Infertility Treatment in Iran
Infertility treatment refers to the medication followed in order to help those having problems bearing a child. So, artificial medical assistance is taken to aid them in the process. Since Fertility Treatment is used to cure conditions of infertility in patients, it is also referred to as 'Infertility Treatment' (Fertility Treatment) or the treatment to treat infertility. This kind of artificial medical assistance to aid reproductive functions is increasingly becoming popular day by day.
What is infertility ?
Infertility refers to the inability to naturally conceive a child. It is a problem where a couple faces problems in conceiving, after a year of regular sexual intercourse without using any birth control methods. This problem may be in either man or woman, or both. It also refers to a condition of a woman when she is unable to carry a pregnancy to its full term.
Causes of Infertility
In a normal reproduction process proper interaction between the female and male reproductive system is required. Following are the causes of infertility (both men and women):
• Sperm causes • Ovulation problems • Tubal causes • Age-related factors
• Unexplained infertility
ICSI + Testicular Biopsy
It is a medical procedure in which a sperm is injected directly into the egg. This surgery is often times part of the in-vitro fertilization (IVF). In the case of testicular biopsy a small sample of sperm is removed for IVF-ICSI.
In vitro Fertilization (IVF)
IVF is a treatment in which the mature eggs collected from the ovaries are fertilized outside the body. During the procedure, the eggs are fertilized by sperm in a lab and the embryo is implanted in the uterus.
Intrauterine Insemination (IUI)
It is a medical treatment which involves the placement of sperm inside a woman's uterus when she is ovulating. It is done to facilitate fertilization and to increase the number of sperms that meet the fallopian tubes.
IVF / ICSI + Donor sperms
This medical treatment is opted when the couple's gametes cannot be used for IVF/ICSI. In this case, donor sperm from a known or anonymous donor is inseminated into an egg.
IVF + ICSI
IVF with ICSI is used together in order to maximize the chances of fertilization with the use of micromanipulation equipment and tools. IVF, in vitro fertilization, is used for male infertility while ICSI is used for female infertility. The specialist will remove sperms from the male body and will choose one healthy sperm for conception.
IVF + ICSI with Optical Spindle view
IVF and ICSI with optical spindle view is a medical treatment in which a special technique is used to select a healthy embryo for fertilization. Both the procedures, IVF and ICSI are used to fertilize a sperm and an egg outside the body to develop an embryo which will be planted in the female womb. The optical spindle view helps the doctor to place the embryo effectively.
IVF with Egg Donation
This infertility treatment is opted by childless couples. The donated eggs are fertilized with sperms in a laboratory with the help of IVF or ICSI. The developed embryo is then placed in the uterus.
IVF with Laser Assisted Hatching
IVF with laser assisted hatching is a way to help the embryo to hatch from the zona pellucida, the protective outer shell. This is done to promote implantation in the uterine wall after the embryo transfer.
Types of Infertility
Following are the types of Infertility:
Primary Infertility: - It is that condition where a couple has not conceived a pregnancy after at least a year of unprotected intercourse.
Secondary Infertility: - It is a condition where the couple has conceived or carried a pregnancy to term after naturally successfully conceiving one or more children.
Sub-fertility: - Here infertility that is complete, that is, there are chances of pregnancy, but these chances get reduced each month. It is a state of a less than normal capacity for reproduction.
Male Infertility: - It is a condition of infertility in males that refers to the absence of healthy sperms in the semen in order to meet ovum.
Female Infertility: - It is a state of infertility in females. It is important that all the reproductive organs in a female are in a perfect shape.
Fertility isn't just a woman's problem
If the facts are to be believed, in up to a one third of cases, the cause of not falling pregnant is because of the male partner sperm disorders. Thus, it is extremely important that if there is any difficulty in conceiving, then a proper amount of testing of both the partners is required.
Dignosis for Fertility :For Male: Along with the necessary basic blood and urine examination, semen analysis is also done. For Female: Routine tests like Rubella IgG levels, HIV , CBC, FBS, urine routine, TSH, / FSH / LH / Prolactin (Day 2 of the cycle), VDRL, Hepatitis B, and Blood grouping are done.
Following tests are done according to the doctor's advice:
• Serum FSH
• Serum LH
• Serum PRL
• Serum TSH
The other procedures are:
HSG (Hysterosalpingogram): Here an X-ray picture of the uterus (Hystero) and Fallopian tubes (Salpingo) is taken.
Trans-vaginal Ultra Sonogram: Undertaken for checking any abnormalities in the uterus, tub