Nowadays, it is not uncommon for couples to remain childless. In Germany alone, one in seven couples is infertile. The main causes are
- Inflammation, malformations and tumors of the ovaries
- Malformations of the testicles & blocked vas deferens
- Hormonal disorders
- Diets and fasting cures
- incorrect diet
- medication
- drugs
- nicotine
- alcohol
Most couples are then dependent on medical help in order to fulfill their dream of having a baby after all. Hormonal treatment is often enough to get pregnant.
However, the doctor must first use infertility diagnostics to clarify whether the reason for the lack of pregnancy
- lies with the man or
- the woman or
- both
both.
Fertility treatment helps women or couples to become pregnant. Hormonal disorders are among the most common physical causes. These primarily affect the maturation process of female egg cells. In this case, the treating doctor will try to regulate the cycle with hormone therapy .
The aim is to bring about premature ovulation. For this purpose, substances such as
- clomiphene
- follicle-stimulating hormones (FSH) or
- human menopausal gonadotropin (HMG)
can be used. With successful hormone therapy , you can increase your chances of having a baby many times over. Artificial insemination may then no longer be necessary.
Your doctor will decide which fertility treatment is best for you. In addition to hormone therapy, there are other treatments that can help you get pregnant.
Insemination
Insemination is carried out by the doctor primarily if the sperm are of normal or only slightly reduced quality and quantity. In this case, the ejaculate is prepared and the sperm with good motility is introduced into the uterus at the time of ovulation or shortly before.
In IVF, egg and sperm are brought together in a test tube © Andriy Bezuglov | AdobeStock
In vitro fertilization (IVF)
In vitro fertilization consists of two treatments. In the first treatment step, the treating doctor usually carries out hormone therapy to stimulate the maturation of the egg cells.
He then retrieves the eggs, which are combined with the man's prepared sperm in the laboratory. As fertilization takes place in a test tube, it is also called "in vitro" (in glass).
If fertilization is successful, the doctor places the tiny embryos back into the uterus after a few days.
Intracytoplasmic insemination (ICSI)
Intracytoplasmic insemination is also known in the medical field as microinjection .
Reproductive biologists use this method when sperm quality is severely impaired. They insert a sperm directly into the egg under a microscope.
After successful fertilization, the embryo created by cell division is implanted in the uterus a few days later.
Cryopreservation
Cryopreservation is the storage of egg cells in liquid nitrogen.
During IVF or ICSI therapy, more fertilized eggs can be retrieved than are required for the current treatment. It is then possible to freeze these fertilized eggs.
If pregnancy does not occur or there is a renewed desire to have children, the fertilized eggs can be thawed and used.
If you are considering fertility treatment, you should meet a number of requirements. These include
- Proof of two vaccinations against rubella or a positive rubella titer
- a negative HIV and hepatitis B and C test
Treatment costs are only covered for married couples over the age of 25. For women, health insurance companies normally cover treatment up to the age of 40. For men, the maximum age is 50.
Before treatment begins, you must submit a treatment plan to the health insurance company. It must describe the need for fertility treatment. Under certain conditions, health insurance companies will cover 100 percent of the treatment.
Only the egg and sperm cells of the spouses are used for the treatment. If you have the fertilized eggs frozen, the health insurance companies will not cover the costs.
The amount of the co-payment depends on the extent of the treatment. However, more than three attempts are generally not covered. If pregnancy does not occur after the third attempt, couples may have to pay for subsequent treatments out of their own pocket.