With a full infertility diagnosis carried out, the doctor can undertake the right treatment to reduce as much as possible the time a couple has to wait to have offspring. Treatment of infertility can be done with hormone therapy or by using the most optimal method in a given case with assisted reproduction technologies.
Assisted treatment technologies not only involve insemination (IUI) or in vitro fertilisation (IVF, ICSI, IMSI), but also pre-implantation diagnosis and fertility preservation for the future in oncofertility programmes.
One of the causes of infertility in women is ovulation disorders or lack of ovulation (lack of ovulation turns out to be the cause of infertility in about 15-25% of couples). A typical symptom in this situation are irregular periods or even no periods at all. Treatment is aimed at inducing ovulation through the use of ovulation-inducing drugs.
Intrauterine insemination (IUI) is one of the most commonly used methods of assisted reproduction. Insemination largely resembles the natural way in which fertilisation occurs. It involves the direct introduction into the female reproductive tract of specially treated (prepared) semen at a time of natural or hormone-stimulated ovulation.
In vitro and additional procedures
In vitro fertilisation (IVF) is the most effective assisted reproductive technology treatment for infertility currently available.
This method involves the fertilisation of an egg obtained from the woman with her partner’s sperm outside the woman’s body. The resulting embryos are cultured under special conditions and transferred into the uterine cavity.
Pre-implantation genetic diagnosis (PGD NCS)
Pre-implantation genetic diagnosis is performed during the in vitro fertilisation programme and consists of studying the genetic material of cells taken from embryos.
TESE (testicular sperm extraction) is one of the methods where sperm can be extracted directly from the testicle. It is most often performed in patients who are found to have azoospermia, i.e. a lack of spermatozoa, in the primary semen analysis – the seminogram.