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Treatments for the main types of infertility

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Treatment for pregnancy can be done with ovulation induction, artificial insemination or in vitro fertilization, for example, according to the cause of infertility, its severity, the individual's age and the couple's goals.

Thus, in cases of infertility, the gynecologist should be consulted to indicate the best specialist who will guide the appropriate treatment.

The treatment for getting pregnant with twins should be guided by a specialist in assisted reproduction, according to the cause and severity of infertility and the risks of pregnancy for the mother, such as hypertension or gestational diabetes, for example.

Treatments for the main types of infertility

The treatments for getting pregnant depend on what is causing the infertility. The possibilities are:

1. Polycystic ovaries

The treatment for getting pregnant in case of polycystic ovaries consists of inducing ovulation by injecting hormones or taking drugs to stimulate ovulation, such as Clomiphene, which is commercially known as Clomid and, if necessary, IVF, where the embryos, which are fertilized in the laboratory, are implanted in the woman's uterus.

Polycystic ovary syndrome is characterized by the presence of cysts in the ovaries due to the high concentration of testosterone in the blood, making it difficult to become pregnant.

2. Endometriosis

Treatment to get pregnant in case of endometriosis can be done with surgery or, in more severe cases, with in vitro fertilization.

Endometriosis consists of the growth of tissue in the endometrium outside the uterus, such as in the ovaries or tubes, for example, which can hinder the process of becoming pregnant or cause infertility. Thus, in most cases, surgery to remove tissue from the endometrium makes pregnancy possible, however, when this is not possible, the couple can resort to in vitro fertilization.

3. Thin endometrium

The ideal thickness of the endometrium to allow implantation of the embryo in the uterus must be at least 8 mm, but the larger the better. Therefore, when the endometrium is less than 8 mm during the fertile period, the doctor may recommend the use of drugs that increase the thickness of the endometrium, such as Viagra or Trental, for example. Check other options at: How to treat the thin endometrium to get pregnant.

4. Ovulation problems

The treatment to get pregnant in case of problems in ovulation that prevent the release of the egg and, thus, hinder the process of becoming pregnant, can be done with the induction of ovulation and in vitro fertilization.

The woman must first induce ovulation through the injection of hormones or the intake of drugs that stimulate ovulation, such as Clomid, and if she still does not get pregnant, resort to in vitro fertilization.

5. Not producing eggs or producing low quality eggs

The treatment to get pregnant when the woman does not produce eggs or produces them in low quality consists of in vitro fertilization, but with the implantation of eggs from a donor. In this case, the sperm from the woman's partner is collected and fertilization is done with the donated eggs, so that the embryo can then be implanted in the woman's uterus.

6. Obstruction of tubes

The treatment to get pregnant in case of obstruction of the tubes, which can be caused by pelvic inflammatory disease, some sexually transmitted diseases such as chlamydia or previous sterilization, for example, can be done with laparoscopic surgery and, if the surgery does not work, in vitro fertilization.

When the tubes are blocked or damaged, the egg is prevented from reaching the uterus and, consequently, sperm from reaching the egg, making pregnancy difficult. Therefore, in most cases, this problem is solved only with surgery to unblock the tubes.

7. Sperm problems

The treatment to get pregnant in case of problems with sperm, such as when the individual does not produce or produces sperm in small quantities, they have an abnormal shape or little mobility, for example, can be done with drugs to increase sperm production, artificial insemination or in vitro fertilization with intracytoplasmic sperm injection.

Artificial insemination consists of collecting semen and preparing sperm in the laboratory to be injected into the woman's uterus during ovulation. In case the individual does not produce sperm, the sperm must be from a donor.

In vitro fertilization with intracytoplasmic sperm injection can also be an option in cases of low sperm production because it consists of injecting only one sperm directly into the egg in the laboratory.

8. Semen allergy

The treatment to get pregnant in case of allergy to semen consists of taking injections of a vaccine made with the partner's sperm, so that the woman is no longer allergic to semen. When this treatment does not work, the couple can resort to artificial insemination or in vitro fertilization.

Although semen allergy is not considered a cause of infertility, it causes difficulty in getting pregnant, as the body produces white blood cells that prevent the sperm from reaching the egg.

Where to get pregnant

These treatments to get pregnant can be done in private clinics or free of charge by SUS, such as at the Hospital Pérola Byington, in São Paulo, the Hospital of the Federal University of São Paulo, the Hospital das Clínicas of the Medical School of the University of São Paulo, the Hospital das Clínicas of Ribeirão Preto, the Hospital Regional Asa Sul of Brasília or the Institute of Integral Medicine Professor Fernando Figueira in Brasília.

See other treatments for getting pregnant at:

Treatments for the main types of infertility