Mother Nature vs. Infertility Treatment
Still not pregnant? When to seek infertility treatment and when to let nature take its course.
Troubleshooting Your Fertility Problem
If a problem is identified in terms of the ovulation process, the first-line
infertility treatment is typically Clomid or Serophene, drugs that
work by stimulating ovulation. "This is usually paired with intrauterine
insemination (IUI)," Shaffran says. IUI is a fairly low-tech procedure in which
sperm is injected directly into the uterus to meet - and hopefully fertilize --
a waiting egg.
"We try this for three to six months and if we are unsuccessful, then I may
try an injectable and IUI," she says. Injectable drugs also stimulate
ovulation, but are stronger than Clomid. As such, the use of injectables has an
even greater risk of multiple pregnancies.
"If that fails, we may advance to something like in vitro fertilization
(IVF)," Shaffran says. IVF involves combining eggs and sperm outside the body
in a Petri dish. Once an embryo or embryos form, they are then placed in the
uterus where they will hopefully implant. After several failed courses of IVF,
couples may consider using donor eggs or adoption.
Sometimes the cause of the infertility is unexplained. "This can be harder
to treat, as there is nothing particular that we can identify as the problem,"
she says. "If tubes are blocked, at least we know that the tubes are blocked
and we can take steps to overcome it," Shaffran says.
Sometimes de-stressing and taking the focus off of conception is the missing link. "There are studies that
suggest stress plays a role in infertility and as a result, we offer mind and
body programs that involve counseling as well as acupuncture and massage
therapy," she says.
Infertility Treatment: Risk vs. Reward
We all know the (presumptive) reward of infertility treatment - a beautiful
bouncing baby girl or boy (or both), but there are risks, says Millie Behera,
MD, a reproductive endocrinologist at Duke University Medical Center in Durham,
"The biggest risk seen with any type of infertility treatment is multiple
pregnancies," she says. Risks inherent in multiple pregnancies include preterm labor and birth, which
poses greater risks of illness, disability, and death. There is also a higher
chance of miscarriage and other maternal complications with multiple