Center for Reproductive and Fetal Medicine

 INFERTILITY INVESTIGATION

 INFERTILITY INVESTIGATION

According to the World Health Organization, a couple is considered infertile when they do not conceive after a year of frequent sexual intercourse without the use of contraception. In vitro fertilization is not always the first method of assisted reproduction followed by a couple. Other, less invasive techniques may precede, depending on the cause of infertility.

In case the sperm is normal as well as the hormonal control, the ultrasounds and the hysterosalpingography of the woman, the specialist suggests the planned physical contact of the partners or can recommend the intrauterine insemination.

This method can be combined with taking medication sometimes orally and sometimes in the form of subcutaneous injections. The doses of the drugs are as small as possible, so that no more than 2-3 follicles are regenerated, in order to avoid multiple pregnancies.

If there is some type of anatomical abnormality in the woman's reproductive system and there is no way to treat it (eg absence / obstruction of the fallopian tubes), the doctor will recommend the method of in vitro fertilization.

If the problem is low sperm count and / or low sperm motility, choosing a high-tech assisted reproduction procedure, such as in vitro fertilization (ICSI), may give the couple the best chance of having a healthy baby.

A clear diagnosis needs to be made before any treatment. The diagnosis of infertility is made by a specialized doctor. In order to choose the right treatment strategy, all the data must be carefully weighed and the couple must be led, with their help, to a sober and clear decision.

Factors such as the age of the woman and the financial capabilities of the couple must be taken into consideration, as the diagnosis and treatment of infertility can sometimes be both time consuming and costly.

* The content on this blog is not intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of qualified health care providers with questions you may have about medical conditions.

Center for Reproductive and Fetal Medicine

Effective doctor-patient communication is vital to providing high-quality health care. Any communication regarding your medical profile (getting results, instructions, answering questions, concerns) will be done directly with the doctor. This means no midwife or secretary will interrupt your conversations. Instead, if you call with any concerns, they will be there right away to address your needs. Contact us by calling 694 649 8771 or by completing the relevant Contact Form.

Dr. Alexandros Traianos

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FREQUENT QUESTIONS

The association of IVF drugs with cancer risk is a major concern for women enrolled in these programs. But the plethora of bibliographic reports collected from credible scientific studies and published in reputable medical journals worldwide are reassuring and do not confirm this concern.

Of course not. In about a third of cases, infertility is due to the woman (female factor), while in a third of cases, it is due to the man (male factor). The remaining one-third is due to both (both men and women) or even to unknown factors.

The quantity and quality of a man's sperm can be affected by his health and lifestyle. Some factors that can reduce the quantity and / or quality of sperm are:

  • the alcohol
  • drugs
  • environmental toxins, including pesticides and lead
  • smoking
  • health problems
  • medicines
  • radiotherapy and chemotherapy
  • the age

Success rates vary at each IVF Center. Very important factors are also the age of the woman, the levels of her hormones and of course the sperm of the husband. Rates generally range from 45% or slightly higher for women up to 35 years old.

Infertility is defined as the failure to conceive after one year (or 6 months, if it is a woman over 35) with normal, regular sexual intercourse. In other words, when a year passes without the woman becoming pregnant, the couple should consult their doctor to determine the cause of the pregnancy and then treat it. We must all, however, be aware and not forget that the age factor is the most critical for female fertility and that the individualized approach of each couple is the "golden key" that solves the problem.

The number of treatment cycles a woman can undergo is not specified. It is certain that in our country there are high level obstetricians-gynecologists and organized infertility treatment centers, which offer impeccable medical services at this level. If there are correct indications (eg ovaries that respond to stimulation therapy, good quality endometrium, etc.) the success rate -especially with the use of newer techniques and biotechnological drugs, which show increased bioactivity compared to conventional drugs from urine- totals approximately 65%-70% after 4 cycles of treatment.

At the Center for Reproductive Medicine of Dr. Traianos we offer egg / sperm cryopreservation services for those who have a personal or medical reason and need this service. We use the most modern vitrification technique in the freezing of sperm and eggs.

The collection of eggs takes 10-15 minutes, it is not painful, it is done under intoxication and after the end of the process you return to your activities.

In general, experts agree that the fact that a couple has already had a child can be considered evidence that there is no infertility problem in the first place. It is like a small test that has been done and proves that they "succeeded" at least once. On the other hand, we need to know that in the meantime things may have changed and a problem may have arisen (eg the man may have had some inflammation that affects the quality of his sperm or has mediated something that affects female fertility: an inflammation, a gynecological surgery, an abortion, etc.). In any case, if a reasonable period of time (one year) passes and a couple can not achieve a pregnancy, then he should with the help of his doctor investigate if there has been a problem that causes infertility.