Options de traitement de la fertilité avec avantages et inconvénientsDr Halil ibrahim Tekin
FertLes médicaments pour la fertilité Comment ça marche; Utilisé pour stimuler la production d’œufs et préparer l’utérus pour l’implantation d’embryons. Meilleur pour; Les femmes avec des partenaires qui ont une mauvaise qualité de sperme ou les femmes qui n’ovulent pas. Évitez si vos trompes de Fallope sont endommagées ou bloquées. Taux de réussite; 40-45% Avantages; Les médicaments sont généralement le premier choix dans le traitement parce que of the low cost.
Cons; Nausea, hot flashes, headaches and bloating is a possibility.
Artificial İnsemination (IUI)
How it works; Where specially prepared (washed) sperm is inserted directly into the uterus through a thin flexible catheter. İf you choose this method, your doctor might recommend fertility drugs as well to increase your chances.
Best for; Men with low sperm count and slow moving sperm. Also for women who have produced antibodies to their partners sperm or those with thick cervical mucus to transport sperm to egg.
Success rate; Depends on a woman’s age and the quality of mans sperm. İn general 15/20% chance of conception per cycle with 60/70% chance of pregnancy after 6 cycles.
Pros; Simple enough to be performed in doctor’s office.
Cons; Can result in multiple births/side effects of fertility drugs.
How it works; Sperm from another man used during IVI or IVF.
Best for; Couples experiencing male factor infertility, men with genetic disorders who don’t want to pass on to their children. Single or lesbian women also choose this option.
Success rate; 15% get pregnant after one cycle and 80% after 6 cycles.
Pros; Enables infertile men, carriers of genetic disorders and single lesbian women to have children.
Cons; Some men may be uncomfortable with a donor who has no genetic relationship to them.
In Vitro Fertilization (IVF)
How it works; Eggs are extracted and fertilized with sperm in a laboratory. Once embryos develop, one or two are implanted in your uterus and the rest is stored.
Best for; Older women or women with blocked or severely damaged Fallopian tubes ,men with very poor sperm quality and couples with unexplained infertility.
Success rates; Women aged 35 and under 41%, 32% ages 35-37 and 23% for women aged 38-40.
Pros; Couples with serious fertility problems can become parents.
Cons; Treatments are costly and physically demanding.
Intracytoplasmic Sperm Injection (ICSI)
How it works; Embryologist selects a healthy looking single sperm from the male and injects it directly into the egg with a microscopic needle. It us then transferred to uterus once embryo has developed.
Best for; For couples in which the man has low sperm count or sperm quality.
Success rate; About 35%
Pros; Men who have a low sperm count can become biological fathers.
Cons; Costly and involved procedure, the drugs required for IVF have many side effects.
How it works; Eggs obtained from another woman (usually younger) are fertilized by sperm from recipients partner. Resulting embryos are then transferred to the uterus.
Best for; Women whose ovaries are damaged or have undergone chemotherapy and/or radiation. Older women with poor egg quality and women who carry genetic disorders.
Success rate; 55%, the number drops to 34% for frozen eggs.
Pros; Enables older women and those with ovarian problems to become mothers.
Cons; The procedure is expensive. The recipient must take rigorous drug regimen with many potential side effects. Also women with no genetic link to the donor eggs, may be uncomfortable using them.
How it works; The surrogate carries a baby for another woman. The surrogate becomes pregnant by artificial insemination, using father’s sperm or through IVF with the couples embryo. Donor eggs and sperm can also be used.
Best for; Women who cant carry a baby because of diseases, hysterectomy or infertility. In rare cases both partners are infertile.
Success rates; 5-30%
Pros; Couples with fertility issues, for example, women without a uterus or have a disease that make it risky to carry a pregnancy to term.
Cons; Costs are prohibitive. Couples may feel removed from the pregnancy and have to deal with an array state surrogacy laws and legal contracts.
How it works; Couples who undergo IVF and become pregnant may donate their unused fertilized eggs. The donated embryo is then transferred to the recipient.
Best for; Couples in which both woman and man are infertile but want to experience a pregnancy.
Success rates; 30-50%
Pros; Enables infertile couples to have a child bearing experience.
Cons; Medical screening, fertility drugs and lots of legalities. It may also be hard to find embryos as,most couples may be reluctant to give them up.
How it works; It is used to correct anatomical abnormalities, remove scarring and clear blockages in either man or woman.
Best for; Couples diagnosed with endometriosis, where uterine tissue grows outside the uterus causing scarring and blockages.
Success rates; Depends on the severity of condition and one’s age. In one study, women who were treated laparoscopically had about double the pregnancy rate than those who were not treated.
Pros; Reduces pain and discomfort associated with the disease and may increase the chances of pregnancy.
Cons; Some surgeries are more invasive then others, which can increase the risk, cost and recovery time.