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Overcoming Infertility, Infertility Medication or Surgery

Dealing with infertility can be by trying infertile drugs or certain medical measures according to the cause. The difficulty to get offspring is certainly not good news for a married couple. But on the other hand, is there an effective barren drug? Generally to overcome infertility, a series of medical treatments is needed. Among them through drugs, surgery, to the use of assisted reproductive technology.

Treatment Planning

It is better for you and your partner to make a plan for how far you will go through infertility treatment. For example you are willing to undergo treatment, but not until the surgery process. Even though during the process, you might change your mind but you better plan. If costs are a potential obstacle for you and your partner, discuss together how much money can be incurred. Making a plan like this can prevent cost overruns that can be exacerbated by emotional turmoil during the treatment process.

Finding the Right Place and Medical Staff

If you have fertility problems, it is very important to choose a hospital or clinic, and medical personnel who meet the requirements. Some things you need to consider include:
  • Availability of services you need.
  • What types of treatment are provided.
  • The success rate of treatment that has been done.
  • How many patients are on the waiting list.
  • Cost of treatment.
Then what will the doctor do for infertility treatment? Some of the processes that are usually carried out consist of administering drugs, surgery, artificial insemination, to assisted reproductive technology. Not infrequently these steps are a combination. The doctor will determine treatment based on:
  • Physical examination results and supporting tests.
  • How long the couple has been trying to have offspring.
  • Age of each individual.
  • Overall health condition.
  • Preferences from a partner.

Treatment Options

To determine the right infertility drug, each partner will be asked to do a fertility check. The results of the examination will then be followed up by the doctor.

    Treatment for men

    For men, possible treatments include overcoming the possibility of general sexual problems or lack of healthy sperm. Some types of treatment include:
  • Treat infections. The use of antibiotics may be able to overcome infections in the reproductive tract. The bad news, it doesn't always mean being able to restore fertility.
  • Medications and hormone therapy. If the cause of infertility is due to certain hormone levels that are too low or too high, or the body's problem in using hormones, the doctor will recommend medications or hormone replacement therapy. The doctor may also be able to give drugs to improve testicular function and improve the quality and sperm count.
  • Handling of sexual problems. Counseling or infertility drugs may be needed to increase fertility in conditions of erectile dysfunction or premature ejaculation.
  • Surgery. One condition that is often the cause of infertility is varicocele. This condition can be treated with surgery. Sperm will usually re-emerge from the testes after not being found at the time of ejaculation.
  • Treatment for women

    To restore a woman's fertility, some types of treatment may be needed, including:
  • Fertility drugs to stimulate ovulation. This type of drug is the main treatment for infertile women due to ovulation disorders. These drugs will regulate or stimulate ovulation. For example, clomifene or tamoxifen will help start ovulation or make it regular. Talk to your doctor about the right medicine, as well as the benefits and risks.
  • Surgery to improve fertility. There are several procedures that can be done. For example, hysteroscopic surgery can help overcome endometrial polyps or problems with the lining of the uterus and scar tissue in the uterus. If the problem is in the form of obstruction of the fallopian tubes (Falopi tubes are blocked), then surgery can be performed on these channels so that the egg cell moves more easily.
  • Intrauterine Insemination. Also called artificial insemination, in this process, the selection of sperm with the best quality is carried out, then placed into the uterus with assistive devices. This procedure is usually performed at the time of ovulation to increase the likelihood and previously given low levels of hormone to stimulate the egg.

Utilizing Assisted Reproductive Technology

If treatment efforts have not produced results, current technological advances can help realize the efforts of married couples who want to have children. Known as assisted reproductive technology. In this process, it involves not only involving obstetricians but also medical teams from various other fields. Techniques that can be done:
  • In Vitro Fertilization (FIV)

  • Is the most common technique done. The FIV or IVF procedure begins with stimulating the egg cells so that more than usual, then meeting with sperm cells for fertilization outside the uterus. About 3-5 days after fertilization, the embryo will be implanted back into the uterus.
  • Assembled hatching

  • This technique will help implantation of the embryo into the uterine lining by opening the outer layer that encloses the embryo.
  • Injection of sperm into the egg.

  • In this procedure, one healthy sperm is directly injected into a mature egg. Generally this procedure is performed on conditions that are too little sperm, problems with semen, or failure of fertilization attempts with the FIV procedure.
  • Donate an egg or sperm.

  • Various pros and cons arise about this, including in Indonesia. Egg or sperm donation is obtained from donors, if one of the couples has a problem with fertility. The egg donor process usually uses the FIV procedure.

Understanding the Risks of Actions and Complications

The use of drugs or hormones to stimulate ovulation that aims to increase the likelihood of pregnancy, has a risk for women. Meanwhile, complications for men are more rare. For that, ask your doctor further about:
  • The risk of ovarian hyperstimulation syndrome is due to the use of fertilizers, because the ovaries swell and cause pain. Arising with symptoms ranging from mild stomach pain, bloating and nausea, to rapid weight gain, and shortness of breath that requires emergency treatment.
  • Risk of bleeding and infection in the implementation of assisted reproduction technology procedures.
  • The risk of conceiving twins. Today, it is estimated that 30-50% of twins are born to mothers undergoing IVF. Ask about possible procedures that can minimize these possibilities. Ask for further explanation related to carrying more than one fetus, given that the pregnancy is high risk.
  • The risk of giving birth prematurely with a baby is not old enough.
The process to overcome infertility requires a variety of considerations and cooperation from various parties, in addition to you and your partner. Consult each development to doctors and medical experts who work together to get infertility drugs according to the expected results.

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