Chooing the right treatment can be very difficult unless a thorough infertility investigation has been carried out to identify your unique fertility needs and requirements. Each patient is different from the other, therefore, a single prescription will not fit everyone. For this end, the following strategy will be useful when planning your treatment:
– Younger patients with no prior testing or infertility treatment history should start with the initial testing process described in “Interpreting Test Results” section. Based on these test results, and the patients age, a less invasive treatment option such as IUI may be chosen as opposed to the more invasive IVF procedure. However, older patients (aged above 35) are not recommended IUI treatment is it has much lower chances of success compared to IVF treatments.
– Patients with a history of treatment failures will be subjected to further infertility investigation, as outlined in our “Interpreting Test Results” section. Should these test results indicate that the patients’ own eggs and sperm might be viable for treatment, then IVF treatment will be recommended. The protocol of treatment and the precise dose of medication to be administered will depend on your age, your unique hormone levels and previous treatment history.
If there is any reason to suspect a genetic cause for prolonged periods of infertility and possibly repeated IVF failures, after the necessary testing has been performed, the couple might be advised to have PGD (Pre-implantation Genetic Diagnosis) testing on their embryos in order to separate the genetically healthy embryos from the genetically abnormal ones prior to the embryo transfer procedure.
Should there be a serious defect with the eggs or the sperm that cannot be easily separated via PGD testing, then IVF with Egg Donation or IVF with Sperm Donation might be recommended.
IVF with Egg Donation is also recommended for couples with a female factor infertility where the female patient’s eggs do not allow for fertilization or pregnancy to occur for any reason. For more information, please visit our “IVF with Egg Donation” section.
IVF with Sperm Donation is recommended for couples with male factor infertility where the male partner’s sperm is unable to fertilize the female partner’s eggs due to count, motility or morphology issues or this treatment can be chosen for any genetic condition that the male partner is at risk of transferring to his offspring.
– Patients in more advanced fertility ages, but who still ovulate may be recommended Mini IVF or a minimal stimulation protocol in order to obtain less number of eggs but without compromising the quality by subjecting them to higher doses of medication. In a higher age bracket, the ovarian reserve tends to have been severely depleted and the existing reserves are very delicate and sensitive to the IVF protocols. Alternatively, IVF with Cytoplasmic Transfer can be recommended for this age group in order to allow for a chance of pregnancy with own eggs.