IVF for male infertility

Sometimes, IVF for male infertility is the best treatment option. When the semen analysis is abnormal and identifies a male factor, it’s important to look for the cause. If the low sperm count appears to hormone-related, caused by an infection or related to a male anatomic abnormality, basic treatments may be used. If these do not work, or if it is a more severe case of male infertility, IVF is usually the treatment of choice.

Options other than IVF for male infertility

For hormonal imbalances like a low testosterone level, Doctor may choose medications like Clomid or fertility shots. The partners of men with decreased sperm counts and normal hormone levels will often undergo IUI. This is a simple and relatively inexpensive treatment for mild cases of male infertility.

Anatomical abnormalities that contribute to male infertility often require further evaluation by a urologist. Urologists are specialists regarding the male reproductive system. They will work with Doctor to determine what treatment is necessary.

If the sperm count is too low for IUI, IVF for male infertility may be the best treatment option. This treatment is a very successful option for couples with male factor infertility.

When do we recommend IVF for male infertility?

If a semen analysis reveals a very low concentration of normal sperm, Doctor often will recommend IVF for male infertility. This is because the chances of success are much better than with timed intercourse or IUI.

IVF is also a good option when there are multiple fertility factors, such as a low sperm count in combination with a blocked tube, difficulty in ovulation or advanced age of the woman. IVF can be the most effective treatment for couples in these situations by increasing the chance for fertilization of the egg.

The reason why is as follows:

How to Increase Chances of IVF Success

If you are looking to increase your chances of conceiving during IVF, here are 8 tips from 5 different fertility doctors.

 

1. Maintain a healthy weight.
"Maintaining a healthy weight is extremely important in fertility and IVF," says Linnea Goodman, MD, Assistant Professor of Obstetrics and Gynecology at the UNC School of Medicine. "We know that being obese (BMI >35) and underweight (BMI <19) increases time of conception by 2 and 4 times respectively, and negatively effects IVF success rates. Being overweight also makes monitoring the ovaries during IVF more difficult and increases the chance of complications during egg retrievals."

This is best implemented with changes in diet and activity with professional help.

"Working with dietitian, and in some programs enrolling in a cardio metabolic weight loss program can help achieve these goals," says Zaraq Khan, MD, reproductive endocrinologist at Mayo Clinic in Rochester, MN.

What are the risks of IVF?

IVF doesn't always result in pregnancy, and it can be both physically and emotionally demanding. You should be offered counselling to help you through the process.

There are also a number of health risks involved, including:

• side effects from the medications used during treatment, such as hot flushes and headaches
• multiple births (such as twins or triplets) – this can be dangerous for both the mother and the children
• an ectopic pregnancy – where the embryo implants in the fallopian tubes, rather than in the womb
• ovarian hyperstimulation syndrome (OHSS) – where too many eggs develop in the ovaries

Read more about  risks of IVF.

What happens during IVF

IVF treatment involves 6 main stages:

1. suppressing your natural cycle – the menstrual cycle is suppressed with medication
2. boosting your egg supply – medication is used to encourage the ovaries to produce more eggs than usual
3. monitoring your progress and maturing your eggs – an ultrasound scan is carried out to check the development of the eggs, and medication is used to help them mature
4. collecting the eggs – a needle is inserted into the ovaries, via the vagina, to remove the eggs
5. fertilising the eggs – the eggs are mixed with the sperm for a few days to allow them to be fertilised
6. transferring the embryo(s) – 1 or 2 fertilised eggs (embryos) are placed into the womb

Once the embryo(s) has been transferred into your womb, you'll need to wait 2 weeks before taking a pregnancy test to see if the treatment has worked.

 

What happens during IVF

 

 

 

What Are The Costs of IVF?

The average cost of an IVF cycle in the U.S. is $12,400, according to the American Society of Reproductive Medicine. This price will vary depending on where you live, the amount of medications you're required to take, the number of IVF cycles you undergo, and the amount your insurance company will pay toward the procedure. You should thoroughly investigate your insurance company's coverage of IVF and ask for a written statement of your benefits. Although some states have enacted laws requiring insurance companies to cover at least some of the costs of infertility treatment, many states haven't .Costs-of-IVF

 

 

 The cost of IVF in Iran is more affordable than in other countries. Also, in Iran, the infertility treatment services such as IVF have a high quality in the region and in the world. The low-cost of IVF in Iran is due to the low doctors’ wages and inexpensive services in the clinic. The medications cost are the same all over the world. Learn more about IVF cost in Iran: The cost of IVF in Iran

 

Are There Other Issues With IVF to Consider?

Any embryos that you do not use in your first IVF attempt can be frozen for later use. This will save you money if you undergo IVF a second or third time. If you do not want your leftover embryos, you may donate them to another infertile couple, or you and your partner can ask the clinic to destroy the embryos. Both you and your partner must agree before the clinic will destroy or donate your embryos.

A woman's age is a major factor in the success of IVF for any couple. For instance, a woman who is under age 35 and undergoes IVF has a 39.6% chance of having a baby, while a woman over age 40 has an 11.5% chance. However, the CDC recently found that the success rate is increasing in every age group as the techniques are refined and doctors become more experienced.

Success Rates for IVF

Success rates for IVF depend on a number of factors, including the reason for infertility, where you're having the procedure done, and your age.

 

 

The CDC compiles national statistics for all assisted reproductive technology (ART) procedures performed in the U.S., including IVF, GIFT, and ZIFT, although IVF is by far the most common; it accounts for 99% of the procedures. The most recent report from 2016 found:

• Pregnancy was achieved in an average of 27.3% of all cycles (higher or lower depending on the age of the woman).
• The percentage of cycles that resulted in live births was 22.2% on average (higher or lower depending on the age of the woman).
   

Success Rates for IVF

What Can I Expect From IVF?

The first step in IVF involves injecting hormones so you produce multiple eggs each month instead of only one.You will then be tested to determine whether you're ready for egg retrieval.

Prior to the retrieval procedure, you will be given injections of a medication that ripens the developing eggs and starts the process of ovulation. Timing is important; the eggs must be retrieved just before they emerge from the follicles in the ovaries. If the eggs are taken out too early or too late, they won't develop normally. Your doctor may do blood tests or an ultrasound to be sure the eggs are at the right stage of development before retrieving them. The IVF facility will provide you with special instructions to follow the night before and the day of the procedure. Most women are given pain medication and the choice of being mildly sedated or going under full anesthesia.

During the procedure, your doctor will locate follicles in the ovary with ultrasound and remove the eggs with a hollow needle. The procedure usually takes less than 30 minutes, but may take up to an hour.

What Causes of Infertility Can IVF Treat?

When it comes to infertility, IVF treatment may be an option if you or your partner have been diagnosed with:

• Endometriosis
• Low sperm counts
• Problems with the uterus or fallopian tubes
• Problems with ovulation
• Antibody problems that harm sperm or eggs
• The inability of sperm to penetrate or survive in the cervical mucus
• Poor egg quality
• Genetic disease of mother or father
• An unexplained fertility problem

IVF is never the first step in the treatment of infertility except in cases of complete tubal blockage. Instead, it's reserved for cases in which other methods such as fertility drugs, surgery, and artificial insemination haven't worked.

 

What Causes of Infertility Can IVF Treat?
 

Infertility and In Vitro Fertilization

Today, in vitro fertilization (IVF) is practically a household word. But not so long ago, it was a mysterious procedure for infertility that produced what were then known as "test-tube babies." Louise Brown, born in England in 1978, was the first such baby to be conceived outside her mother's womb.

Unlike the simpler process of artificial insemination -- in which sperm is placed in the uterus and conception happens otherwise normally IVF involves combining eggs and sperm outside the body in a laboratory. Once an embryo or embryos form, they are then placed in the uterus. IVF is a complex and expensive procedure; only about 5% of couples with infertility seek it out. However, since its introduction in the U.S. in 1981, IVF and other similar techniques have resulted in more than 200,000 babies.