Try our
Try our

Infertility is a deeply personal and often challenging journey that affects not only a woman’s physical health but also her emotional well-being. In this blog post, we will unpack the challenges that infertility patients and their families experience.

We'll explore the wide array of emotions and the psychological stress involved, and most importantly, provide you with valuable tips and strategies for coping with infertility and finding the essential psychological support you need.

Understanding the Emotional Impact of Infertility

The Range of Emotions

Infertility is a complex issue that can evoke a wide array of emotions, often leaving women and their partners feeling overwhelmed. Feelings of sadness, anger, frustration, and guilt are common. Couples, in particular, may find themselves grappling with a profound sense of inadequacy. The pressure of societal norms that emphasize parenthood can intensify these emotions. It is crucial to recognize and validate these feelings, understanding that they are entirely natural responses to a challenging situation.

The emotional journey of infertility can be likened to a rollercoaster, with ups and downs that can be difficult to predict. At times, you may experience hope and optimism, especially when starting a new treatment cycle or receiving positive news from your healthcare provider. Other times, you may be confronted with disappointment, frustration, and sadness when treatments fail or when you face setbacks.

The Psychological Stress

Research has shown that the psychological stress experienced by individuals facing infertility is akin to the stress faced by people coping with serious illnesses, like cancer and HIV. This underscores the importance of addressing the emotional aspect of infertility. The toll it takes on mental health can be substantial and, if left unaddressed, can exacerbate the challenges of the fertility journey.

The stress of impacting your relationships, work, and overall quality of life. It's essential to acknowledge and prioritize your mental well-being throughout this journey.

The Importance of Emotional Support

Seeking Professional Help

As individuals seek out medical experts for fertility treatments, seeking psychological support is equally vital. Many infertility clinics now recognize the importance of addressing the emotional well-being of their patients. They have incorporated counseling and therapy services to help individuals and couples manage the emotional distress that often accompanies infertility.

Professional help can provide you with tools and strategies to navigate the emotional complexities effectively. Studies have also found that when psychological support is provided by psychiatric clinical specialists, it can improve the outcomes of IVF (In-vitro fertilization) and ART (Assisted Reproductive Technology).

While professional help is invaluable, the power of peer support should not be underestimated. Support groups comprised of individuals who have experienced or are currently experiencing infertility can provide a profound sense of belonging and understanding. Sharing experiences, fears, and hopes with others who truly comprehend the challenges can be remarkably therapeutic. These groups often meet in person or virtually, making them accessible to a broad audience.

Support groups offer a safe space for you to express your feelings, share your experiences, and gain insights from others who have walked a similar path. Additionally, they can provide practical advice about navigating the healthcare system, coping with treatment side effects, and managing the emotional ups and downs.

Harnessing Online Communities

In the digital age, online communities have become an invaluable resource for those dealing with infertility. Forums and social media groups allow individuals to connect with people worldwide. These platforms provide a safe space to share stories, seek advice, and offer a virtual shoulder to lean on. Online communities not only provide emotional support but also valuable information and insights into various aspects of infertility and treatment options.

Online communities are available 24/7, offering continuous support whenever you may need it. You can connect with individuals who share your specific diagnosis, treatment experiences, or cultural background, further enhancing the sense of community and understanding.

Individual Counseling

Every individual's experience with infertility is unique, and sometimes, individualized support is necessary. These sessions provide a private and confidential space to explore personal emotions, fears, and challenges related to infertility. A skilled therapist can help you develop coping strategies tailored to your specific needs.

Counseling can be particularly helpful when dealing with the complex emotions that infertility can stir up, such as grief, anger, and anxiety. It provides a structured and supportive environment where you can work through these emotions and develop strategies to manage them.

Coping Strategies

Effective Communication

Coping with infertility often requires effective communication, especially between partners. The emotional strain can put a strain on relationships. Open and honest discussions about feelings, concerns, and expectations are vital. It's essential to create a safe and supportive environment where both partners can express themselves without judgment. Couples counseling can also be a valuable resource for improving communication and strengthening the bond between partners.

It allows them to share the emotional burden and support each other during the highs and lows of treatment.

Prioritizing Self-Care

Practicing self-care is crucial when navigating infertility. Self-care involves consciously taking time to prioritize your mental and emotional well-being. Engage in activities that bring you joy, relaxation, and a sense of peace. Whether it's reading, practicing yoga, taking nature walks, or pursuing a creative hobby, find what rejuvenates your spirit and make it a regular part of your routine.

Try your best to prioritize self-care during your infertility journey. Even small steps aimed at ensuring you nurture yourself emotionally and physically can have an impact. Self-care replenishes your emotional reserves, reduces stress, and helps you maintain a positive outlook.

Setting Realistic Expectations

While maintaining hope is essential, it's also crucial to set realistic expectations regarding infertility treatments. Not all treatment cycles will result in success, and disappointments can take a toll on your emotional well-being. Understanding that infertility is a complex journey with ups and downs can help manage expectations and reduce the emotional impact of setbacks. Your healthcare provider can provide guidance on the likelihood of success with different treatments based on your specific circumstances.

Managing expectations is an ongoing process. It involves balancing hope and optimism with the recognition that setbacks are a normal part of the fertility journey.

The Power of Education

Knowledge is a powerful tool when facing infertility. Learning about infertility, treatment options, and the emotional aspects of the journey can empower you to make informed decisions. Attend educational seminars, read reputable books and articles, and ask questions during your medical appointments. Understanding the science behind fertility treatments, potential challenges, and the emotional toll can help demystify the process and reduce anxiety.

Education equips you with the information you need to advocate for yourself and make choices that align with your values and goals. It also enables you to actively participate in your treatment plan and communicate effectively with your healthcare team.

Women of all ages, races, and socioeconomic statuses struggle with infertility. It can affect individuals and couples from all walks of life. Recognizing the prevalence of infertility can help reduce its stigma and foster a greater sense of empathy and understanding.

Additionally, research has shown that the emotional impact of infertility is profound. Men, too, experience emotional challenges when dealing with infertility.

Empowering Your Fertility Journey: Navigating Emotions and Finding Hope

Navigating infertility requires a multifaceted approach that encompasses professional support, self-care, open communication, and realistic expectations. The emotional toll of infertility is significant, but by addressing these feelings, individuals and their families can maintain mental well-being throughout the journey.

Many resources and strategies are available to help you cope with the emotional challenges of infertility. Seek professional support, connect with peer groups, and prioritize self-care. Infertility may be a challenging road, but with resilience and hope, you can navigate it successfully and ultimately achieve your goal of building a family.

The journey through infertility is not linear, and it may take unexpected turns. However, with the right support and coping strategies in place, you can navigate the emotional ups and downs with resilience and emerge stronger on the other side. Your emotional well-being is a crucial part of your fertility journey, and by addressing it proactively, you are taking a significant step towards achieving your dreams of parenthood.

Infertility is a complex issue that affects millions of couples worldwide. While there are various factors that can contribute to infertility, one lesser-known culprit is thyroid disorders. The thyroid gland plays a crucial role in regulating the body's metabolism, hormone production, and reproductive functions. When thyroid function is disrupted, it can significantly impact fertility.

 

In this blog, we will explore the connection between thyroid disorders and infertility, shedding light on the importance of thyroid health for those trying to conceive.

 

Thyroid Function and Reproductive Health

The thyroid gland, located in the front of the neck, produces two primary hormones: triiodothyronine (T3) and thyroxine (T4). These hormones are essential for regulating metabolism, growth, and development throughout the body, including the reproductive system. Both hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid) can disrupt the delicate balance of reproductive hormones, leading to fertility problems.

 

Hypothyroidism and Infertility

and is when the thyroid gland fails to produce enough thyroid hormones. Studies have shown that women with untreated hypothyroidism may face challenges in conceiving and are at a higher risk of experiencing miscarriages. The lack of thyroid hormones can interfere with the release of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), which are crucial for ovulation and the development of healthy eggs.

 

Additionally, hypothyroidism can cause irregular menstrual cycles, anovulation (lack of ovulation), and a decrease in the quality and number of eggs. It can also lead to hormonal imbalances, including elevated levels of prolactin, which can further disrupt ovulation and implantation.

 

Hyperthyroidism and Infertility

This condition can also affect fertility by disrupting the delicate hormonal balance required for reproduction. Hyperthyroidism can cause irregular menstrual cycles, reduced fertility rates, and an increased risk of early miscarriages.

 

The elevated levels of thyroid hormones in hyperthyroidism can lead to irregularities in the menstrual cycle, including shorter or longer cycles, which makes it difficult to predict ovulation. Moreover, increased levels of thyroid hormones can negatively impact the development and quality of eggs, impairing the chances of successful fertilization and implantation. Studies show that 5.8% of patients with hyperthyroidism also experience either primary or secondary infertility.

 

Thyroid Antibodies and Infertility

Apart from hypothyroidism and hyperthyroidism, the presence of thyroid antibodies can also affect fertility. Thyroid antibodies, such as thyroid peroxidase antibodies (TPOAb) and thyroglobulin antibodies (TgAb), are markers of autoimmune thyroid conditions like Hashimoto's thyroiditis and Graves' disease, respectively. These conditions can coexist with infertility and are associated with higher rates of miscarriages and implantation failures.

 

Autoimmune thyroid disorders can cause inflammation and damage to the thyroid gland, leading to fluctuating levels of thyroid hormones. The immune system's attack on the thyroid can also affect the ovaries and the uterus, disrupting the normal functioning of these reproductive organs.

 

Testing and Treatment

If you suspect that a thyroid disorder may be affecting your fertility, it is essential to seek medical advice. A healthcare provider can perform a series of blood tests to evaluate thyroid function and the presence of thyroid antibodies. T

 

Treatment options for thyroid disorders vary depending on the specific condition. Hypothyroidism is typically managed with synthetic thyroid hormone replacement therapy to restore hormone levels to normal. Hyperthyroidism may be treated with medications to block the production of excessive thyroid hormones or with radioactive iodine therapy or surgery to reduce thyroid function.

 

In cases where infertility is directly linked to thyroid disorders, treating the underlying thyroid condition can significantly improve fertility outcomes. Once thyroid function is stabilized, the menstrual cycle becomes more regular, increasing the chances of ovulation and successful conception. In some instances, couples may be able to conceive naturally after thyroid treatment. However, for others, additional fertility interventions such as assisted reproductive technologies (ART) like in vitro fertilization (IVF) may be necessary.

 

It is important to note that maintaining optimal thyroid function is not only crucial for women but also for men. Thyroid disorders can affect male fertility by reducing sperm count, motility, and morphology. Therefore, if a couple is experiencing fertility challenges, both partners should undergo a thorough thyroid evaluation.

 

Preconception care is also vital for individuals with thyroid disorders who are planning to conceive. Consulting with a healthcare provider before conception allows for proper thyroid management and optimization of thyroid hormone levels. This may involve adjusting medication dosages and closely monitoring thyroid function throughout pregnancy to ensure the well-being of both the mother and the developing fetus.

 

The Crucial Link Between Thyroid Disorders and Fertility

The connection between thyroid disorders and infertility is a significant factor that affects many couples trying to conceive. Both hypothyroidism and hyperthyroidism can disrupt the delicate hormonal balance required for successful reproduction, leading to difficulties in conception and an increased risk of miscarriages. Moreover, the presence of thyroid antibodies associated with autoimmune thyroid disorders can further complicate fertility outcomes. Therefore, individuals who are struggling with infertility should consider evaluating their thyroid function as part of their fertility investigations.

 

If you suspect that your thyroid function may be impacting your ability to conceive, it is crucial to consult with a healthcare professional. They can conduct thorough diagnostic tests and recommend appropriate treatment options tailored to your specific situation. By addressing any underlying thyroid issues, you can increase your chances of achieving a successful pregnancy and fulfilling your dreams of starting a family.

 

Premature ovarian failure (POF), also known as premature ovarian insufficiency (POI), is a condition in which a woman's ovaries stop functioning normally before the age of 40. It is estimated that POF affects approximately 1 in 100 women, making it a relatively common condition with significant implications for reproductive health and fertility.

The premature loss of ovarian function can result in hormonal imbalances and infertility. In this blog, we will explore the causes, symptoms, diagnosis, and available treatment options for premature ovarian failure.

 

Causes of Premature Ovarian Failure

Premature ovarian failure can have various causes, including genetic factors, autoimmune disorders, and certain medical treatments. Premature ovarian failure can occur at any age before 40, but it is diagnosed on average at the age of 27, and most commonly between 30 and 39.. In some cases, the exact cause remains unknown. Understanding the different causes can provide insights into the underlying mechanisms of POF.

Let's delve into each cause in more detail:

Genetic Factors

Genetic abnormalities are responsible for a significant portion of POF cases. Turner syndrome is a genetic condition in which women have only one X chromosome instead of two. It affects approximately 1 in 2,500 female births and is associated with a high risk of premature ovarian failure. Women with Turner syndrome have underdeveloped ovaries and experience ovarian dysfunction, leading to early loss of ovarian function.

Another genetic disorder linked to POF is Fragile X syndrome. Fragile X syndrome is the most common inherited cause of intellectual and developmental disabilities. It occurs due to a mutation in the FMR1 gene on the X chromosome, which can result in ovarian dysfunction and premature ovarian failure. Fragile X syndrome affects around 1 in 11,000 women.

X Chromosome Abnormalities: Besides Turner syndrome, other abnormalities affecting the X chromosome can lead to POF. For example, certain structural abnormalities or deletions in the X chromosome can disrupt ovarian function and result in premature ovarian failure.

 

Autoimmune Disorders

Autoimmune disorders contribute to about 25% of POF cases. In these conditions, the immune system mistakenly attacks the ovarian tissue, leading to ovarian dysfunction and premature ovarian failure. Hashimoto's thyroiditis, an autoimmune disease that affects the thyroid gland, has been linked to an increased risk of POF. Addison's disease, an autoimmune disorder that affects the adrenal glands, is also associated with a higher incidence of premature ovarian failure.

 

Medical Treatments

Certain medical treatments can damage the ovaries and disrupt their normal function, leading to premature ovarian failure. Chemotherapy and radiation therapy, often used in cancer treatments, are known to cause ovarian damage. The severity of ovarian damage depends on factors such as the type and dosage of chemotherapy drugs, radiation intensity, and the patient's age. These treatments can lead to a reduction in the number of viable follicles and a decline in ovarian function, resulting in premature ovarian failure.

 

Idiopathic

In some cases, the cause of premature ovarian failure remains unknown, and it is classified as idiopathic. This means that no specific cause can be identified despite extensive testing and evaluation. However, ongoing research is being conducted to uncover the underlying mechanisms and potential genetic factors associated with idiopathic POF.

 

Symptoms of Premature Ovarian Failure

Recognizing the symptoms of premature ovarian failure is crucial for early detection and appropriate management. Common symptoms include irregular or absent menstruation, hot flashes, night sweats, vaginal dryness, and mood changes.

These symptoms may vary from woman to woman, but it is important to seek medical attention if any of these signs are present. By identifying the symptoms and seeking timely medical care, women can receive a proper diagnosis and explore available treatment options.

Diagnosis of Premature Ovarian Failure

To diagnose premature ovarian failure, healthcare providers employ various tests and assessments. Hormone-level testing plays a significant role in determining ovarian function. Blood tests that measure the levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH), and estradiol can help identify hormonal imbalances associated with POF.

In women with POF, FSH levels are often elevated, while estradiol levels are reduced. Additionally, genetic testing may be recommended to identify any underlying chromosomal abnormalities associated with POF, such as Turner syndrome or Fragile X syndrome. Ovarian reserve testing, which involves an ultrasound examination to assess the number and quality of remaining ovarian follicles, can also contribute to the diagnosis of premature ovarian failure.

 

Treatment Options for Premature Ovarian Failure

While premature ovarian failure is not reversible, there are treatment options available to manage its symptoms and associated fertility issues. Hormone replacement therapy (HRT) is a common approach that involves taking estrogen and progesterone to alleviate menopausal symptoms and maintain bone health.

It is interesting to note that HRT can also help preserve the uterus for future pregnancy. However, it is important to consider the potential risks and benefits of HRT in individual cases, and healthcare providers can guide patients in making informed decisions.

Fertility preservation is another crucial consideration for women diagnosed with premature ovarian failure who desire to have biological children. Egg freezing (oocyte cryopreservation) or embryo cryopreservation can be pursued before undergoing medical treatments that may affect fertility.

These techniques allow women to preserve their eggs or embryos for future use, increasing the chances of achieving pregnancy later on. The success rates of these procedures may vary based on factors such as the woman's age and the quality of the eggs or embryos.

In cases where fertility preservation was not pursued or if spontaneous conception is no longer possible, assisted reproductive technologies (ART) such as in vitro fertilization (IVF) may be considered. IVF involves the retrieval of eggs from a donor or the use of previously frozen eggs, which are then fertilized with sperm and implanted into the uterus. The success rates of IVF depend on various factors, including the age of the woman and the quality of the eggs or embryos used.

 

Navigating Premature Ovarian Failure - Empowering Women's Reproductive Health and Fertility Journey

Premature ovarian failure is a condition that significantly impacts women's reproductive health and fertility. Genetic factors, autoimmune disorders, and certain medical treatments contribute to its development. By understanding the statistics related to POF, women can become more aware of their risks and seek appropriate medical care.

Early diagnosis through hormone level testing, genetic testing, and ovarian reserve testing is essential for effective management. Treatment options, including hormone replacement therapy, fertility preservation, and assisted reproductive technologies, can help manage symptoms and provide alternative paths to parenthood.

It is important for women diagnosed with premature ovarian failure to consult with healthcare professionals who can provide personalized guidance and support throughout their journey.

For individuals and couples struggling with infertility, third-party reproduction can be a viable option to fulfill their dream of starting a family. The term "third-party reproduction" refers to the use of donated eggs, sperm, or embryos, and gestational-carrier arrangements, where a pregnancy is carried by someone other than the intended parent(s).

While it can be a sensitive and complex decision, third-party reproduction has become increasingly popular and accessible. In this blog post, we will explore what third-party reproduction is, the different types of third-party reproduction, and whether it might be the right choice for you.

Whether you're just considering your options or have been contemplating third-party reproduction for some time, this post will provide valuable information to help you make an informed decision.

What exactly is third-party reproduction?

Third-party reproduction is a medical procedure where an individual or a couple uses a donor’s egg, sperm, or embryo to conceive a child. In 2019 reports showed that the use of donor conception resulted in over 4,100 births, representing 1 in 170 of all births and 1 in 6 births using IVF in the UK. It is a rapidly growing industry, and with advancements in medical technology, the options available for third-party reproduction are increasing.

Third-party reproduction can be a viable option for individuals or couples who are unable to conceive naturally or through assisted reproductive technology (ART). This may include same-sex couples, single individuals, or couples struggling with infertility.

Using donor eggs can increase the chances of pregnancy for patients in some age groups, as birth rates decline with age when using their own eggs. In 2018/19, birth rates were 33% for patients aged 18-34 using their own eggs and 5% for those aged 43-50. However, when donor eggs were used, birth rates remained above 30% for all ages.

In some cases, third-party reproduction can be the only way for these individuals to have a  child. It is important to remember that the decision to use a third-party reproductive method is a personal one and should be made after careful consideration and discussion with a medical professional.

What types of third-party reproduction are there?

There are several options available for third-party reproduction.

Sperm Donation

Sperm donation is a type of third-party reproduction in which the male partner of the infertile couple has a low sperm count or no sperm, making it impossible to achieve a pregnancy without donor sperm. Sperm donation is also an option for same-sex female couples. The donor sperm can be obtained through a sperm bank or a known donor. The donor sperm is then used for insemination or in vitro fertilization (IVF).

Egg Donation

Egg donation is a type of third-party reproduction in which an egg from a donor is fertilized with sperm from the intended father or a donor sperm, and then transferred to the intended mother or a gestational carrier. Egg donation is often used when the intended mother has a premature ovarian failure or poor egg quality. Egg donation is also a great option for same-sex male couples.

Surrogacy

Surrogacy is a type of third-party reproduction in which a gestational carrier carries a pregnancy for an intended parent or couple. In gestational surrogacy, the embryo is created using the intended mother’s egg or a donor egg and the intended father’s sperm or donor sperm and then transferred to the gestational carrier. Surrogacy is typically used when the intended mother cannot carry a pregnancy due to medical reasons or when same-sex male couples want to have biological children.

Embryo Donation

Embryo donation is a type of third-party reproduction in which embryos that were created using donor eggs and sperm are donated to an intended recipient for transfer. The patient, who will be carrying the pregnancy to term, receives the transferred embryos resulting from fertilization. The embryos are typically created during IVF treatment and are donated by couples who have completed their family building or by individuals who have chosen to donate their remaining embryos.

Embryo Adoption

Embryo adoption is a type of third-party reproduction in which embryos that were created using donor eggs and sperm are donated to an intended recipient for transfer. In other words, embryo adoption involves receiving or “adopting” embryos that were created by another couple and donated to the intended recipient for transfer.

The embryos are typically created during IVF treatment and are donated by couples who have completed their family building or by individuals who have chosen to donate their remaining embryos. Unlike embryo donation, embryo adoption considers the embryo as a child, often necessitating the recipients to undergo an extensive legal procedure to "adopt" the embryo. Embryo donation perceives the embryo as a generous gift being donated, and the recipients accept ownership of the embryo.

Legal considerations

Legal considerations are an important aspect of third-party reproduction. The laws surrounding third-party reproduction can vary from country to country  and it is important to be aware of the legal implications of using a donor or gestational carrier.

It is recommended that individuals or couples seeking third-party reproduction work with an attorney who is experienced in reproductive law to ensure that they are aware of their legal rights and responsibilities.

In some cases, the use of a donor or gestational carrier can result in legal issues related to custody and parental rights. It is important to have a legal agreement in place that outlines the rights and responsibilities of all parties involved in the process. This agreement should cover issues such as custody, financial obligations, and any potential medical issues that may arise.

Ethical considerations

Ethical considerations are also an important aspect of third-party reproduction. The use of a donor or gestational carrier raises ethical questions about the commodification of human life and the potential for exploitation. It is important to ensure that all parties involved in the process are treated with respect and dignity and that their rights are protected.

Third-party reproduction can be a wonderful option for those struggling with infertility. Each method has its own unique benefits and challenges, and it's crucial to explore all options thoroughly. With the right information and support from a reputable fertility specialist, third-party reproduction can offer a path to parenthood and the fulfillment of family-building dreams.

 

Are you planning to undergo a frozen embryo transfer (FET) procedure? This exciting milestone is a crucial step towards your dream of starting or expanding your family. However, it can also be a daunting experience, with many unknowns and questions.

 

How can you best prepare yourself physically and emotionally for this procedure? What should you bring with you on the day of the transfer?

 

In this blog, we will guide you through the necessary steps to prepare for a successful FET. From managing your medications to packing your bag, we will cover everything you need to know to ensure a smooth and stress-free experience.

 

What does FET entail?

A frozen embryo transfer (FET) is a type of in-vitro fertilization (IVF) treatment that involves thawing and transferring a cryopreserved embryo to the uterus. This procedure is typically used to help people who have undergone IVF in the past and have frozen embryos available, or for those who wish to preserve their fertility due to medical interventions such as cancer treatment or gender affirmation surgery.

 

During a frozen embryo transfer, the embryo is thawed and then placed in the uterus using a catheter. Success rates of FET have an average of 60-65% but are directly linked to factors such as genetic quality.  While this procedure helps many women with fertility issues, for women aged 35 and older, the success rate begins to decline .

 

This procedure is less complex than a traditional IVF cycle because the embryo has already been created and frozen, and there is no need for additional ovarian stimulation or egg retrieval. However, there are still certain preparations that need to be made in order to increase the chances of a successful transfer.

 

 

How to prepare for a frozen embryo transfer

If you're planning to undergo a frozen embryo transfer, it's essential to be prepared for the procedure to maximize your chances of success.

 

Here are some tips on how to prepare for a frozen embryo transfer:

 

Pack a bag

Preparing a bag for the day of the transfer can help you feel more organized and comfortable. Some of the essential items you should pack include:

 

  • Loose-fitting clothing: You want to wear something comfortable, preferably without tight waistbands that can add pressure to your abdomen. It's also a good idea to dress in layers in case you get too hot or too cold.
  • Warm socks: Keep your feet warm during the transfer procedure to improve your blood circulation. You can also bring a blanket or a shawl to cover your legs.
  • A book or music: To help you relax during the waiting time, bring something that can distract you, such as a book or some music.
  • Snacks: After the transfer, you'll need to rest for a while, so it's good to have some light snacks on hand to keep your energy up.

 

 

Follow your medication schedule

Once you have determined that FET is right for you, your doctor will prescribe medication to help prepare your uterus for implantation. You must follow the medication schedule precisely as instructed. This may include taking estrogen and progesterone supplements, which can help thicken the uterine lining, creating a more receptive environment for implantation.

 

Get super hydrated

On the day of your FET, you'll need to come with a full bladder, as this can help improve the visibility during the transfer process. This might sound odd, but by filling the bladder the angle between the uterine cervix and uterine body is straightened, which enables the physician to have a clear view of the uterus.

 

With this clear view, the physician can effectively guide the catheter into the uterus for the embryo transfer procedure. So be  sure to follow the instructions given by your doctor regarding how much water to drink before the transfer.

 

Get plenty of rest

Rest is crucial before and after the FET procedure. You'll need to avoid strenuous activities for at least two weeks and take it easy for the first few days and try not to over-exert yourself before the procedure either. Resting can help ensure the embryo(s) implant correctly, increasing your chances of a successful pregnancy.

 

A few more tips for post-procedure

Preparation doesn’t necessarily end once the FET is complete. It is also important to give yourself a little tender loving care  in the days that follow FET. So we’ve provided a few extra tips to prepare you for post-procedure as well.

 

  • Stay hydrated: It's important to drink plenty of fluids to help your body recover and stay hydrated.

 

  • Follow medication instructions: Be sure to follow your physician's instructions regarding any medication you're taking post-procedure, such as progesterone, to help support implantation.

 

  • Avoid caffeine and alcohol: Both caffeine and alcohol can have negative effects on fertility, so it's best to avoid them altogether, especially during the two-week waiting period post-transfer.

 

  • Avoid smoking: Smoking can also harm fertility, so it's best to quit smoking altogether to optimize your chances of success.

 

  • Get plenty of rest: Getting enough sleep and rest can help reduce stress levels and promote healing.

 

  • Practice relaxation techniques: Relaxation techniques such as deep breathing, meditation, or yoga can help reduce stress and promote overall well-being.

 

Preparing for a frozen embryo transfer is a crucial part of the IVF journey, and taking the necessary steps can significantly increase the chances of a successful transfer. From monitoring your diet to managing stress levels, every effort made during the preparation process can make a difference.

 

Additionally, post-transfer care plays an important role in the success of the procedure. Remember to follow the advice of your healthcare provider, and don't hesitate to seek support from loved ones or a therapist during this emotional time.

 

While there are no guarantees when it comes to fertility treatments, taking control of what is within our power can help us feel healthy and hopeful. With patience, perseverance, and a little bit of luck, the dream of parenthood can become a reality.

 

Infections of any kind can be harmful to the functioning of the human body, especially when left untreated. Certain types of infections have been found to damage the reproductive systems of both men and women, resulting in fertility loss and in some cases infertility.

 

This is not an uncommon problem. In fact, infections in the male reproductive tract account for about 15% of all male infertility cases, while 2.5% of all women become infertile as a result of pelvic inflammatory disease (PID) by the age of 35.

 

While these numbers may be startling, long term damage can often be avoided by treating infections quickly. The best way to ensure that this happens is by educating people about the dangers of these infections, how to protect themselves, and what symptoms to look out for.

 

Infections and infertility in women

Pelvic infections in women are often caused by damage to their fallopian tubes or other reproductive organs, interfering with the reproductive cycle which can lead to infertility. Often these infections are caused by untreated sexually transmitted diseases, but this is not always the case.

 

Let’s review the main types of infections that can lead to infertility in women.

 

Pelvic inflammatory disease (PID)

PID is an infection in the female reproductive organs resulting from bacteria spreading from the vagina to the uterus, fallopian tubes, or ovaries. One of the most common causes of PID is untreated STDs (sexually transmitted diseases) like chlamydia and gonorrhea. 10-15% of women with untreated chlamydia will develop PID.

 

The good news is, PID can be avoided by treating these STDs early. The bad news is that many women infected with chlamydia or gonorrhea do not experience any symptoms. The only way to ensure that sexually active women are not infected with an STD is by practicing safe sex and getting tested regularly.

 

Women with PID may experience symptoms such as abdominal and back pain, irregular periods, unusual vaginal discharge, or nausea and vomiting. However, some women might not experience symptoms at all. When caught early, PID can be treated with a 14-day course of antibiotics.

 

That said, 15-20% of women who have had PID have been found to experience fertility issues. The fact that PID can often be avoided displays how important it is to educate women about STDs and how to protect themselves and their sexual partners.

 

Tubal factor infertility (TFI)

TFI is one of the most common causes of infertility in women accounting for about 33% of cases worldwide. These numbers are even higher for women in developing countries, standing at up to 85% in certain regions of Africa.

 

TFI occurs when a woman’s fallopian tubes become inflamed due to an infection, making reproductive function difficult and in some cases impossible. Many women with PID later develop TFI, but TFI can also be developed on its own. Much like PID, TFI is often the result of untreated STDs like chlamydia and gonorrhea. However, in 13% of cases, TFI is caused by endometriosis in which scar tissue grows and blocks the fallopian tubes.

 

Much like PID, many women with TFI do not display any outward symptoms and may not know that they are affected until they try to conceive. Depending on the level of damage to the fallopian tubes, surgery might be a viable option to help women achieve a natural pregnancy. IVF is the best option for a successful pregnancy if the fallopian tubes are too damaged.

 

 

Bacterial vaginosis (BV)

BV is a genital tract infection that is quite common, affecting around 29% of women of reproductive age. In layman's terms, BV is caused by an imbalance of the natural bacteria found in the vagina. BV is not sexually transmitted but can increase a woman’s risk of contracting an STD.

 

Many women with BV do not experience symptoms, but those that do complain of vaginal discharge with a fishlike odor, vaginal itching, a burning sensation when peeing, and white or gray discharge. The infection can be treated with a round of antibiotics. However, when left untreated BV can lead to PID and other long-term damage to reproductive organs resulting in fertility issues. One study found that 19% of infertile women also have BV.

 

To ensure the BV will not spread, women should refrain from engaging in any sexual activity until the infection has been fully treated. To avoid BV, women also incorporate good vaginal health practices like wearing breathable underwear and avoiding harsh soaps.

 

Human Papillomavirus (HPV)

HPV is the most common sexually transmitted infection (STI) and affects more than 43 million people. There are many strains of HPV, some of which are more dangerous than others. Studies have found that women with HPV experience fertility issues, but there is not enough information available to healthcare providers as to the exact cause.

Many strains of HPV go away on their own, but those that do not can have a negative effect on the outcome of IVF and other assisted reproductive technology methods. Women can protect themselves from HPV by once again practicing safe sex. They can also get a series of vaccines that will protect them from many of the strains of HPV.

 

Infections and infertility in men

Infections that cause infertility in men can be linked to either problems with sperm production or problems with the passage of sperm due to inflammation of the genital tract. Learning what to look for can help reduce the chances that these infections will lead to infertility.

 

Orchitis

Orchitis is a condition in which one or both of the testicles become inflamed due to bacteria. In some cases, men experiencing orchitis will also experience prostate infection. Orchitis can be caused by STDs such as chlamydia or gonorrhea, but can also be contracted from non-sexually transmitted bacteria like E. coli, or even viruses like the mumps.

 

Symptoms of orchitis are pain and swelling of the testicles, pain during ejaculation and urination, nausea and vomiting, fever, and an enlarged prostate. Treatment will include a combination of antibiotics, anti-inflammatories, and ice to ease the swelling. It is extremely important that men seek treatment as early as possible to avoid long term damage.

 

When left untreated, orchitis can lead to irreversible damage to sperm quality and production, leading to fertility loss. While orchitis is known to be a common cause of male infertility, exact numbers are not available.

 

Epididymitis

Epididymitis is an infection that causes a tube at the back of the testicles to swell, making it difficult to release sperm. Epididymitis is often accompanied by orchitis and the symptoms are similar. The infection is most common in sexually active men under the age of 35.

 

The cause of the infection is often untreated STIs like chlamydia or gonorrhea, but can also be caused by untreated urinary tract infections. When caught early, epididymitis can be treated with antibiotics. Untreated epididymitis is one of the top causes of male infertility, affecting as many as 40% of patients.

 

Human Papillomavirus (HPV)

Just as in women, HPV can cause fertility issues in men. Some strains of HPV cause genital warts in both males and females, while other strains have been linked to certain types of cancer. Some strains of HPV do not lead to any symptoms.

 

HPV has been found to decrease sperm quality and is directly correlated to male infertility. One study found that HPV was linked to 16% of men seeking fertility treatment, but further studies must be conducted in order to gain a more comprehensive understanding of the effects of HPV on male infertility.

 

There is no treatment for HPV in men, but doctors can treat the symptoms if there are any. Men can also get a series of vaccines against certain strains of HPV, but the best way to protect against the virus is by practicing safe sex.

 

Many infections that lead to infertility can be avoided. The subject of safe sex may be considered taboo by many, but one of the consequences of insufficient sex education is people not knowing how to protect themselves, or what they are protecting themselves from. If people are more aware of the potential dangers of untreated infections, hopefully, we can avoid as many future cases of avoidable infertility as possible.

Infertility affects about 9% of men and 10% of women of reproductive age. Even though infertility is a relatively common issue, it doesn’t change the fact that it can be a challenging and isolating experience.

 

Infertility does not only affect physical health but mental health as well. Those dealing with infertility often experience feelings of depression or guilt. Couples who experience infertility may also find that the stress has negatively affected their relationship.

 

A solid support system is important for anyone experiencing fertility loss, but sometimes a little extra professional help can be beneficial in this department, which is nothing to be ashamed of.

 

If you have had questions about whether or not infertility counseling is for you and what to expect, look no further. We are here to answer all of your questions about infertility counseling.

 

Why infertility counseling?

As with any loss, those that receive infertility diagnoses will go through different stages of guilt, fear, and shame. Infertility counseling is a type of therapy that aims to help those experiencing infertility cope with its various emotional and physical challenges and hopefully come to accept them.

 

Depending on whether you are an individual woman or a couple, infertility counseling will have slightly different goals.

 

Studies have shown that infertility affects all aspects of life starting from the physical, psychological, emotional, sociocultural, and financial status of couples. This might make it feel like your world and your relationship are crumbling, and you don’t know where to begin to fix things.

 

While devastating for everyone, the entire experience surrounding infertility is inherently different for men and women. This is often difficult to articulate to a partner, and therefore for the partner to understand.

 

Research also shows that women are more willing to openly discuss fertility issues than men which can be problematic for maintaining healthy communication. Couples may also disagree about how and when to discuss these issues with friends or other family members.

 

The challenges of infertility don’t stop at diagnosis. Many couples choose to pursue assisted reproductive technology (ART) like IVF to try and conceive. These couples often realize that the physical demands of these procedures have a negative effect on their sex lives.

 

It can also be difficult to make decisions as a couple about how long to pursue ART treatments and when to consider alternative options, like adoption, surrogacy, or sperm donation.

 

Infertility counseling for couples aims to improve communication so that both partners can better understand each other's experiences and reactions so that they can support each other in the way the other person needs.

 

When there is better communication, there is better support. When there is better support, there is less conflict. Decreasing conflict is one of the main goals of infertility counseling.

 

Navigating the path of infertility is hard, but it is a little bit easier when you feel adequately supported.

 

 

What does infertility counseling look like?

The timeline for infertility counseling will vary, with some couples seeing progress within 9-12 sessions. Of course, this is circumstantial, and depending on the intricacies of each relationship counseling could be a shorter or longer process.

 

The psychological effects of infertility are very real, with anxiety and depression rates in women experiencing infertility on par with those experiencing cancer, and heart conditions.

 

While your infertility counseling will look different depending on the therapist you choose, the goal will always ultimately be the same. To identify the source of the depression and anxiety, and give you tools to cope with it.

 

Depending on the specific issues a person or couple is facing (feelings of helplessness, diminished self-worth, etc.) each session will be geared toward tackling these problems. As we mentioned above, couples might focus more on improving communication and understanding of one another.

 

Your therapist is your guide for learning how to navigate these emotions because sometimes we just don’t know how to deal with them on our own, and that’s okay!

 

Usually, the first time you meet with an infertility counselor or therapist, you will cover the basics. Things like medical history, what your infertility diagnosis was like, how long you have been trying to have a baby, and so on.

 

If you are a couple, the counselor may ask each party to discuss how infertility has impacted them individually. Dr. Connie Shapiro, a fertility therapist, states that asking each person what is important to them helps to determine a treatment plan for the couple.

 

If considering sperm or egg donation, therapists will often discuss the stigmas or fears that come with these procedures. Often parents are concerned that if there is not a biological connection, there may be an issue with bonding with the child or that society will look at the parent-child connection differently.

 

Therapists can also help these couples determine the best way to disclose the nature of conception to the child to prevent any secrets in the family.

 

Infertility counselors also help educate couples regarding the medical, legal, and psychological issues surrounding third-party conception so that they feel confident if choosing this family-building alternative.

 

Finding a fertility counselor

Asking for a referral from your fertility clinic is a great place to start when looking for a fertility counselor. If you are not yet using a fertility clinic, you can usually find a list online of therapists that specialize in fertility issues in your area.

 

You should have a list of questions ready when contacting a fertility counselor. This will help you determine what to expect from working with this person.

 

Some examples of questions to ask potential fertility counselors are:

  • What is your experience working with people with fertility issues?
  • Would the sessions be individual or with both partners?
  • How often would the sessions take place?
  • Do you take insurance and how much do sessions cost?

 

The cost of fertility counseling depends on a number of factors.

 

Some therapists may be covered by insurance, while others may not. Some clinics provide fertility counselors included in the cost of a procedure like IVF, while others do not.

 

How do I know if I should pursue fertility counseling?

Anyone experiencing fertility issues would probably benefit from fertility counseling in one way or another. However, not everyone may feel they want to or can afford to pursue fertility counseling.

 

The choice is ultimately yours, but we recommend seriously considering it in a few situations.

 

Obviously, infertility is not easy for anyone. That being said, if you feel that infertility has led to feelings of extreme depression or anxiety, fertility counseling is probably a good choice.

 

As we mentioned above, fertility counseling is also a good idea for couples that feel their relationship has been negatively impacted by their experience with infertility.

 

Some studies show that couples experiencing fertility issues are more likely to separate. The strain of infertility on any relationship is undeniable, which is why considering fertility counseling might be a good idea.

 

Fertility counseling can also be great for determining the best course of treatment for both individual women and couples. Making such a big decision can be daunting, especially when faced with so many different options.

 

Fertility counseling can also help those coming to terms with the fact that having a biological child is not an option for them. This can be an extremely difficult pill to swallow and there is no shame in seeking professional help for guidance.

 

For some in this situation, adoption might be the best option while others may choose to live a child-free life.

 

Talking it out with a therapist can help you determine what is right for you and your family.

 

If you are on the fence about trying fertility counseling, it might be a good idea to give it a try. You stand more to gain than to lose.

 

If you find it is not your cup of tea, no one is forcing you to continue. But you might find that fertility counseling is just what you need to lighten the already heavy burden of infertility. Why carry it alone if you don’t have to?

 

 

Women who have their periods regularly and have not experienced any clear issues with their cycle, might not expect to run into problems getting pregnant or having miscarriages.

 

Unfortunately, we know all too well that this is not always the case. If you are having trouble with pregnancy despite regular periods, something called luteal phase defects (LPD) might be the cause.

 

This condition affects the levels of progesterone that women produce during their menstrual cycle. But what exactly is LPD and how does it affect fertility?

 

What does a normal cycle look like?

A normal menstrual cycle begins with the Follicular Phase on the first day of bleeding and lasts about two weeks. During this phase, a follicle-stimulating hormone (FSH) is released to help the eggs in the ovaries develop.

 

Estrogen is also produced during this phase so the uterine lining can also develop, essentially preparing your body to house an egg.

 

Once the Follicular Phase is completed, you will enter the Ovulation phase. Ovulation occurs when you have produced the maximum amount of estrogen your body needs to release the most mature egg.

 

The ovulation phase usually lasts between 12-24 hours, but you can still become pregnant a few days before or after ovulation.

 

Once the egg is released during ovulation, the follicles begin to release a hormone called progesterone. Progesterone is very important for the fertilized egg to successfully implant in the uterus and begin to grow.

 

This is also known as the Luteal Phase, which usually lasts between 12-16 days.

 

If the body has produced an adequate amount of cervical fluid during the first three phases, and the sperm is successfully carried to the fallopian tubes, the egg should become fertilized, also known as the moment of conception!

 

If the egg is not fertilized, the cycle will begin again.

 

What is luteal phase deficiency?

Luteal phase deficiency (LPD) is a condition in which during the Luteal Phase, women do not produce enough progesterone for the egg to either implant or for an embryo to grow.

 

LPD was first recognized in 1949 as a potential cause of infertility. Although more than 70 years have since passed, a full understanding of the cause and diagnosis of LPD has still not been reached.

 

In fact, as of 2012, the American Society for Reproductive Medicine states that a direct link between LPD and infertility has yet to be proven.

 

However, other research claims to reveal information that does link LPD and infertility.

 

 

Signs of LPD

 

Because the signs of LPD are so subtle, it can be hard to diagnose. Many women may not even take note of the signs until they experience issues with pregnancy.

 

Women with LPD have been found to experience a shortened Luteal Phase of less than 9 days. But other research shows that up to 5% of healthy fertile women also experience short luteal phases without experiencing fertility loss.

 

One study looked at five women who had experienced multiple miscarriages who were otherwise healthy. All five patients were found to experience spotting before their periods on a regular basis. All five women also had below-average progesterone levels from the 6th day of their luteal phases.

 

Abnormalities in hormone levels may be able to point to LPD, but the exact cause of hormone imbalances can also be difficult to pinpoint.

 

What causes LPD?

While the exact causes of LPD are still unknown, and additional data is needed to present exact numbers, LPD is considered very common. One study found that out of 463 cycles, there were 41 cycles (8.9%) with clinical LPD.

 

Any health condition that affects hormone levels in your body could be an underlying cause of LPD.

 

Some of the main conditions that could affect hormone production in women are:

  • Polycystic ovarian syndrome (PCOS)
  • Endometriosis: Conditions like PCOS and endometriosis affect the menstrual cycle and normal development of both the uterine lining and hormones during the luteal phase.

 

  • Thyroid dysfunction: thyroid issues can lead to the disruption of certain hormone production and an increase of thyrotropin hormones, which can cause imbalances.

 

  • Excessive exercise
  • Stress: Excessive exercise and stress can also disrupt normal hormone production and cause irregular menstrual cycles.

 

  • Obesity: Has been linked to fertility and pregnancy loss due to issues with progesterone production.
  • Eating disorders: Women with eating disorders have also been shown to experience a reduction in the hormones produced during the luteal phase.

 

  • Aging: Women of later reproductive age also experience decreased progesterone production during the luteal phase.

 

Because of the difficulties in diagnosing LPD, there are still challenges in making direct connections between these conditions and LPD.

 

But by determining whether or not a woman is experiencing anything else that could affect her hormone levels, doctors can try to come up with the best course of treatment.

 

 

Diagnostic tests for LPD

While there are some tests to try and diagnose LPD, there is no real reliable way to differentiate between fertile and infertile women.

 

The least invasive test doctors have used to try and diagnose LPD is measuring the menstrual cycle. However, there are a few issues with this test.

 

For one, studies have found that 13% of menstrual cycles are associated with a luteal phase that is 10 days or less. Not all women with a short luteal cycle experience issues with fertility.

 

Another issue is that the luteal phase can only be measured in cycles that do not result in pregnancy, making it hard to know what the exact length of the luteal phase is for women who become pregnant.

 

The second diagnostic test doctors have tried for LPD is measuring progesterone levels. This test also has its drawbacks because progesterone levels oscillate between 5 and 40 ng/mL over such a short period of time that a single random measurement does not reveal very much.

 

Taking a sample every day of the luteal phase is not exactly practical, so some doctors have determined that taking three samples should be adequate.

 

Another potential problem with measuring hormone levels is that progesterone production varies even in healthy fertile women. Overall, this test has not been clinically validated.

 

In the past, some doctors performed endometrial biopsies, in which a small biopsy of the uterine wall was performed. Because this procedure is rather invasive and never yielded any valuable results, it is also considered clinically invalid for diagnosing LPD.

 

Treatment for LPD

It should come as no surprise that due to the difficulties with diagnosis, data on treatments for LPD is lacking. The good news is, as we mentioned above, not every woman with LPD has difficulty conceiving.

 

In the case that a woman with potential LPD and an underlying condition is experiencing fertility issues, treating the underlying condition, if possible, may solve the issue.

 

If there is no clear cause behind the potential LPD, taking progesterone supplements, paired with fertility treatments like IVF is the general course of treatment. Fertility treatments are an important piece of the treatment plan since there is no evidence that taking progesterone supplements can help to improve the natural menstrual cycle.

 

There is also conflicting evidence about progesterone supplements lowering the chance of miscarriage. While one study supports this hypothesis, there are others that do not think the data is strong enough to make a clear correlation.

 

It is unfortunate that in the 70-plus years since LPD was discovered, there is still so little understood about the condition. Hopefully, in the future, further research will help develop more accurate tests to understand whether or not LPD is directly linked to infertility so that treatment can improve.

 

 

Couples or individuals usually receive an infertility diagnosis if they have unsuccessfully tried to get pregnant for a year or more. At this stage, people will undergo a series of standard tests to try and determine the cause of infertility.

 

When all these tests come up negative and there is no apparent cause for infertility, doctors refer to these as cases of “unexplained infertility.” This may feel like a vague umbrella term, ironically leaving a lot of things unexplained.

 

Do these people have less of a chance of getting pregnant than those with explained infertility? What does “unexplained infertility” actually mean?

 

Fertility testing and diagnosis

According to the World Health Organization, infertility is a disease associated with the reproductive system that is defined by a failure to become pregnant naturally after a period of 12 months or more of regular unprotected sex. If the female partner is 35 or older, infertility testing should be considered after 6 months instead of 12.

 

Infertility affects between 8-12% of couples worldwide, with 40-50% of these cases being due to causes associated with male infertility. Meaning male infertility is an equally important cause of infertility as women-related causes.

 

In order to better understand what is causing infertility, and determine the best course of treatment there are a series of tests performed by doctors. First, in order to rule out any obvious causes, the doctor will perform a physical exam and discuss sexual history with both partners.

 

Next, the doctor will try to narrow down the causes by focusing on the most obvious causes of infertility. While further testing may be necessary later, starting with the least invasive approach is best.

 

 

Male infertility tests

The easiest way to determine male infertility is by performing semen analysis. Semen analysis is a noninvasive procedure in which a man provides a semen sample for testing and will measure the following factors to look for abnormalities:

  • Low sperm count
  • Low semen volume (<1.5ml)
  • Sperm vitality
  • Sperm morphology or movement
  • Cells in the ejaculate

 

Hormone analysis is also generally done along with semen analysis. The two most important hormones associated with healthy semen production are follicle-stimulating hormone (FSH) and testosterone (T).

 

If there are any abnormalities found in either the semen or hormone analyses, doctors may perform additional tests to explain exactly what the issue is. If men are unable to produce semen at all or produce very little, genetic testing or more invasive surgical testing may be performed to determine the reason.

 

Female infertility testing

While an initial physical exam may point doctors in a more specific direction, there are a series of general tests doctors use to help understand the cause of infertility.

  • Ovarian reserve tests: in order to determine a woman’s egg reserve. This number is considered critical when it falls below 27,000 and generally occurs when a woman is around 35years old.
  • Uterus testing: ultrasounds, sonohysterograms, hysterosalpingograms (HSG), and hysteroscopies are types of uterus tests that can be used to understand if fibroids, polyps, scarring, or tumors, are preventing a woman from getting or staying pregnant.
  • Fallopian tube tests: HSG, x-ray, and blood tests can be used to make sure that the fallopian tubes are not blocked in any way.
  • Hormone tests: blood tests can help determine levels of follicle-stimulating hormones, estrogen, and anti-mullerian hormones.

 

 

If nothing abnormal is found in these general tests, more invasive surgical procedures, such as laparoscopy, can be used to surgically examine a woman’s reproductive organs to try and find the cause of infertility.

 

What is “unexplained infertility?”

If all of the standard infertility tests are performed and no clear explanation can be found, a woman or couple will receive an unexplained infertility diagnosis, which is also known as idiopathic infertility.

 

30% of couples worldwide are diagnosed with unexplained or idiopathic infertility, making it one of the biggest causes of infertility.

 

This diagnosis has been challenged by some fertility doctors, arguing that just because someone cannot find the cause of infertility, does not mean that there is no cause. Knowing there is a problem, but not knowing the cause can be extremely frustrating for those experiencing “unexplained infertility.”

 

However, it is important to remember that an “unexplained infertility” diagnosis does not mean you will never conceive. Sometimes the issue will self-correct over time. In fact, the rate of spontaneous conception is much higher in these cases than in cases of defined causes of infertility, reaching up to 80% in younger couples.

 

While this is not always the cause, a better understanding of the issue might also be of comfort to those suffering from “unexplained infertility.”

 

What causes “unexplained infertility?”

Asking what causes “unexplained infertility,” may seem like an oxymoronic question. However, misdiagnosis is often an issue. For example, fertile couples who have failed to conceive within a year may receive a misdiagnosis.

 

Another common cause of misdiagnosis is when fertility tests yield inaccurate results due to issues with the testing process. These issues are not always because of the doctors administering the tests, but because the results are sometimes so minor, that the abnormalities are almost impossible to detect.

 

Another issue with “unexplained infertility,” is that the clinical tests looking for obvious causes of infertility fail to account for several conditions such as age-related infertility in women. This means women over the age of 35 are twice as likely to be diagnosed with “unexplained infertility.”

 

While women over a certain age may need a different course of treatment than other people experiencing infertility, the distinction between young women with “undiagnosed infertility” and those with age-related “undiagnosed infertility” must be made.

 

In other words, women over the age of 35 are more likely to experience difficulty getting pregnant than younger women, but because there is currently no specific test currently available to measure egg quality, they will be lumped into the “unexplained infertility” diagnosis.

 

Other things that could warrant an “unexplained fertility” diagnosis are the following:

  • Poor egg quality
  • Poor sperm quality
  • Ovulation issues
  • Not enough intercourse at the right time
  • Problems with reproductive organs that were not detected in infertility tests

 

Treatment options for “unexplained infertility”

Because by definition, those diagnosed with “unexplained infertility,” do not have one clear issue to address, meaning treatment options will try to account for the most common causes. The most common treatment options for “unexplained infertility” are as follows:

 

  • Timed intercourse: This is usually the first treatment option for “unexplained infertility,” and involves timing extra sexual intercourse during the time a woman is ovulating. In women under the age of 35, timed intercourse increased the chances of conceiving were between 14-23%.
  • Intrauterine insemination (IUI): This procedure is usually accompanied by ovulation-inducing medication. This procedure involves “washing” the sperm and inseminating it directly into the uterus, at the time an egg is released, with the hope of fertilization. Success rates vary and are around 7-25% per cycle, depending on whether or not IUI is paired with fertility medication.
  • Clomid: The choice fertility medication used for ovarian stimulation, often paired with IUI. Clomid prevents estrogen from binding to cells, which causes changes to the pituitary gland, causing the release of an egg. There is a 3% clinical pregnancy rate with Clomid.
  • Injectable gonadotropins: This is a medication that contains hormones and stimulates egg production in women and can also treat low sperm count in men. Like Clomid, this drug is often combined with IUI for maximum results. Clinical pregnancies resulted in 35% of patients using this drug.
  • Lifestyle changes: in addition to the other treatment options for “unexplained infertility,” those diagnosed should make sure they are living as healthy a lifestyle as possible. This means avoiding the consumption of tobacco and alcohol, exercising, and eating healthy. They should also avoid unnecessary stress, if possible.
  • IVF treatments: If the other treatment options for “unexplained infertility” have been unsuccessful, IVF is often recommended. One study found that 6% of women with “unexplained infertility” who used IVF had success getting pregnant. While IVF has very good outcomes, this option is the most expensive.

 

 

Because “unexplained infertility” is such an ambiguous diagnosis, those that receive it may be worried about the chances of them successfully conceiving. However, this is a common misconception.

 

Depending on the cause, some people with “unexplained infertility” might actually have a higher chance of having a child.

 

Those with “unexplained infertility” should try and fully understand the cause of their diagnosis in order to understand the best possible course of treatment in order to increase their chances of a successful outcome.

 

 

Getting pregnant can sometimes require a little extra assistance. For people experiencing fertility issues, Assisted Reproductive Technology (ART), like IVF, can be used to help couples have a baby. While IVF alone has a relatively high success rate, you might be wondering if there is anything you can do to boost your chances of success with the procedure.

 

In order to increase their chances, some people turn to treatments outside the realm of Western reproductive medicine, like acupuncture, throughout the IVF process. While there is still research to be done to determine the exact outcomes of acupuncture on IVF, there is some evidence to indicate that acupuncture can be helpful for patients trying to conceive.

 

So, what exactly is acupuncture and how does it affect IVF?

 

Acupuncture’s background

Acupuncture is a therapeutic treatment used in Chinese medicine that dates back thousands of years, but has gained popularity in the West in the past 40 years due to an increase in scientific studies proving its efficiency.

 

Today, over 10 million people undergo acupuncture every year in the US alone.

 

The procedure is often used to treat pain, stress management, and overall health by inserting tiny needles into your body at different strategic points. In doing so, the energy and blood flow in your body is rebalanced.

 

 

What to expect in a typical acupuncture session

Typically, practitioners will first ask you questions about your lifestyle, diet, if you experience any pain in your body, and what your sleep and exercise routines look like. They will then examine physical parts of your body, like the shape and color of your tongue, and the strength, and rhythm of your pulse.

 

They will then determine where on your body they will insert the needles. Usually, between 5 and 20 points will be chosen depending on the person. You will then lie down on a bed and the needles will be inserted.

This might sound scary, but the needles are so small that there is usually minimal discomfort. Acupuncture clinics and practitioners are also usually very calming and the session should feel relaxing.

 

The needles will remain in your body for between 10 and 30 minutes, and will then be removed by the practitioner. After a session, you should drink a lot of water and take it easy for the rest of the day.

 

 

Acupuncture and IVF

It might be clear why people use acupuncture to help with pain or stress but how can it help with IVF success?

 

Stress relief

For one thing, IVF can be a stressful process, not just physically but mentally. In fact, research shows that 30% of couples stop IVF treatment before becoming pregnant because of the negative psychological effects.

 

There is also evidence to show that even for couples that do not stop IVF prematurely, emotional stress significantly lowers the chances of success because of the negative effects it has on ovarian function and implantation.

 

As mentioned above, acupuncture is often used to reduce stress. This is because when the needles are inserted into the strategic points, your body will experience natural endorphin release. This is because acupuncture helps to balance the sympathetic and parasympathetic parts of the nervous system.

 

While additional research is necessary to show exact numbers, existing studies found that the longer someone undergoes acupuncture treatments, the better the results.

 

Enhanced blood flow

In addition to stress reduction, a regulated nervous system also increases blood flow. When this happens, nutrients-filled blood makes its way to the uterus and ovaries.

 

One Swedish study found that after 8 acupuncture sessions, women’s uterine blood flow increased dramatically and stayed that way for weeks afterward.

 

When there is increased blood flow to the uterus, the lining of the uterus will become thicker. The thicker the uterine lining, the better environment it becomes for egg implantation, which is crucial for success with IVF.

 

Balancing reproductive hormones

Chances are if your hormones are imbalanced, you are more likely to experience issues with fertility. In a number of studies, acupuncture was found to improve the production of fertility-related hormones, like estrogen, progesterone, and prolactin in women.

 

Imbalanced hormones can also lead to irregular menstrual cycles and anovulation, which is when women do not ovulate and ovulation is necessary for pregnancy. Data shows that acupuncture has also been used in these cases to help women achieve regulated menstrual functioning.

 

For women with preexisting conditions like Polycystic Ovary Syndrome (PCOS), infrequent ovulation can lead to fertility issues, especially when going through IVF. Acupuncture over an extended period of time has also helped these women achieve more regular ovulation cycles.

 

Improving sleep

Being well-rested is not only important for overall health and feeling good, but for increasing the chances of successful IVF cycles. In fact, women with insomnia have a 400% higher chance of experiencing fertility issues.

 

Thankfully, acupuncture has also been used to improve sleep quality in everyone, including those that suffer from insomnia. Acupuncture increases chemicals in the body, like amino-y acids, that are responsible for calming the nervous system and reducing insomnia leading to longer-lasting and higher-quality sleep.

 

Acupuncture for men’s fertility

For couples undergoing fertility treatments, the man’s fertility loss as a result of semen quality is equally as important for achieving a successful outcome. Acupuncture has not only been found to benefit women’s fertility when using IVF but men’s as well.

 

One study found that for men diagnosed with low sperm activity or quality, acupuncture could be used to help in these areas. Another study included men who had previously been unsuccessful when trying IVF with their partners. After 8 weeks of acupuncture treatments, there was an increase in sperm count and quality, along with higher fertilization rates at their next IVF cycle.

 

 

When to start acupuncture

Because additional research is necessary to produce more precise data, there is no one clear answer to this question. However, existing studies are able to guide us in the right direction.

 

One study looked at women over a five-year period and compared those that did IVF alone and those that did IVF and acupuncture at the same time. These women did between 13 to 15 sessions of acupuncture throughout their IVF cycles.

 

The results found that the women who incorporated acupuncture into their lives during IVF were 60% more likely to have a baby than those who just did IVF.

 

The majority of acupuncture research points to the fact that the longer the period of time that you do acupuncture, the better the results. Meaning, that starting acupuncture before starting IVF cycles may yield even better results.

 

In fact, women that did acupuncture only on the day of embryo transfer in IVF, saw little to no increase in pregnancy rates, which further backs up this theory. For this reason, it is recommended to start acupuncture between 30 and 90 days before any fertility treatments begin.

 

Acupuncture is becoming more and more popular as a complementary treatment for IVF. Around 30% of women in Australia report undergoing acupuncture before starting IVF, and almost half during IVF.

 

The number of clinical research related to the efficiency of acupuncture has significantly grown in the past few years, giving people a reason to believe the hype. That being said, there is still much more research to be done in order to fully understand the effects of acupuncture on IVF.

 

Many clinical trials in acupuncture are ignored because there are no quantitative evaluation methods established to measure clear data points. Some in the medical field believe that positive results post-acupuncture can be chalked up to the placebo effect.

 

At this stage, there is not enough scientific evidence to prove one way or another. However, the trials that have been carried out do not show any harmful side effects as a result of acupuncture. It might be worth a try to see if acupuncture is a good addition to your IVF journey.

 

 

linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram