Fertility Preservation

fertility preservation
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Fertility preservation is a greatest option for those people who are diagnosed with cancer or other health issues. Family planning has fundamentally changed as compared to generation ago.

Progressively, women are postponing childbearing for non-medical reasons. For example, pursuing a career, unstable relationship, and financial deliberations. As a result, over the past 40 years, the age of a woman’s first pregnancy has been gradually rising.

When a woman should freeze her eggs?

If woman who is not ready to have a child now but wants to conceive later by her preserved eggs, should keep in her mind about right time of freezing her eggs. The best time for a woman to freeze her eggs is under the age of 30. The number of mature eggs frozen allows for the best prediction of ultimate pregnancy. For example, with ten frozen eggs the chances of a live-birth is twice as high for women under age 35 and under than for those over the age of 35.

When a man should freeze his sperms?

Various studies have now revealed that a man’s sperm production and quality declines with age and male fertility appears to wane after the age of 40 – 45. Due to their ability of continuously producing sperms throughout their lives, there are less apparent guidelines for men on non-cancer/non-medical fertility preservation, but under the age of 40 is a reasonable time.

How to Make a Decision of Preserving Fertility?

This is an extremely difficult question and one that requires consultation with an infertility specialist as well as a reproductive health counselor such as Dr Shivani Sachdev Gour. The pursuit of fertility is a physical, emotional, and financial investment with all three of these factors carrying equal weight and importance. People should decide very carefully before the preservation. Dr. Shivani discusses some issues that people must keep in mind before fertility preservation:

  • Financial Constraint: Fertility Preservation is an expensive process as it requires some medical tests and sperm/egg preserving labs. People have to pay for the time duration they need to keep their sperms preserved in these labs. Thus, they must be sure about preservation of fertility and make decision according to their financial condition.
  • Health Issue: Some people who want to become parents but they are cancer patients or surviving from any other disease where they cannot conceive, must think and decide very carefully about preservation of fertility. Anxiety is common in risky condition of health therefore a great patience is necessary during decision making by the suffering people.
  • Emotional Issue: People keep them emotionally strong for preservation of fertility.Because some of the people worry a lot about success rate of procedure. They keep thinking about future that whether they able to conceive using preserved egg/sperm in future or not. This is also an issue which can affect their decision of fertility preservation.
  • Unstable Relationship: Some couples have not stable relationship. It is very big issue for them to decide whether preserve their fertility or not. They should be ready for the future preservation about fertility after a deep discussion between both of the partners.

While advances in technology today allow for immediate and effective fertility preservation for men and women, in spite of that it is necessary never to pursue a pregnancy until peoples are physically, emotionally, financially prepared, and in a stable relationship, if applicable.

How to Select Surrogate Mother?

Doctors usually suggest surrogacy as last resort to multiple IUI and IVF failures or in cases of extreme medical conditions like Cancer or extreme cases of PCOS and PCOD. It can also be opted by single parents or same sex couples or by those females who have uterus abnormalities or cases of unexplained infertility.

Treating PCOS with IVF

Surrogate Mother: One who carries the child of a couple for nine-month term under a legal contract is known as surrogate mother. It is always important to make sure that the surrogate mother knows all the regulations and laws under which she has agreed to bear the child in her womb. Surrogate mother is compensated for their entire pregnancy duration by the intended parents.There is always a risk involved when directly dealing with the surrogate. So, it is required to go for surrogacy from either surrogacy clinic or agency. This will help you save your time as well as cost. Surrogacy clinics are the best choice as these are reliable and compliance legally during the entire procedure of surrogacy.

Surrogacy might not be the pathway that has been decided, but it is the road chosen when there is no option left after trying multiple fertility treatments to conceive a baby. Surrogate mother parts the most important role during surrogacy because she is the one who carries a baby for the entire nine-month duration. Surrogacy clinics or agencies are the ways to find an eligible surrogate mother.

What Should Be the Qualities of A Surrogate Mother Before Her Selection For Surrogacy Procedure?

A woman must eligible to be a surrogate mother if she fulfills the below-mentioned parameters. Always check these parameters before finalizing a surrogate mother.

  • Female who is a non-smoker and non-alcoholic proves to be the best surrogate mother.
  • Female between 21-35 years of age is best suited for the role of surrogate mother.
  • Female with the regular menstrual cycle.
  • Female with a valid identity.
  • Female with accurate BMI.
  • No other medical history.
  • Must have given birth to a child in the past.
  • A responsible female with a normal lifestyle.
  • No older history of criminal offense.
  • There are various surrogacy clinics, which provide surrogate mother through mutual and monetary consent in a legal manner.

What Questions to ask from surrogate before signing the contract?

Before signing the legal contract with the surrogate, you can ask her a few questions to make sure that you have chosen the best surrogate mother who can fulfill all your requirements. Go through the list of the common questions that are asked by the intended parents to the surrogate occasionally.

  • What is the reason behind becoming a surrogate?
  • How many successful pregnancies without complications she has been through?
  • Does she enjoy pregnancy time?
  • Is there strong support to help during pregnancy?
  • Is she agree to become surrogate for you?
  • Does she have any problem, with you and your partner?

The questions and interrogation will help you in communicating your concerns and needs directly to the surrogate mother. Plan appropriately and go for the best selections of a surrogate mother.

Intrauterine Insemination (IUI) Treatment and Procedure

Many couples are unable to gain their own child due to infertility, which can be in men or women. To conceive their own baby, they can opt different techniques such as IUI, IVF, Surrogacy, and so on. These techniques are performed under supervision of specialists in various hospitals.

Intra-uterine insemination is the name given to a procedure where sperms are placed into the female reproductive system by a means other than intercourse. IUI is the most common form of artificial insemination, used and involves placing sperm into the female’s uterus through an assisted medical process. As it is a relatively low-tech solution to infertility problems, IUI is usually one of the first techniques used to assist a couple who is having difficulty becoming pregnant.

Limitations of IUI

There are following limitations when IUI is not effective:

  • A blocked or damaged fallopian tube.
  • Ovarian failure (menopause)
  • Severe male factor infertility such as no sperm, very low sperm count, poor sperm motility (movement) and sperm defects. In all these cases donor sperm may be an option.
  • Severe endometriosis
  • A female partner over the age of 40.

Procedure

First, warmed and ‘washed’ (treated) sperms are introduced into the woman’s uterus through a tube. Sperm can be provided by the woman’s husband/partner (artificial insemination by husband – AIH) or sperm provided by a known or anonymous sperm donor (artificial insemination by donor – AID or DI). The procedure is done around the time of ovulation to give the best chance of conception. Hormonal (fertility) medications might be used in conjunction with the treatment to enhance conditions for a pregnancy.

Reasons of Selecting IUI

IUI is mainly used when timed intercourse or hormonal medications alone have not worked. It is also used if ‘mild’ sperm abnormalities such as poor motility are found. It is also used in conjunction with donor sperm by same sex female couples or by women who don’t have a partner. In addition, IUI can be used to overcome fertility due to the following conditions:

  • Open Fallopian Tube: Open fallopian tube is a factor for opting IUI as infertility treatment.
  • Minor Endometriosis: This condition occurs when the tissue that normally lines inside of the uterus grows in other places where it doesn’t belong, such as on the ovaries and fallopian tubes.
  • Ovulation Complications: Including irregular or absent ovulation often caused by a deficiency in one of the controlling hormones.
  • Low Sperm Count: If sperm count is only a little low, it can still be used because of the way it will be treated in the laboratory.
  • Retrograde Ejaculation: This condition occurs when semen goes backward into the bladder instead of coming out of the penis.
  • Unexplained Infertility: Defined as not being able to conceive after one year, even though the cycle is normal, semen is normal, internal examinations are normal and there is normal sperm-mucus penetration. In about 10-15% of couples, a cause for infertility may not be found even after thorough investigation of both partners.
  • Physical Problems with Sexual Intercourse: Vaginismus is an involuntary clamping of the vaginal muscles, which may prevent some women from having frequent intercourse.
  • Mucus Hostility: May arise as a result of a vaginal infection or the presence of anti-sperm antibodies in the mucus.
  • Ejaculation Problems: Due to psychological problems such as impotence or anatomic problems of the penis, such as paraplegia.