Therapy

Therapy for involuntary childlessness focuses on the causes. During an assessment of all results and examinations, we will discuss with you and then weigh up the various therapeutic options. The assessment of these various factors then leads to recommendation and implementation of a “tailored” course of therapy.

Factors influencing the choice of therapy:

  • Medical findings
  • Duration of the period of childlessness
  • Level of the couple’s suffering
  • Age
  • Possible cost coverage by the health insurance provider

Short Overview of the Therapies Offered

Short Overview of the Therapies Offered

Depending on the wishes of the couple, the available medical findings, and other basic prerequisites (age, duration of the period of childlessness), it may be indicated to use intensive examination (hormone level testing, ultrasound) to track the natural cycle. The results can be used to determine the optimal time for conception (best time to fall pregnant). This monitoring does not need to be carried out at a special practice but should/can be carried out by a gynaecologist. Ovulation can be induced on demand through a hormone injection.

If the initial hormonal testing (if necessary, following repeated testing) has revealed a significant hormonal disorder, then this can be targeted by treatment. It is also possible for several hormonal disorders to exist at the same time and it is occasionally necessary for several types of medication to be taken at the same time.

Insemination is one of the comparatively easier types of procedures and is used in cases of low-grade impairment of male fertility or cervical canal disorders, e.g., mucus production disorders or following cervical surgery. The treatment can be administered with or without hormone treatment, depending on whether there is a disorder affecting the egg cell maturation process. The aim of the treatment is to deploy a high concentration of the processed sperm at the correct time close to the egg cell to promote fertilisation.

IVF (Test Tube Fertilisation) is typically used in women with bilateral occlusion of the Fallopian tubes. However, a moderate reduction in the man’s sperm quality, the age of the women, the level of suffering of the couple, and the failure of other treatment can also lead to the decision to carry out IVF treatment.

Everything outlined under IVF (In Vitro Fertilisation) applies to both IVF and ICSI. The ICSI process only differentiates from IVF in the way the egg cell and the sperm are brought together.

If frozen fertilised egg cells are available from previous IVF-ICSI cycles, these can be used in a later month.

If no sperm is present, then the option of using donor sperm can be considered. There are also other situations where this can be a viable option.

In blastocyst culture, the embryos are cultivated further until the 5th day of development. Thanks to blastocyst culture, pregnancy rates are improved, and high-risk multiple pregnancies are rarer.