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Fertility Problems - Other Treatment

Insemination and assisted reproductive technology (ART) can improve the odds of pregnancy. They introduce the sperm to the egg in the woman's reproductive tract (insemination) or in the lab (ART).

Insemination

Insemination flushes the sperm through a thin, flexible tube directly into a woman's vagina, cervix, uterus, or fallopian tube camera.gif. This puts sperm closer to the egg. And it can overcome fertility barriers such as low sperm count and cervical mucus.

Insemination can be used with donor sperm. It can be combined with other fertility treatments, such as clomiphene or hormone shots.

Assisted reproductive technology (ART)

ART is used to remove eggs from a woman's ovaries (or use donor eggs) and fertilize them with the man's sperm (or donor sperm) outside the body. One or more fertilized eggs are then transferred to the woman's uterus or fallopian tubes.

ART procedures are expensive and complex. Most of the time they are used only after other treatment has failed.

Before deciding on ART treatment, consider the possible emotional and social, financial, religious, and ethical and legal questions that may come up for you and your partner.

In vitro fertilization

In vitro fertilization (IVF) is the most common form of ART.

Usually, more than one embryo is put in the uterus. This increases your chances that one will develop into a baby. Because of this, IVF increases your chance of having more than one baby at a time.

  • Out of 100 women who become pregnant with IVF, about 30 will have twins.3
  • The chance of having triplets or more is higher than normal but much less than the chance of having twins. The chances of multiple births depend on how many embryos are placed in the uterus at one time.

Side effects of IVF can include bloating, weight gain, and nausea. And you risk having serious side effects such as liver and kidney problems. The embryos may not grow into babies, so the IVF may need to be repeated.

If you have several miscarriages or unsuccessful IVF attempts, talk to your doctor about genetic testing.

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