Infertility treatment options
If there is a medical reason for infertility all modern IVF methods can be used at Nova Vita Clinic. For example hormone therapy is effective if infertility is caused by disorders of oocyte (egg) maturation and ovulation. In many cases intrauterine insemination (IUI) is the first option to treat milder male infertility. If IUI does not give positive outcome and there are more serious reasons why fertilization does not happen naturally it is recommended to proceed with in vitro fertilization (IVF) when eggs and sperm are put together in laboratory conditions. Severe male infertility may be treated by intracytoplasmic sperm injection (ICSI) when single sperm cell is injected into the egg. ICSI procedure enables also to use sperm cells obtained from epididymis or testicle instead of using donor sperm. We have paid a lot of attention to frozen embryo transfer (FET), which increases the cumulative pregnancy rate after failed fresh cycle. If there is a need donated eggs, sperm or embryos can be used (egg donation, sperm donation, embryo donation).
Nova Vita’s IVF lab methods and parameters are followed according to ISO 15189 certificate.
Ovulation induction refers to ovulation or the ripening and release of the egg induced by means of hormonal treatment. Hormones can be administered in the form of tablets or subcutaneous injections. The progress of the treatment is monitored in ultrasound examinations few days and by means of hormone blood tests if necessary. The goal is to ripen 1–2 follicles.
This type of treatment is needed if the woman’s menstrual cycle is abnormal or absent. If the woman’s menstrual cycle is ovulatory, hormonal treatment can be used to support the development of the follicle and the release of the egg.
Insemination (Intra Uterine Insemination, IUI) is a procedure in which the best motile sperm separated from the semen sample are placed in the woman’s uterine cavity using special catheter at the time of ovulation. Insemination is prescribed in case of mild male infertility (problems with the number, motility or shape of sperm cells or the presence of anti-sperm antibodies), infertility due to cervical factor and in the treatment of patients with unclear infertility. Insemination can be carried out according to the woman’s natural menstrual cycle or hormone-timed ovulation. In case of natural menstrual cycle the IUI procedure is timed with an ovulation test that enables to determine the moment of ovulation at home on the basis of urine sample. IUI is carried out 24-36 hours after the positive ovulation test. Insemination is often the first fertility treatment used in the event of infertility due to the male or infertility due to unknown origin.