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Infertility Treatment Questions

Infertility treatment is the act of finding solutions for couples who cannot become pregnant without medical assistance. Many treatments are available for infertility and they depend on factors such as the reason for infertility, the age of the patient, the age of their partner and the period for which they have been infertile. To learn more about infertility treatments, take a look below at the questions that have been answered by the Experts.

Can a man get his partner pregnant without having a vasectomy reversal?

When a couple prefers to become pregnant without the man having a vasectomy reversal surgery, there are a few treatments available. Sperm can be drawn from the man similar to how eggs are removed from the woman. Generally, a visit to a urologist can determine the best options for the couple to get pregnant. In order to remove sperm from the male without a vasectomy reversal, there are a few options to consider. These are outlined below.

Percutaneous Sperm Aspiration (PESA): This type of sperm retrieval is generally used when the infertility is due to a congenital absence of vas deferens or scar tissue. It can be performed without a surgery and generally takes less than half an hour using a local anesthetic. In this procedure, a needle is inserted through the epididymis into the scrotum to remove the liquid. Generally, 10 to 20 million sperm are removed during the procedure. This means several withdrawls from one or both testicles are required. When sperm is taken with this procedure, the sperm usually hasn’t reached a mature stage. Therefore, Intracytoplasmic Sperm Injection (ICSI) is required in order for the sperm to fertilize the female's egg.

Vasal aspiration: This procedure is generally performed when the man has a blockage of the vas deferens or has had a vasectomy within the last five years. This is the only form of medical sperm retrieval that can retrieve mature sperm. Local anesthetic is used during this procedure to allow a needle to be inserted into the vas deferens. Once the needle is inserted, the vas deferens is massaged to excrete liquid. Once the sperm has been collected, it can then be readied for In Vitro Fertilization (IVF). Because the sperm is mature when collected, it can also be frozen (cryogenically preserved) for use in the future.

Micro-epididymal Sperm Aspiration: This procedure is very similar to PESA but requires a small incision on the scrotum to access the epididymis. Fluid is drained from the epididymal tube and examined for signs of sperm. Unlike the Vasal and the PESA sperm retrieval procedures, this procedure requires the use of general anesthetic. The procedure is generally performed on men who have scarring on the vas deferens or on men who don't have a vas deferens.

Testicular Sperm Extraction (TESE): This procedure is generally performed when a blockage prevents sperm from entering the epididymis. Low sperm count and blocked testicles are other reasons to perform this type of procedure. Local anesthetic is used for this procedure and immature sperm is removed from the testicles via testicular biopsy that also removes some testicular tissue. A small incision is made in order to retrieve the tissue. Similar to this is a procedure called Testicular Sperm Aspiration that uses a needle instead of an incision to retrieve sperm. The immature sperm is then used to fertilize eggs with ICSI.

Can someone lose their sex drive from receiving infertility treatment?

When a couple begins fertility treatment, it is possible that a once enjoyable sexual encounter may be seen as a chore merely to aid conception In some cases, medication to treat infertility could also cause a lower sexual drive.

In situations like this, there are ways that a couple can make sexual experiences more enjoyable. By setting aside time for more romantic interludes and displaying patience and support, a couple may be able to relax and enjoy the sexual experience a lot more. In many cases, the couple's doctor may also be able to provide suggestions that can increase sex drive.

Is an Anti-Mullerian Hormone (AMH) Test reading of 9.6 considered good enough for a woman of 40 years of age who is trying to conceive?

This reading is generally considered low and the test typically shows the amount of eggs and not the quality of the eggs. When testing for ovarian reserve, while Anti-Mullerian Hormone is one of the tests that is used, an FSH test can also be used when evaluating the remaining supply of eggs. While none of the tests can be 100% conclusive, a fertility specialist may combine the tests when trying to determine the right amount of the remaining egg supply. Also, in this situation, a number of women after the age of 40 generally need medical assistance in getting pregnant due to the quality of their egg supply.

Does Chlamydia cause infertility?

Both men and women can have Chlamydia without ever showing signs for a long time. If any symptoms appear, it is usually within 21 days of contracting the infection. Chlamydia may cause fertility issues such as scarring of the fallopian tubes but this generally occurs with repeated infections. Many women have been known to successfully become pregnant after having Chlamydia. Therefore, the infection isn't guaranteed to cause infertility.

While many couples have no problem with becoming pregnant, some couples require infertility treatment. There are numerous ways to help a couple with infertility issues. If you have questions or concerns about infertility, ask an Expert for medical insights and suggestions on a proper method of treatment based on the facts of your case.
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