Continuous Miscarriage. Please Advice!! - British Pregnancy...

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Continuous Miscarriage. Please Advice!!


I'm a 22 years old woman, who just got married to a guy of age 28. Unfortunately as the time passed by, we tried to conceive for about three times but were not able to. We are scared to carry out diagnosis because I think we are not ready to hear something which can shatter our lives apart. I think we should opt for adoption. However, the court only allows this motion, if we are not diagnosed with any fertility issues. Please help, regarding whether we could opt for any other way for having a baby or about some renowned institutions in Ukraine, where we can go for diagnosis.

113 Replies

Fortunately, I would like to add my viewpoint as a fertility blogger. In many countries, fertility is looked at as something to be respected. If you are labeled infertile, it is like a stamp of shame. The label and shame almost always fall on the woman, as if she is almost less of a woman for not being able to carry a child. You would think that by the 21st century, infertility would be widely discussed and the stigma attached to it would not weigh as much. The truth is, infertility has only recently become a topic that pops up on blogs and news feeds.

The stigma related to infertility is fading and if you are identified with it, there is nothing to hide. You can always find your way to have children. Cheers and chill.

I would like to share my story regarding my life-shattering experience of infertility. I'm 32 and do not have a child. The reason been My husband and I tried to conceive persistently however, the results were never in our favor. We tried for 9 years. I lost hope and was super depressed. I was married at the age of 23 and since then we tried to embrace the childhood we always dream off. We didn't opt for diagnosis and considered it as a natural process. After nine years I got to know about the fertility centers and how infertility can be cured. We tried to approach them asap. However, after consulting the doctor we got to know that we had minor disorders of infertility which could have been cured if we have came earlier, instead of keep trying. I had scarred ovaries which can be treated. However, we got late. The failure to approach the doctors earlier has shredded my dream of having a baby permanently. Don't worry about the peer pressure and social stigma. Go to the Doctor and dig out the actual reason. If you have infertility of minor level it can be cured. No worries, but for embracing the motherhood you have chin up and go the fertility center. Instead of keep trying, go for the diagnosis until its too late.

Hey, I'm a catholic and I bear witness that being infertile is not a vulnerability. Way back when, it was thought that infertility was God’s way of punishing a woman for her sin. Thankfully that is not a theory that is widely accepted in this day and age. Although, as someone who carries the weight of infertility with her daily, I sometimes let the irrational part of my brain take hold and wonder if this is punishment for something I did in a past life. The following paradigm has shifted. You don't need to worry. Go for the diagnosis.

Hannah009 , if you even managed to have a baby later. There are high chances of genetic disabilities and abnormalities. The reason been as the woman ages her chances of getting pregnant is highly influenced because her immune system is weakened. I would suggest that opting for diagnosis is nothing to be scared off. At least you would be able to know the reason. After which instead of suffering daily, you can aim to solve the problem with the help of consultancy and other alternates for having conception

Hey Hannah009 , I would like to share my story with you. As a little girl, I used to daydream about being a mother. Of course I’d be married to a handsome guy and we would have three perfect babies, two boys and a girl. As I got older, I hung on to the dream and always assumed when the time came, achieving that dream would be simple.

I come from a large Catholic family and Catholics are famous for having large families. So imagine my surprise when at age 28, I realized achieving that dream would be hard. Aside from the emotional challenges and the stress it adds to a relationship, there is also the social stigma that comes along with infertility. Something I was not aware of until I was associated with being infertile. I was labelled as disgrace to the family. I was depressed like you are. However, you need to realize this after all this, it is you and your husband who is going to stick around. No one else, Don't let them haunt, acceptance can help you in overcoming the issue efficiently. Instead of hiding and avoiding it, try to find the real cause. My husband stood by me in the darkest time and we realized that our love is enough for each other. As soon as we accept the fact, we appreciated each other a lot more. Life was again happy. Then fortunately, we got to know about the whole concept of surrogacy. It was like I was on the 7th sky. I was happy like anything. Believing in each other, can help you overcome anything. So go for diagnosis buddy, nothing to hide :) Now, I'm a happy mother with two children. Life didnt turn out the way we want, but it is better now after we identify the real cause.

Lauren_ch , I know this is hard. However, if a couple is brave enough to disclose they are having difficulty conceiving, it opens a whole other can of worms. Some will be understanding and may even share their own troubles. Others will not know how to react and will start offering advice, no matter how inappropriate it is. The questions and advice will change from “When are you having kids?” to “Just relax, it will happen when you least expect it.” Or, “You’re trying too hard.” Or, “Just have more sex!” All unproductive, and changes the perceived stigma of just being childless – to being childless, but not by choice. Ethel1 , this stigma is shattering and even until now many societies are struggling to eradicate it. Hannah009 , I would also suggest, take your time dear!

You need to realize this. Another way to conceive is Assisted Reproduction. It is fairly common. 1 in 8 couples will need some sort of assisted reproduction in order to conceive. Even with this staggering statistic, there is still a negative stigma attached to infertility. Almost as if a child conceived through intrauterine insemination or in vitro fertilization is less of a miracle than a child conceived naturally.

I am not a mother of twins, but I have many friends who are. Some of them are “natural” twins and some of them are not. My friends say they lost count of the number of times they were asked if they were “natural” – both when they were pregnant, and afterwards. For the ones who conceived their multiples through assisted reproduction, they say the person asking the question almost seemed disappointed if they told them they had utilized fertility treatment. As if their twins were any less special than twins conceived without assisted reproduction.Either way, you have to be brave enough to own your baby. Whether it is conceived naturally or it is conceived through fertility treatments. Courage is what you need right now. I think the best person to provide you that is your husband. This assisted reproduction may sound weird to you but it is happening. The world is getting modernized and things are changing. To fight the stigma you have to keep the audacity to accept that you have infertility (If found).

The reality of infertility is, it is not your fault (the man or the woman’s). In many cases, pinpointing why a couple is infertile is hard to do. Even if a root cause can be identified, many times there is no way to know what caused it. Additionally, all children are miracles, whether their parents went through rigorous fertility treatments or not. We are lucky we live in an era where there are so many options to couples trying to conceive, and the technology in itself can be looked at as a miracle. Hannah009, a child is a miracle no matter how it is conceived. Therefore, you should keep your wit straight and don't worry what the results would be. Go for the diagnosis.

The stigma of being labeled as infertile is not something anyone wants. Sometimes couples will disclose and discuss their difficulties reproducing with friends and family. However, some couples want to avoid the stigma associated with infertility and will keep their difficulties to themselves. Either way, the only way to reduce the stigma attached to infertility is to encourage the conversation and to educate and empower couples when they are facing difficulties with conceiving.

Dealing with infertility is so hard because it feels like such a personal thing, but most people don’t know how common it is – one in eight couples experiences fertility issues. I think that by de-stigmatizing infertility, the treatments and the steps you may have to take to get pregnant (e.g. IVF), it can help make things seem less scary and overwhelming.

That’s why I felt that it was important for me to share my story with you . Talking about the issue also gets to the root of the emotional elements, which were the most difficult part of infertility for me. When I learned about the process with my reproductive endocrinologist and started following the actual day to day steps, I felt like I was able to manage the process and understand what was going on. Due to scientific advancements, I was able to overcome this stigma of infertility. Talking can help, don't close yourself in the places where you can't reach out. Talk to your husband and doctor and you'll are halfway there to solve the concern. However, for solving the problem it is important to identify the real cause. Thus, put some courage and go for diagnosis.

Manifestly, woman's health has been located in her capability to reproduce for more than a hundred years. Her ability to menstruate and bear children is the main focus of her bodily health. If something was wrong with her body's ability to perform these activities she is seen as faulty, deviant or incomplete. Therefore, infertility is reflected as the blockage to this capability. No matter how globalized we are, the society is going to judge you. Therefore, don't worry. Go for diagnosis. As long as your husband believes in you, nothing can bring you down.

I agree with Ethel1 . This sexist society would not spare your life. Dont worry about it. get yourself diagnosed, there is nothing to hide about infertility, however if the root cause is identified. The easier it will be to solve it. Therefore, Dont let the stereotype of infertility get in between in your motherhood. Hannah009 , you are beautiful and will be a graceful mother for sure.

The way that infertility is perceived and the social pressure for women (and men) to have children has changed over the years. Societies' need for couples (women) to bear children has gone through many ups and downs during the centuries. It is during the upward swing of this pressure that infertility and childlessness comes to the forefront. Indeed, the concept of infertility has gone through changes over the centuries; it has gone from being known as barrenness to being known by the medical term infertility. Women, as well, have gone through some changes; once considered to be the one at fault when they could not have children, presently, the couple goes in together to be tested. Even still the woman is the one to prompt medical treatment. Has the social situation around the inability to bear children improved? Are women still taking the brunt of the 'problem' on themselves? Has societal pressure to have children and social acceptance of being childless (voluntary or involuntary) changed is a prevailing question? Hannah009 things might never get in your favor. If you're waiting for the society to change, you are waiting for the impossible. Instead if you want your life to be changed, you have the odds. Go get yourself diagnosed.

I second Lauren_ch . Nothing is going to change. The society will remain as sexist as ever. The only thing you can change is your perception about being diagnosed. Hannah009 Bear this in mind, being afraid to know the results is certainly gloomy than remaining childless. The chances of embracing your motherhood is far more than staying childless.

I disagree with Lauren_ch . The social construction around the bearing of children has caused infertility to no longer be considered a social problem. The societal pressure to have children and the importance placed on children has forced the medicalisation of infertility. The society, in this case the United States, is controlling the woman's body and the way it 'should' work. The woman has been essentialised by her ability to give birth, to the point that even the nation is focused on that one idea. The cultural pressure, to have children to appear normal, has caused women to be set apart and medicalised much more than men. The blame cannot be fully placed on society, for the woman herself more often than not is a willing and active participant to seek and follow medical advice.

I would to elaborate some misconceptions and global ambiguity regarding the infertiltiy. Throughout the world there are many beliefs and misconceptions about infertility and the inability to have children. The main one being, that it is women who are the ones at fault when it comes to infertility. This belief probably comes from the fact that a woman is the one who actually gives birth. So it would come to be seen, especially in a patriarchal society, that women would be responsible for fertility and pregnancy. However, there is a plausible probability for the men to be infertile due to lower motility and innate dysfunctions. Therefore Hannah009 , dont let your guard down. Get the diagnosis pal.

According to a research, infertility is a global health issue affecting approximately 8-10% of couples. It is a multidimensional problem with social, economic and cultural implications, which can take threatening proportions in countries with strong demographic problems, such as Greece. Lately, an increasing number of couples with infertility problems choose the artificial insemination. Therefore, Hannah009 you don't need to worry about the stigma just go for the diagnosis. Rest of the implications can be catered with the love and support of your husband.

Childbearing and raising of children are extremely important events in every human’s life and are strongly associated with the ultimate goals of completeness, happiness and family integration. It is widely accepted that human existence reaches completeness through a child and fulfils the individual’s need for reproduction. Therefore Hannah009 , don't you want to feel complete, and happy? The only way to attain them is through diagnosis and fighting the odds.

Evidently, It is widely accepted that during the last twenty years, the average age of having children has increased and this is a key factor for infertility. As the age of giving birth is increased, the reproductive capacity is decreased, the ovary becomes less efficient, the frequency of sexual intercourse is decreased and the possibility of chromosomal abnormalities and miscarriage is increased. Hannah009 this is a global paradigm shift. Infertility is becoming a global issue therefore you must not worry about the implications. You are required to evaluate what will be the consequences if you didn't got diagnosed and you are not able to conceive later in life.

Hannah009 , world is advancing biologically. 'IF' you are infertile, there are four alternate ways through which you can have a child. The most obvious is adoption but for that you need to convince the court and therefore diagnosis is required. Another way is artificial insemination, in which the semen is transplanted in the eggs in order to conceive. Third way is In Vitro fertilization, in which the same idea of artificial insemination happens but in the laboratory, not in the womb. Lastly, surrogacy in which the ovules are placed in the uterus of another woman, who eventually develop your child. So in case you are worried about being childless, you don't need to worry. Go for the diagnosis.

Hi Hannah009 , according to a research, the primary reason behind the infertility is blockage in the Fallopian tubes. The main cause of infertility related to the Fallopian tubes is any condition affecting the normal function and anatomy of the Fallopian tubes and prevents the meeting of sperm with the ovum and the consequent conception. The development of ectopic intrauterine tissue occurs mainly in women aged 30-40 years old and is called "disease of high social class" because it occurs more often in advanced countries. This specific condition is more common among the women that have given birth many times before and those that give birth in an older age. Finally, the use of contraception methods, such as intrauterine spirals, can sometimes contribute to infertility because they can cause inflammation and destruction of the Fallopian tubes. Therefore, if you have been using the contraceptives following to sexual intercourse, this can happen to you. However, I would suggest instead of assuming, opt for diagnosis

If you are opting for assisted reproduction. You need to be aware about the process. Although the most important step in the Assisted Reproduction is investigating the cause of infertility, in this study, it was observed that 10.4% did not know the cause of infertility. The failure to identify a clear cause of the infertility after a full screening of both partners is defined as infertility of «unknown cause». It can be concluded for two of the four options identified by Ethel1 , you are required to conduct the diagnosis for elaborating the actual problem.

Hello Hannah009 , I'm a lawyer. I'm here to tell about the legal frameworks for the adoption. The reason for which the fertility of the claimant is tested is, the family must be infertile in order to adopt the baby because infertility is becoming a global concern and the court aims to provide babies to those couple who can never have the baby. Therefore these tests are mandatory.

However, @Hannah009 the second common cause (9.1%) of infertility was problems in the uterus. The main problems that are related to the body of the uterus and cause infertility are malformations, abnormal positions of the uterus, inflammation, intrauterine symphysis, atrophy of the endometrium, and malignant neoplasm. Therefore, the testing of the Uterus is important and thus your future depends upon that. Stop wasting your time overthinking and pave you way.

Hey megan_schutt , can't be there any other way for filing a motion for adoption? Because if the person is not willing to go for the diagnosis, cant she just adopt a baby? My aunt adopted a baby without even going to the court. I think, what @Jessica needs right now is proper legal guidance to refrain from the stigma. best of luck.

Thanks for your concern Lauren_ch . However, what I think is filing a motion from this country requires the medical guarantee. The reason been it is observed in the census that the quantity of infertile couples are increasing. In this way, the court is concerned about providing the right couples: babies. Moreover, what I think is... you can go for another representative to adopt your baby (Who has conducted the test) and make them sign the affidavit about taking the responsibility of the child. Then, they can give the baby to you. Frankly, this is wrong and no one will be willing to do that.

Infertility seems to be a multidimensional health issue which occurs not only due to health problems related to the Fallopian tubes, the ovaries, and the endometrium, but it may also be a result of the choices imposed by the modern lifestyle, like the higher average age of people who get married, stress, nonconducive legal framework for assisted reproduction, etc. Therefore Hannah009 fight this issue by getting diagnosed and make yourself complete again

Salutations Hannah009 , you need to know that Infertility is also caused by menstrual disorders, which often occur as a result of metabolic diseases. It is known that the function of the thyroid gland is directly affected by the relationship of hypothalami-pituitary glandovarianhormones. The increased function of the thyroid is likely to cause disorders in menstrual cycle, and an increase or decrease in women’s sexual activity, while the decreased function of the gland causes a decrease in sexual activity, and/or increased flow during menstruation, bleeding of the uterus, and more rarely secondary amenorrhea. Also, neoplasms may be the cause of thyroid dysfunction, and disorders in the pituitary gland may cause decreased function of the thyroid. Finally, changes in the menstrual cycle can occur under stress conditions

Do you have information about ovarian failure? My aunt experienced it and this leads to infertility. I think the women around here would be benefited by the information. Considering your knowledge in this discipline. Please shed light on this dynamic of infertility.

Surely why not bolton_nicole . According to a recent study, Four women had experienced ovarian failure. The main cause of infertility related to the ovaries is inability of ovulation, a condition where the release of the egg is forsome reason prevented. Other common problems are inflammation of the ovaries, endometriosis, polycystic ovarian syndrome and neoplasms. Also, infertility may be associated with impairment of luteal phase where after ovulation, the fertilized egg is not possible to be implanted in the uterus. I think this information would be helpful for you @Nova and @Jessica. Ovairan failure is a rare disease. I'm sorry to hear about your aunt's loss @Nova. I hope this information can enlighten this discussion.

Thankyouu Lauren_ch . What you do professionally? Moreover, according to a scholastic research sexual disorders are the cause of infertility in a percentage of 2.7%. Sexual disorders may be a result of the above mentioned health problems or follow problems in the couple’s relationship. Besides the health problems related to the female anatomy, another major factor that causes infertility is smoking. The harmful effects of smoking on health, during the reproductive age of men and women, have started to be investigated during the last 20 years. Several studies have highlighted the harmful effects of active and passive smoking on fertility, in women of reproductive age, as well as a significant reduction in the possibility of a successful outcome after assisted reproduction attempt. While smoking is one of the main causes of infertility and most of the population around the globe is aware that has many negative consequences, about half of the female population smokes regularly, and only 20% of these considers to quit smoking.

Greetings megan_schutt . I'm a researcher at a fertility center. Furthermore, other causes that are likely to cause infertility, are: diseases affecting the function of the ovaries, dietary problems such as excessive increase or decrease in body weight, exposure to radiation, chemical agents, cytotoxic drugs, orgasm disorders and psychological causes.

Thankyou for the piece of information up there. I hope these will enlighten you about some of the causes and symptoms of infertility. Therefore, if you're experiencing any of these, Kindly concern a doctor. The reason been, the consulting can aid you in identifying your way forward. Infertility is a prevailing concern, dont worry you will be over it.

Childbearing and family are considered a right of every human being. Infertility is a health problem that requires appropriate treatment strategy. Modern medical science has developed advanced therapies to assist reproduction over the last 20 years. The main causes of female infertility are the problems of the fallopian tubes, disorders of menstrual cycle, problems in the uterus, sexual disorders, age, ovarian failure, and other unknown causes. Therefore, dont you want to savour the moment @Jessica12? Over time the stigma is reducing and things are socially constructing. So don't worry about the results. get yourself diagnosed.

I would definitely respond to your queries, however there are some which cna answer better than me. Please help if I'm wrong somewhere. Answer to your first query is, No, infertility is not always a woman's problem. Both women and men can have problems that cause infertility. About one-third of infertility cases are caused by women’s problems. Another one third of fertility problems are due to the man. The other cases are caused by a mixture of male and female problems or by unknown problems. Please help us with the second and third query.

Hey . I have certian questions about infertility, which are as follows: Is infertility just a woman problem? What causes infertility in man? What increases a man's risk of infertility? How doctors find out that a couple is suffering from infertility? How do doctors treat infertility?

Surely I would love to help. The response to your second and third query , Infertility in men is most often caused by: • A problem called varicocele. This happens when the veins on a man’s testicle(s) are too large. This heats the testicles. The heat can affect the number or shape of the sperm. • Other factors that cause a man to make too few sperm or none at all. • Movement of the sperm. This may be caused by the shape of the sperm. Sometimes injuries or other damage to the reproductive system block the sperm. Sometimes a man is born with the problems that affect his sperm. Other times problems start later in life due to illness or injury. For example, cystic fibrosis often causes infertility in men.

Moreover, the response to your third query is a man's sperm can be changed by his overall health and lifestyle. Some things that may reduce the health or number of sperm include: • Heavy alcohol use • Drugs • Smoking cigarettes • Age • Environmental toxins, including pesticides and lead • Health problems such as mumps, serious conditions like kidney disease, or hormone problems • Medicines • Radiation treatment and chemotherapy for cancer. do you know the answers to remaining queries?

According to a research, infertility is a global health issue affecting approximately 8-10% of couples. It is a multidimensional problem with social, economic and cultural implications, which can take threatening proportions in countries with strong demographic problems, such as Greece. Lately, an increasing number of couples with infertility problems choose the artificial insemination. Therefore, you don't need to worry about the stigma just go for the diagnosis. Rest of the implications can be catered with the love and support of your husband.

Sadly , I dont know it either. Moreover, I think Athena can help. Would you enlighten us about this. Regarding how the doctors treat infertility? Waiting for your response. Hannah009 , keep your guards up buddy.

Today is your lucky day, I was just going through the data regarding how doctors cure or treat infertility? Infertility can be treated with medicine, surgery, artificial insemination, or assisted reproductive technology. Many times these treatments are combined. In most cases infertility is treated with drugs or surgery. Doctors recommend specific treatments for infertility based on: • Test results • How long the couple has been trying to get pregnant • The age of both the man and woman • The overall health of the partners • Preference of the partners. Moreover, the treatment of male's infertility is done by helping the male in overcoming: Sexual problems: Doctors can help men deal with impotence or premature ejaculation. Behavioral therapy and/or medicines can be used in these cases. • Too few sperm: Sometimes surgery can correct the cause of the problem. In other cases, doctors surgically remove sperm directly from the male reproductive tract. Antibiotics can also be used to clear up infections affecting sperm count. • Sperm movement: Sometimes semen has no sperm because of a block in the man’s system. In some cases, surgery can correct the problem. In women, some physical problems can also be corrected with surgery. A number of fertility medicines are used to treat women with ovulation problems. It is important to talk with your doctor about the pros and cons of these medicines. You should understand the possible dangers, benefits, and side effects

Hi bolton_nicole , thanks for the insight. Certainly, this discussion is fruitful and highly relevant. However, I have certainly queries regarding the ART (Artificial Reproduction Technique). Do you have the knowledge regarding it? I think she would be also benefitted from it.

Hello Emma1298 ! Sorry dear, I don't have the knowledge regarding this. However, I would suggest @Jessica to opt for adoption because the other processes are costly and contains risks. If you want a biological child, the best possible way is to consider an ART specialist. That can enlighten you about each and every process in this niche.

Salutations Emma1298 . This is Ethel, I belong to the upper east side. I can tell you about the ART procedures. However, you are required to be certain about what you are asking? Are you looking for alternate ways for conceiving child? Precise and clear questions would be appreciated. Thanks.

Greetings Ethel1 . Thanks for responding. Lemme be precise about what I'm asking. I'm 27 years old and suffering from infertility. I want you to enlighten me about the ART methods and to be specific about surrogacy. However, if you think any other way can be used, please feel free to tell about it.

Sorry to hear about this Emma1298 . Infertility has become a global issue. Doctors around the world are aiming to eliminate it by introducing different conceiving procedures. Dear, in order to know about the procedures you need to be aware about why an individual should opt for ART. The reason been, there are medicines which can help you in overcoming infertility.

Seriously Ethel1 ?!!!! Can you tell me about the medicines, because infertiltiy has become a part of me and make me feel like a useless person. I would be so damn happy. If I didnt had to opt for the ART techniques. What medicines are you talking about? I cant wait for the response

Emma1298 , I know the amount of happiness you would be feeling. In this manner, I want to tell you that you dont need to worry about the results. You must go for the test. Identify the root cause and we can work upon your problems. As far as legal considerations are concerned, you can hire a personal attorney and get the competent advice. Emma1923 there are various medicines which can help you depending upon the type of your infertility. Please tell what is the root cause of your infertility?

Ethel1 , I have been diagnosed with ovulation problems. Since you are aware that ovulation is caused due to different reasons. The reason behind my lack of ovulation is malfunction of pituatary gland. I'm scared, I will never be a mother. Please tell me there's a medicine pertaining to this problem.

You are a lucky person @Hannah. There are two medicines which are taken for treating infertility. Clomiphene citrate (Clomid): This medicine causes ovulation by acting on the pituitary gland. It is often used in women who have polycystic ovarian syndrome (PCOS) or other problems with ovulation. This medicine is taken by mouth. • Human menopausal gonadotropin or hMG (Repronex, Pergonal): This medicine is often used for women who don't ovulate due to problems with their pituitary gland. hMG acts directly on the ovaries to stimulate ovulation. It is an injected medicine. However, you must consult your doctor. Before taking this medicine because this has some side effects. Medicines taken without consultation can harm your immune system. However, these two medicines are the recent formulaes developed to treat the infertilities with ovarian problems.

Thankyou soo much for your help @Ethel. @Ethel, I have a friend who has the same conditions as @Jessica. However, she is diagnosed with follicle problems. Are there any medicine for her too? Because she is worried about her motherhood. Once again, thankyou @ethel.

Emma122 fortunately due to scientific advancements. Ovarian problems are becoming easy to cure. However, if the subject has blockage in the fallopian tubes. She had to go for surgery. The follicle problems can be cured by Follicle-stimulating hormone or FSH (Gonal-F, Follistim): FSH works much like hMG. It causes the ovaries to begin the process of ovulation. These medicines are usually injected.

Ethel1 , thanks for the advances. However, I still had some questions about the Intrauterine Insemination.What is this phenomenon? I had a friend who has opted for it and successfully conceive her baby. In what conditions, this method is used? What are the success rates of this technique?

Intrauterine insemination (IUI) is an infertility treatment that is often called artificial insemination. In this procedure, the woman is injected with specially prepared sperm. Sometimes the woman is also treated with medicines that stimulate ovulation before IUI. IUI is often used to treat: • Mild male factor infertility • Women who have problems with their cervical mucus • Couples with unexplained infertility. Emma122, the success rates of this are 60% based on different factors such as age: quantity of sperms and motility.

Do you think she should opt for it? I hope this discussion has been proved fruitful to you? But dear @Jessica fearing from the results hasnt helped anyone. My sister in law was also diagnosed with infertility. You know what she did? Fight every day of her life overcoming this. She wasn't able to do so due to her increasing age. Reflect this and don't let your procrastination get in between of your motherhood. Ethel1 is ART and IUI same?

As per me, should think twice before diagnosis. The reason been I have seen have individuals who delayed their diagnosis and lead to different disorders and abnormalities in kids. Therefore buckle up and go for the diagnosis. Moreover Emma122, IUI is a part of ART. Assisted reproductive technology (ART) is a group of different methods used to help infertile couples. ART works by removing eggs from a woman's body. The eggs are then mixed with sperm to make embryos. The embryos are then put back in the woman's body

So you are saying that the embryos are prepared outside the uterus? I'm still clear about how it works... Plus what are the different methods that concoct to form the procedure of ART. Apparently, what are the success rates and important factors while opting for ART? Ethel1

Dear @Emma122, you seem to be highly investigative. Haha, just kidding. I'm happy to answer it. Success rates vary and depend on many factors. Some things that affect the success rate of ART include: • Age of the partners • Reason for infertility • Clinic • Type of ART • If the egg is fresh or frozen • If the embryo is fresh or frozen. Moreover, ART can be expensive and time consuming. But it has allowed many couples to have children that otherwise would not have been conceived. The most common complication of ART is multiple fetuses. But this is a problem that can be prevented or minimized in several different ways.

I'm like this, often. Glad to know you @Ethel. Where do you live? What is your profession? *Just breaking the ice, because this discussion is going to be a long one* However, you missed one part of the question. Regarding what are different types of ART?

Ethel1 in reply to Emma122

Emma122 , I'm a research facilitator at a fertility center. I have done my majors in genetic studies. I live in Canada. You can visit anytime. We have best offers. Moreover, there are different types of ART as mentioned below

• In Vitro Fertilization

• Zygote Interfallopian Transfer

• Gamete Interfallopian Transfer

• Intracytoplasmic Sperm Injection

• Surrogacy

• Gestational Carrier


God, its a diverse discipline. @Ethel, would you mind if I ask you questions about each of them individually? In this way, this discussion can be developed and clarity can be implemented? Because, if I asked you this altogether, it will be get confusing and intricate as ever. Moreover, through this @Jessica can also know about the methods too.

Apparently, I would be happy to be the part of this discussion. Let me remind you this aint going to be easy. Because this is a wide array of biological advancements. As far as I am concerned, I hope along with her. This discussion can help the women around the world which are suffering from childlessness. Emma122 we are on a dignified pursuit. Bring it on.

Lets litt up this discussion! I hope your expertise can help the women suffering from the identical problems. Moreover, we can discuss the methods in the way you have defined above. We can start from In Vitro Fertilization. I have heard this is a complicated process and the child born from it is called 'test tube baby'. Go ahead @Ethel.

Nice SUITS reference. Haha. Indeed this is an intricate process. In vitro fertilization (IVF) means fertilization outside of the body. IVF is the most effective ART. It is often used when a woman's fallopian tubes are blocked or when a man produces too few sperm. Doctors treat the woman with a drug that causes the ovaries to produce multiple eggs. Once mature, the eggs are removed from the woman. They are put in a dish in the lab along with the man's sperm for fertilization. After 3 to 5 days, healthy embryos are implanted in the woman's uterus. This process is not as simple as it sounds. It requires underlying surgeries and huge amount of moral support. The reason been, the process of removing the eggs and planting the embryos is super time-consuming and costly. This is used when the fallopian tubes of the woman are blocked. @Jessica if you are having infertility due to this, this can be one option for having a biological child. I pray that you are not suffering from this and it is just lack of ovulation, which is recovered through medicines. I wish you fortune. Emma122, this is one of the most expensive fertility treatment.

Okay, this was insightful. Do you think this is hygienic? Because it feels like a long, complicated and scrupulous process. Zygote Intrafallopian Transfer and Gamete Intrafallopian Transfer seems scary from the name. Do you think can opt for it? SUITS is awesome ;)

Emma122 , first of all. Nothing in biology is sweet as honey. As far as these processes are concerned. They are one step down from In Vitro Fertilization that is: Zygote intrafallopian transfer (ZIFT) or Tubal Embryo Transfer is similar to IVF. Fertilization occurs in the laboratory. Then the very young embryo is transferred to the fallopian tube instead of the uterus. Gamete intrafallopian transfer (GIFT) involves transferring eggs and sperm into the woman's fallopian tube. So fertilization occurs in the woman's body. Few practices offer GIFT as an option. It is totally the call of the subject which type of process she wanna pursue. If @Jessica12 have enough financial capacity, she can go for whatsoever process that seems feasible to her. Emma122, this is getting interesting.

I have heard about Intracytoplasmic sperm injection. Yes, this is getting intriguing with every comment passing by. I wish just at the end of this Jessica is able to find her path to get through the diagnosis. Intracytoplasmic sperm injection (ICSI) is often used for couples in which there are serious problems with the sperm. Sometimes it is also used for older couples or for those with failed IVF attempts. In ICSI, a single sperm is injected into a mature egg. Then the embryo is transferred to the uterus or fallopian tube. Am I correct Ethel1 ? I think I'm.

Yes Emma122, you are correct. You have competently defined the process. However, Sometimes ART procedures involve the use of donor eggs (eggs from another woman), donor sperm, or previously frozen embryos. Donor eggs are sometimes used for women who cannot produce eggs. Also, donor eggs or donor sperm is sometimes used when the woman or man has a genetic disease that can be passed on to the baby. An infertile woman or couple may also use donor embryos. These are embryos that were either created by couples in infertility treatment or were created from donor sperm and donor eggs. The donated embryo is transferred to the uterus. The child will not be genetically related to either parent. These processes are also used by the infertile families. However, the child belongs to the surrogate mother. In case of major disorder or dysfunction you can always go for this kinda therapy.

What are the types of ART processes that belong to this idea @Ethel? Do you think this is legitimate way of having a biological children? @Jessica on a personal note I would suggest that you shouldn't opt for these options. But Ethel1 , I want to know about these processes. Please enlighten me

Hey, Emma122. You don't need to be antagonized by the fact that the following child doesn’t belong to any of the parents genetically. The surrogate mother hands over the child to the man who owns the egg. This is legitimate. However, finding a surrogate mother is a difficult task. Women with no eggs or unhealthy eggs might also want to consider surrogacy. A surrogate is a woman who agrees to become pregnant using the man's sperm and her own egg. The child will be genetically related to the surrogate and the male partner. After birth, the surrogate will give up the baby for adoption by the parents.

Sorry Ethel1, I just got emotional. Apologies. What about the another process? Gestational Carrier? What is this about? This is something new? This discussion is profoundly enlightening.

Emma122 women with ovaries but no uterus may be able to use a gestational carrier. This may also be an option for women who shouldn't become pregnant because of a serious health problem. In this case, a woman uses her own egg. It is fertilized by the man's sperm and the embryo is placed inside the carrier's uterus. The carrier will not be related to the baby and gives him or her to the parents at birth. This is the manifestation of the love that a woman hold for another. The love which makes her realize the feeling of being childless. Many woman throughout the world have opt for gestational carrier. I literally bow for these kinda women. Emma122, this ends the types of ART procedures. Hope you find it useful

USEFUL?!! This was magnanimous. However, what are the chances of birth defects in these kinda conceiving. The reason been, they are not born naturally, they are a product of assisted reproduction technique. I have heard about some abnormalities. @ethel what have you found out about it.

I admire the discussion here. But what I think is, @Jessica's age is perfect for having a natural baby and the best possible way of having that is through getting the diagnosis done. If she is infertile, she can be treated. There are probabilities that she might not be infertile and can become a natural mother.

The reason behind this discussion was to help @Jessica identify the possible ART techniques. The fertility centers throughout the globe are intending to help the women like @jessica. It can be concluded from the discussion of @Ethel that there are unlimited number of probabilties for having a child. @Jessica need to figure it out.

I admire your discussion here Emma122. But what I think is, women's age is perfect for having a natural baby and the best possible way of having that is through getting the diagnosis done. If she is infertile, she can be treated. There are probabilities that she might not be infertile and can become a natural mother.

I agree with you. The reason behind this discussion was to help @Jessica identify the possible ART techniques. The fertility centers throughout the globe are intending to help the women like her. It can be concluded from the discussion of @Ethel that there are unlimited number of probabilities for having a child. @Jessica need to figure it out.

I second you both ladies Emma122. Speaking of which, talking about 12, she must go for the diagnosis. the reason been that without the diagnosis she wont be able to identify which is the best possible way. There are many examples that have recovered from infertility through medication and surgeries. We know how it feels to know the result, dont worry pal. :)

Apparently, we are in the midst of a worldwide epidemic of infertility. Ironically, even in countries with severe overpopulation, one of the most common reasons for a visit to the doctor is the inability to have children. Twenty-five percent of modern couples in their mid-thirties everywhere in the world are infertile. From our teen years (when the last thing we really want is a child) to our mid thirties (when we finally feel emotionally and financially secure enough to start a family), there is a twenty-five-fold decline in our ability to get pregnant. Let me explain. Ironically, the incidence of infertility in teenagers is rare.

For women in their early twenties, still only 1 to 2 percent are infertile. By their late twenties, however, 16 percent of women are infertile, and in their mid to late thirties, 25 percent are infertile. By age forty, more than half of women are infertile, and pregnancy beyond age forty-three is very uncommon. Therefore @Ethel, @Jessica must promptly find a solution for this.

Adding in your statement Emma122, If you are in your thirties, have been working hard to establish yourself, and are now just casually thumbing through this booklet at your doctor’s office because you’re thinking maybe in a few years you might like to start a family, you should realize that there is a 25 percent chance you will not be able to do so without medical intervention. What accounts for this dramatic increase in infertility over the last forty years is just the woman’s biological clock, which correlates with her declining store of eggs. Even by the time you are just in your midtwenties, there is a 10 percent chance you will have become infertile, even though five years earlier you would have had no problem at all getting pregnant. The biology of fertility in humans has not changed in the last forty thousand years. What has changed in the last few centuries is our life span and the age at which we first try to conceive. With the globalization, the child-rearing age is increasing and thus causing infertility. Maybe will remain fertile, but there is a great chance of her husband facing infertility.

What I personally think is. You have the chance of having a child, but comparing your husband's age there is a great chance of infertility. The reason been as the individaul's ages, their fertility decreases. There comes a time when even after constantly trying, you will not be able to conceive. Therefore, go for the diagnosis early.

Another reason for epidemic rise in infertility is Men and women are now able to obtain fuller educations, develop themselves in their careers, and contribute dramatically to the intellectual and economic prosperity of the modern world. This would not occur so readily if we were saddled with children as teenagers or in our early twenties.

I agree @Ethel. Due to imbalances in personal and professional life. Individuals are facing infertility. She must understand the myriad complexities of your reproductive system in order to get the right help instead of the wrong help, and to deal with the emotional and financial costs the process might cause if you are not savvy. Most important, you need to understand your biological clock and how to manage it.

Her biological clock is ticking promptly. With every moment passing by, you are losing your chance to be a mother. Your husband might feel low due to infertility, but you guys can work upon it. With the help of fertility treatments you both will be able to embrace your motherhood and fatherhood. May the odds be in your favor.

On the other hand, I would suggest that it is better to avoid the need for infertility treatment, by understanding your biological clock and consulting a doctor can give you tools for doing just that. For example, in one couple who had been infertile for many years, the consultants found out that the wife ovulated perfectly on day fourteen of every twenty-eight-day cycle like clockwork. In fact, because her ovulatory cycle was so perfect and so regular, she always ovulated on Tuesday or Wednesday. Her husband, who was a traveling workaholic businessman, was only in town on the weekends. So for years they never got pregnant simply because they were having sex only on the weekends. A simple rescheduling of their intercourse resulted in her getting pregnant rather quickly without any high technology. But simple approaches like this only work if you have not yet reached the descending point in your biological clock.

The comprehension of your biological clock can help you embrace motherhood. She can learn this from the example provided by Ethel1. Just by following your clock and rescheduling. You can be a mother. Therefore, don't lose hope. This is just another option which you can pursue.

The purpose of this whole discussion is to motivate you for the diagnosis. Otherwise, you will keep assuming that you have this or that. Instead of the process namely assuming, try finding out the real problem. You have the guts, I believe in you. Through proper diagnosis and understanding of your biological clock, you can be a mom soon.

There are many myths attached to males too. There are many other popular “diagnoses” that may lead to inappropriate treatment. The doctor may obtain a sperm count on the husband and find that it is “low.” The husband may then be put on all kinds of totally ineffective drug treatments such as Clomid, Pergonal, human chorionic gonadotropin, or testosterone. But worst of all, he may be given that all too common diagnosis of “varicocele.” Very few men escape seeing an urologist for infertility without suffering through this diagnosis. A varicocele is a varicose vein of the testicle (usually on the left side) that is present in 15 percent of all males on the planet. It is just a common, normal anatomic variant, but it has been argued that 40 percent of infertile men have varicoceles, and it is implied, therefore, that varicocele is the cause of the infertility. But most of these so-called minimal lesion varicoceles are not really varicoceles at all, and are no different from what is found in a normal, fertile male population. She may find explanations for the infertility of your husband, instead of assuming. Believe in him and go for the tests.

Apparently, the most commonly overused “diagnosis” for infertility is endometriosis. Endometriosis is a condition whereby some of the lining of the uterus has leaked back into the abdominal cavity and has implanted in tiny nodules either in the abdominal wall, on the outside of the fallopian tube, or possibly in the ovary. When doctors perform a laparoscopy as part of an infertility investigation to see if the woman has a normal uterus, tubes, and ovaries, most of the time the examination is normal. Nonetheless the diagnosis of “endometriosis” is frequently inserted in the operative note simply because the insurance company is much happier to pay for laparoscopy when they see a “pathological” diagnosis, and doctors feel more comfortable that way. The euphemism that avoids outright deception is to call it “minimal lesion” endometriosis. Doctors are often so eager to find a diagnosis to determine the “cause” of infertility (not to mention the desire for patients to get insurance reimbursement) that many couples walk out of their long series of expensive infertility tests thinking incorrectly that they now know why they haven’t gotten pregnant. This might be harmless if it weren’t for the fact that it may lead to unnecessary or improper treatment, and could delay further the proper treatment. With infertility in older women, any delay caused by trying inappropriate though harmless treatments can be devastating

As the time passes by , you’re aging. An age-related decline in the number of healthy eggs in a woman’s ovaries is one of the reasons for infertility. A woman is born with all the eggs she will ever have – about 400,000. After she reaches puberty, each month, during her reproductive years, about 20 eggs are used, even though usually only a single egg matures and is released. This process, called ovulation, contributes to the numbers of eggs decreasing, but the majority of eggs are slowly absorbed by the body. By the fifth or sixth decade of life, most women will have depleted the egg supply they were born with.

True that @Ethel. @Hannah you are required to look after your age before participating in sexual interaction. If a pregnancy occurs, older women are more likely to develop medical disorders including diabetes and high blood pressure. The baby is more at risk of having a chromosomal abnormality, such as Down syndrome and there is an increased risk of women over the age of 35 having a miscarriage.

I would suggest you should give it another try . However, you should look after your biological clock. The method for finding the ideal time for the intercourse is known as the ‘rhythm method’ or ‘calendar method’, this process involves calculating when you are ovulating (when an egg is released from one of the ovaries) based on your menstrual cycle. If you are having regular cycles (regardless of the length of the cycle), subtract 14 days from your average cycle length. So if your cycles are 28 days, you will ovulate on day 14, but if your cycles are shorter, e.g. 25 days, by subtracting 14 days, you will ovulate on day 11. It is recommended that you have intercourse at least three or four days prior to, and on your ovulation day, in order to maximise your likelihood of becoming pregnant. There are many ovulation calendars available online which automatically calculate your most fertile days based on your provided dates

I agree with @Ethel. By considering the online calenders, you can look after the best time for intercourse and therefore maximise the chances of conception. Another tip is Not having intercourse for five days increases sperm count but may affect the motility (active movement of the sperm). Having intercourse more than once a day is probably too much.10 To be on the safe side, when you are close to ovulating, have sex at least every other day, if not once every day. If this doesn't help you either, the most appropriate way of doing that is getting you both diagnosed. Following to the diagnosis you can find an ideal way to conceive.

I second Emma122 on that tip. The reason been, this tip has been proved efficient by many of our clients at the fertility center. , discovering the medical reason for not being able to conceive easily and beginning treatment as advised by your doctor is the start of a new and positive phase of your life. However, it is also important to acknowledge that even with treatment, it may take some time to become pregnant. It can be a long, frustrating and emotional process and you and your partner should prepare yourselves for this

@Hannah in order to conceive, daily administration of a GnRH agonist (or GnRH analogue) is required it will first stimulate the pituitary gland at the base of the brain to make extra FSH and LH, but then causes these hormones to drop right down. As a result, after around two weeks of daily administration, your normal menstrual cycle, hormones and ovulation are all shut down. This helps control premature ovulation and can also relieve the pain of hormonally controlled conditions such as endometriosis and fibroids. When used in combination with injected gonadotrophins (see previous page), it allows for more reliable timing of egg collection and usually an increased number of eggs being available for in vitro fertilisation (IVF). It includes the medications nafarelin acetate and leuprorelin acetate. Nafarelin acetate is given by nasal spray morning and night and leuprorelin acetate is given by a daily subcutaneous (under the skin) injection.

I think this discussion has helped you thoroughly considering the depth and insight of the discussion. However, during the thicks and thins of the process, you should believe in your motherhood. The reason been, your motherhood relies upon your will. Following the tips mentioned above, you can ensure the conception.

Hannah009 you can also opt for hormonal therapy, when you are not ovulating or ovulation is irregular, taking hormonal medications either in tablet form or by an injection, also known as ovulation induction is the process where the ovaries or follicles (egg sacs) are stimulated to produce an egg, which can then be fertilised by the male’s sperm. Your doctor may also refer to it as ‘ovarian stimulation’ or when used in conjunction with assisted reproductive technologies as ‘controlled ovarian hyperstimulation’ or ‘superovulation’.

I would like to conclude this discussion by explaining how you would feel , when you will go for the diagnosis. The testing period can be stressful, invasive and expensive and you may feel uncomfortable, guilty and even fearful about the possible results. These are normal reactions to an overwhelming experience. Common feelings include:

•Shock, numbness and/or relief when a problem is confirmed.

•need for secrecy, resulting in isolation from friends and family

•loss of control: a sense that doctors and tests are taking over your life

•anger at your body, your partner, or others who are pregnant or have children

•sense of being misunderstood by those who have children or are pregnant

•Shame and embarrassment over not functioning ‘normally’

•Self-punishment: ‘What did I do to deserve this?’, ‘What could I have done differently?’

However, there are some coping strategies for the common feelings:

•Read as much as you can about the cures and treatments of infertility

•Reach out to your fellows about your fears

•Acknowledge that periods of depression and anxiety might occur

•Support one another

•Share your thoughts and be on the same page.

you will be able to take it, now you are prepared for the diagnosis. Go for it.

Hey @Ethel and @camila, I find your discussion profound and scholastic. However, as far as the position of Hannah009 is concerned, what I want to recommend is... she still has 10 years for conceiving a baby. All this discussion might have haunt her. @Jessica you dont need to go for the diagnosis, another way is you just work out on your biological clock and see if it happens. My friend was going through the same situation, however she finally manage to conceive at the age of 29 without diagnosing.

Hey cleasmith , I know this discussion wasnt conducted to strongarm for the diagnosis. It was an awareness discussion. However, studies suggest that after 1 year of having unprotected sex, 12% to 15% of couples are unable to conceive, and after 2 years, 10% of couples still have not had a live-born baby. (In couples younger than age 30 who are generally healthy, 40% to 60% are able to conceive in the first 3 months of trying. If you are opting for the diagnosis , try to work on your sexual pattern.

It aint about the sexual pattern. @Ethel, I have an aunt which didn't diagnosed for infertility, and had a vigorous sexual pattern yet they were able to conceive during the early years of marriage. The most apparent reason for not having baby is, bad timings and lack of ovulation.

cleasmith , I respect your views but this is not something which happens out of the blue. One more reason behind the higher number of infertiltiy is lack of education in this domain. If the couple is educated enough, they can opt for the fertility treatments and centers in order to cure the problem. you should be diagnosed.

I agree with @ethel. Infertility is a significant medical problem that affects many couples. Evaluation is the starting point for treament of infertility as it may suggest specific causes and appropriate treatment modalities. Although the history and physical examination provide important information, specific diagnostic tests are required to evaluate infertility. Because the causes of infertility can be multifactorial, a systematic approach typically is used and involves testing for male factor, ovulatory factor, uterotubal factor, and peritoneal factor. Many of these diagnostic tests are laboratory based, including semen analysis, serum progesterone level, serum basal follicle-stimulating hormone level, and clomiphene citrate challenge, and can be done by the primary care physician. Moreover, by understanding the infertility evaluation, the primary care physician can serve as an important resource for advice about infertility. Not evaluating the problem is equal to looking for an impossible answer.

There is a plausible chance, that @Jessica you are suffering from sub-fertility. Which is transitory and can be treated accordingly. This discussion has not discussed the notion of sub-fertility. I would suggest @Jessica to look for other opinions. The most common known causes of infertility are spermatozoal defects, ovulatory disorders and tubal disease.

cleasmith , either its sub-fertility, infertility or no fertility at all. must conduct some tests for exploring what is the real problem. That is all this discussion is about that whether should diagnose or not. On that note, I hope you are on the same page. You are also going to tell about conducting the diagnosis.

Apparently, a diagnosis of infertility does not have to mean childlessness. It can often just mean that becoming pregnant is a challenge—one that can be aided significantly by medical treatment. Today's treatments offer a good rate of success, and approximately three out of four women will get pregnant as a result of treatment. So Hannah009 this whole discussion is about motivating you. To help you in overcoming the stress of stigma.

Likewise, I had a cousin who shared her emotions regarding infertility, she said: Everything makes me angry these days. My body, my partner, my family and friends. I get very upset when I hear about child neglect or abuse, because why should those people have children if they aren’t capable of loving them? I also get angry when I have to listen to well-intentioned advice. Hearing comments like ‘you’re not trying hard enough’ or ‘you should consider adoption’ just send me into a rage. Therefore I know the anger Hannah009 is feeling. That is why, I told her to chill.

The most obvious emotion pertaining to this situation is sadness and hopelessness. Being a victim of infertility my friend told me this: “I feel like my future is hanging in the balance, and that I can’t hope for anything. I’m sad about the strain that infertility puts on my marriage and career. And I’m very sad that I’ve had to put my life on hold while I try to get pregnant. I hate not having any definite answers or guarantees.

Reasons behind telling you this Hannah009 is the fact that not opting for the diagnosis can lead to regret. There is nothing as vicious as regret. Regret of haven't tried. No matter what the consequences will be, you are going to handle it efficiently. Don't worry. Go through this discussion again and find hope pal.

Hannah009 , I know the guilt and shame associated with being childless. As my relative told her comments about being infertile: I couldn’t accept that it was a medical problem. I began to blame myself, and wondered why I was being punished. I couldn’t figure out what I’d done to deserve infertility. My self-esteem was at rock bottom and I felt like a failure. I began to worry about what my family would think, and if my husband would stay with me if we couldn’t get pregnant.

Hannah25 , even cleasmith is telling you to opt for diagnosis now. The reason been the rush of emotions and filth attached with regrets is insurmountable. What I believe is... on one hand you might have to live with the fact that you're infertile. On the other hand you have to live with the regret you haven't tried. Think wisely what you want.

What I think is, Infertility can bring many changes to your relationship as a couple. It may bond you closer together, as mutual support and understanding leads to greater sharing and intimacy. But it can also bring forth feelings of guilt and resentment, particularly if no resolution is in sight. As a couple, you may have a lot of feelings in common when dealing with infertility, such as feeling out of control of your lives and your emotions.

What I perceive is, infertility is challenge for your relationship and fighting is what the power couples do. Infertility can test your relationship in a variety of ways, but providing mutual emotional support and working together can reduce some of the stress and help to avoid creating distance. It may even strengthen your relationship, as you both learn to give reassurance and encouragement, and realise that you can really depend on each other.

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