What Type of Fertility Treatment Should I Have?
From Dr. Paul Gindoff of Chelsea Fertility NYC
The cornerstone of management in medicine is to have a firm diagnosis. Without making a diagnosis, one can easily mismatch the correct therapeutic options.
Fertility management is no different from any other field of medicine. There is a basic workup to review the female and male side of fertility testing (obviously donor gametes used for same-sex couples). The male requires a semen analysis to get started. The female requires an evaluation of the uterus (womb, where the fetus will grow to term) and the ovary/tube system.
The testing is standardized, and includes imaging of the uterus by sonogram or x-ray, whereas the ovary (although visualized by sonogram) is functionally evaluated by blood tests, referred to as ovarian reserve testing. FSH, Anti-mullerian hormone are some commonly studied blood tests known as the “day 3” exam. Doing all these tests will identify 75% of causes, whereas, 25% will have an unexplained infertility diagnosis. All the diagnoses including unexplained have treatment options that work.
Fertility problems are unique in that a diagnosis can be rendered immediately by taking a simple history without any testing. Age is a key factor and age-related infertility is a real issue, especially for women over 39 years old. Protracted infertility is also a diagnosis based on more than four years of conception delay by history. Many couples fall into these categories before any testing is even done. This means they automatically qualify for treatment, and testing would simply look for additional problems. Infertility is usually multi-factorial, which means that more than one issue or problem is active at any given time.
Putting Together a Fertility Treatment Plan
The challenge to the medical team is to put forth a comprehensive management program that includes all the identified issues, including psychosocial ones - like stress.
Basic choices would include fertility drugs, insemination of the sperm, and in-vitro fertilization (IVF). Based on the age of the female getting pregnant and the other results of the work up, the best treatment options can be triaged. Personal choice, cost as well as time management all comes into play in the patient making the final decision with the advice and support of the medical team.
At Chelsea Fertility NYC, your experienced medical team of physicians, embryologists, and nurses, are all available to help you with your decision. We pride ourselves on open access, supporting your choices on your terms, and giving you transparent real time information to help you move forward and sustain the challenges of fertility treatments. Contact Chelsea Fertility of New York City today.