Female infertility and ways to treat it
Sanjana and Kiran were a couple who visited the Surya Fertility Centre for the first time in October 2014. They have been married for three years and it was a case of primary infertility. Sanjana faced irregular menstrual cycles. A diagnosis using pelvis ultrasound discovered that her ovarian reserve which is required for generating ovum was less. Doctors suggested some hormonal tests based on the patient's age to detect the required ovarian reserve and other treatment options.
The hormonal blood tests conducted also supported the results of pelvis ultrasound. Kiran's sperm count was normal. The patient was already administered injections to stimulate ovulation and one cycle of Intra Uterine Insemination (IUI).
What is ovarian reserve?
The primordial follicles inside uterus that develop into ovum is known as ovarian reserve.It is an indicator of female fertility . It is one of the reasons causing infertility in women. Vitro Fertilization (IVF) and Intra Cytoplasmic Injection (ICSI) treatments are considered effective to treat infertility
However, this depends on the quality of oocyte and embryo. If the quality is not as expected, then donor eggs could be used in the treatment.
What is the best treatment?
The patient was advised about low ovarian reserve resulting in lack of proper ovulation and its effect on natural pregnancy followed by coun selling on IVF-ICSI techniques. The pa tient was also informed about the advantages of donor oocytes than using one's own due to better success rates. The couple however preferred to use oocytes from one's own rather than donor eggs and the IVFICSI treatments were done accordingly .
Medication was administered six weeks before IVF to boost the ovarian reserve. Treatment was started subsequently . On the third day , out of two oocytes, only one was fertilized successfully. After transferring the embryo, a hormonal support was provided for 15 days. A pregnancy test conduct ed 15 days later proved to be posi tive. Patients with low ovarian reserve can benefit from assisted reproductive tech nology , and usage of mini mal stimulation IVF and natural cycle IVF proto col will help such pa tients. But, they should realise that they may sometimes require multi ple cycles in order to achieve pregnancy.
Donor egg oocytes can be considered as a last option when all other efforts fail.