After 38, the probability of natural conception as well as conception via an IVF cycle starts to decrease significantly with each passing year. This is why IVF is usually heavily advocated in case of older patients so that not to waste precious time.
- The duration of infertility
The failure to conceive for more than 2 years after you have undergone a complete examination and have been given no reason for the non-occurrence of pregnancy is also an argument in favor of IVF. Insemination and controlled ovulation induction do not pay off in case of such patients.
- Failed inseminations and ovulation inductions
Even if we have decided that it is not time for you yet to think about IVF and have suggested your trying to get pregnant without ART, if you have failed to do so in the course of 2-3-4 cycles, we will also have to consider switching to IVF. One-two years of inseminations and stimulations will not bring you any closer to the goal; instead, we will just lose time, money and nervous energy. Those who this treatment method is good for will get pregnant in the first three cycles. If you are not them, we will find another way!
- Reconstructive surgery on the fallopian tubes, especially if repeatedly performed
If the surgeon had already had to restore the permeability of the fallopian tubes at least once and if after this manipulation you did not get pregnant within 6-12 months, there is no sense in waiting for the miracle, let alone in repeating the surgery. Fallopian tubes are nothing like water pipes, and their permeability is not the principle quality. A fallopian tube must have a live epithelium as well as a normal motility that helps a sperm cell reach the egg cell in the infundibulum of the uterine tube, whereafter the fertilized oocyte sets off back towards the uterus. Understanding whether a tube is capable of handling such a difficult task is impossible. Hence, we should act on a matter-of-fact basis:
Is the tube permeable? YES
Is conception unsuccessful? YES
Is the sperm fertile? — YES
Do you have ovulation? — YES
Hence, there is something wrong with the tube.
Hence, it is time you stopped worrying what is actually wrong with it.
Hence, IVF is our choice.
We did our best creating this section. We really want it to help you find the right as well as the shortest way to your child! The most frequent mistake is the initially wrong choice of infertility treatment. IVF is a tough treatment method and a serious test for a couple, but at the same time, it is the most effective type of therapy! Hence we have what (and who) to fight for!