What do doctors recommend for fertility?
Well, for the question ‘What do doctors recommend for fertility?’, the answer is quite complex. It is unpredictable until doctors explore the underlying factors for infertility. Doctors might ask you some potential questions regarding identifying your problem.
Typically, you can expect some recommendation from doctors to modify your lifestyles, intake of certain medications and even surgeries.
In this article let’s explore doctor’s recommendations for fertility in detail. Keep Reading!
Fertility tests
When do you need a fertility test? Simple, if you can’t get pregnant even without unprotected sex for about 12 months, then you must check for fertility issues. Irregular period, heavy bleeding or if periods didn’t come for a long time, then consider a fertility test.
Unfortunately, if you have gone through two or more miscarriages, you should consider a fertility test. And also, if you are under chronic medical condition then you may need a fertility test.
Now, let’s break down various fertility tests that are likely advised by a fertility doctor.
1.Ovulating testing:
You can do this procedure at your home using a kit which can predict ovulation by detecting the level of luteinizing hormone (LH) in your urine. Through these tests doctors can predict ovulation period and rate of pregnancy.
2.Hysterosalpingography:
You can visit a hospital to undergo an X-ray dye test which is taken to analyze your uterus and fallopian tube. Your fertility doctor can evaluate the underlying fertility problem related to blocked fallopian tubes through the X-ray images.
3.Ovarian reserve testing:
This test is recommended by a doctor to determine your fertility potential and along with a blood test, vaginal ultrasound is taken to evaluate the remaining number of eggs in the uterus. Through this test, the quantity and quality of the eggs is also examined.
4.Another hormone testing:
Here, hormone related tests are taken like thyroid hormone tests and pituitary hormone tests. Since these hormones can influence your fertility, it is necessary to undergo these tests.
5. Imaging tests:
If you have any fallopian or uterine disease, it can be detected by a pelvic ultrasound. Sometimes, doctors suggest to undergo hysteroscopy to discover the features inside the uterus, which cannot be determined by typical ultrasound.
6.Laparoscopy:
Don’t be scary, when you hear laparoscopy. It’s a small invasive surgery. A small incision on your body is made, through which a thin viewing device is inserted to analyze your fallopian tubes, ovaries and uterus.
7.Genetic testing:
As the test’s name indicates, this test is taken to identify whether you have any issues related to genes. Even genes have a heavy influence over fertility.
Thus, the Doctor suggests taking these initial tests to analyse and determine the fertility issues. Depending upon tests’ results, doctors will proceed with further treatments. Let’s delve into treatments recommended by doctors in the following paragraphs.
Treatments
After analysing you thoroughly based on age, how long you have been suffering from infertility, your health condition, and psychological condition; doctors decide to treat you either through medications or surgery. Since, treatments for fertility involve complex procedures, doctors will recommend certain medical care or treatment that suits your issue.
Let’s delve into medications recommended by doctors to improve fertility
Medications to Restore Fertility
Why do women face challenges to conceive a baby? It’s because, if a female body has irregular periods, hormonal imbalances, and irregular ovulation, then reproduction becomes a challenging one. Since women undergo hormonal changes during their menstruation and ovulation, the slight changes can make the whole system of reproduction into trauma.
However, certain medications can stimulate ovulation and clears the imbalanced track for enduring pregnancy. Following are the fertility medications also called, fertility drugs which can stimulate hormones – Follicle stimulating hormones and luteinizing hormone.
1. Clomiphene citrate
Doctors recommend this drug as an initial medication. This drug can trigger the pituitary gland to produce FSH (Follicle stimulating hormone) and LH (Luteinizing hormone). Through the release of these hormones, ovulation is triggered.
2. Gonadotropins
This drug is injected or given through nasal spray. It is a group of hormones that can stimulate the ovaries to produce more eggs.
3. Metformin:
If you suffer from insulin resistance due to body mass over 35, this medication is recommended. Insulin resistance is also a hindrance to ovulate. Thus, this drug aids in decreasing insulin resistance.
4. Letrozole:
If you are under PCOS, obesity, then letrozole is the best option. Like clomiphene, letrozole also works to trigger ovulation.
5. Bromocriptine:
Excess of prolactin is reduced by Bromocriptine. It is a dopamine, used to cure infertility issues caused by hyperprolactinemia.
Thus, these drugs aim to treat unexplained fertility leading to pregnancy. Since these drugs have some side effects or risk factors like multiple pregnancy, Ovarian hyperstimulation syndrome and long-term risk of tumor; you should avail these drugs with the guidance of your doctor. Now, we shall explore surgeries recommended by doctors in the passage.
Surgeries to Restore fertility
Why do doctors recommend surgeries to treat infertility? Because, surgeries can set right the issues for fertility and improve female fertility. Following are the most recommended surgeries;
Laparoscopic or hysteroscopic surgery:
This surgery is done to remove endometrial polyps and certain fibroids in the uterine cavity. This treatment is done by making a small incision on your body through which a thin viewing device is inserted to analyze your fallopian tubes, ovaries and uterus.
Tubal surgery:
This surgery is done to remove blocking tubes close to the uterus. By doing so, the chance of getting pregnant is high.
Reproductive Assistance
The most familiar techniques used in reproductive assistance are given below;
1.Intrauterine Insemination:
Is it a complex procedure? Well, a fertility treatment which is simple and non-invasion. In IUI, the motile sperms are collected from your partner or donor; these sperms are washed in the solution containing protein and antibiotics; and it undergoes dilution, centrifugation and resuspension.
Now, these clean and concentrated sperms are placed directly into the uterine cavity through the uterine cervix during ovulation. This can enhance the sperm to reach the egg and increase the chance of successful fertilization. Tip: You can undergo IUI with your spouse’s sperm or in case of unavailability, sperm from a donor is also used.
Assisted reproductive technology: What is assisted reproductive technology? It’s a complex procedure that entails collecting mature eggs from you, fertilizing them in a lab with your partner’s sperm; then putting the fertilized embryos into your uterus. IVF is an example of assisted reproductive technology (ART).
If your doctor recommends IVF treatment, initially fertility medications are given to increase your egg production. Subsequently, a small surgical incision is made to retrieve your eggs. The doctor inserts a fine needle through the vagina into the egg sac containing the eggs following the ultrasound images in the scans. After the egg is retrieved, fertilization and insemination take place.
Fertilization occurs when sperm and eggs are allowed to combine. A fertilized egg divides into an embryo, which is composed of many cells. After fertilization, about 3-5 days later the embryo is placed into your uterus, aiming for pregnancy.
Thus, these are the reproductive assistant treatments that might be suggested by your doctor.
Conclusion
Hope, you are clear with the above-mentioned medications and treatments for infertility. Though these recommendations from doctors enhance your fertility, it is also suggested to modify your lifestyle. Doctors will mainly focus on your diet, and monitor your well-being. You should have balanced and nutritious food, avoid any kind of alcohol consumption and smoking; exercise daily and avoid junk foods.
Apart from this, it is advised to follow your medication regularly. Consult with your doctor for further treatments.
Clomiphene citrate, Gonadotropins, Metformin, Letrozole, and Bromocriptine are some of the common medications recommended by doctors to improve fertility.
Apart from medications and treatments, it is suggested to modify your lifestyle. Doctors will mainly focus on your diet, and monitor your well-being. You should have balanced and nutritious food, avoid any kind of alcohol consumption and smoking; exercise daily and avoid junk foods.
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