Fertility Problems - Treatment Overview
When initial treatments don't work
Many couples who have problems getting pregnant arrive at a
common point: They must decide whether they want to try assisted reproductive technology (ART).
- In vitro fertilization (IVF) is the most common type of ART. In this treatment, a fertilized egg or eggs are placed in the woman's uterus through
- Intracytoplasmic sperm injection, or ICSI (say
"ICK-see"). In a lab, your doctor injects one sperm into one egg. If fertilization occurs, the doctor puts the embryo into the woman's uterus.
To learn more, see Other Treatment.
If you haven't already thought about
adoption, this might be a time to think about it. Some
couples decide at this point to spend their resources on adoption instead of
IVF. Other couples see IVF as the best option.
Fertility treatment clinics
Fertility treatment clinics aren't
widely available in some parts of the country, especially in rural areas. You
may need to travel for treatment.
When you review clinic success rates, be aware that clinics
treating more severe fertility problems may have lower success rates. So
it's possible for a clinic with a lower success rate to have greater overall
expertise than clinics with higher success rates.
The success rate of a clinic is influenced by many things, including the doctors' skills and experience and the cause or
causes of your fertility problem.
When you review
treatment success rates, remember that live birth rates are always lower than
ovulation and pregnancy rates. Miscarriages are common among all women. But they are
more likely in women with risk factors such as older age or a poorly controlled
chronic health condition.