual cycle and to use an app to help her to predict her ovulation date and to time intercourse. We always start with lifestyle changes, such as diet and exercise and weight reduction for both partners,” said Dr Hansen.

If the primary problem is failure to ovulate, then we start with oral fertility drugs such as Clomid or Femara in an incremental fashion. If these fail, we then move on to injectable drugs.

If there is a problem with a male, be it a low sperm count or weak sperm, a process called intrauterine insemination (IUI) is done. This is a type of artificial insemination.
 
“The sperm is washed and concentrated and then inserted into the uterine cavity by means of a catheter,” he said.
 
“IVF is done primarily for the female factor, eg, tubal disease, endometriosis, polycystic ovarian syndrome. Intracytoplasmic sperm injection (ICSI) is done primarily for the male factor, eg, low sperm count,” said Dr Hansen.
 
IVF works by using a combination of medicines and surgical procedures to help sperm fertilise an egg, and help the fertilised egg implant in the uterus.
In the ICSI process, a tiny needle called a micropipette is used to inject a single sperm into the cytoplasm of the egg.
 
“There is always hope. If you are struggling to conceive, start by making lifestyle changes. If that fails, seek help from a fertility specialist,” said Dr Hansen.
 
For more information, visit www.natalfertility.com
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