Fertility Treatments at a Glance

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There are many fertility treatments available in the world today. Below are the most popular ones at a glance.

FERTILITY DRUGS
Fertility drugs regulate reproductive hormones leading the release of one or more of your eggs per ovulation cycle. Typically they are used for three to six months before conceiving or moving on to try a different method. Two common fertility drugs are clomiphene and gonadotropins.

Possible Side Effects:
Clomiphene: headaches, hot flashes, bloating, cramping, vaginal dryness, and visual symptoms.
Gonadotropins: Bloating, Rashes and Soreness.
Both: Development of Ovarian Hyperstimulation Syndrome (OHSS) and increased risk of having multiples.

Costs:
– Clomiphene: comes in pill form, about $50 a month in the US (does not include doctor visits, ultrasounds and other necessary tests).
– Gonadotropins: comes in injections, $2,000 – $5,000 per month in the U.S.
Rate of Success (Conception):
– 20%-60%

FALLOPIAN TUBES, UTERINE, & OVARIAN SURGERY
Surgery is done to repair any defects or blocked fallopian tubes, remove endometriosis, ovarian cysts or fibroids. These procedures are typically done laparoscopically.

Possible Side Effects:
– Soreness in the abdominal area and some general discomfort from the anesthesia.
Costs:
– In the US it can range from $3,000 to $10,000.
Rate of Success (Conception):
– 40% to 60% for women treated for Endometriosis and scar tissue.
– 10% to 90% for women who have had their tubes cleared.

ARTIFICIAL INSEMINATION
This procedure involves using a catheter to inject a concentrated dose of donated sperm into the uterus of the woman.

Possible Side Effects:
– Cramping for a day or two.
– Sometimes done with the concurrent use of fertility drugs which can cause Ovarian Hyperstimulation Syndrome (OHSS) and increases the risk of having multiples.
Costs:
– In the US it can range from $300 to $700 (plus the costs of the fertility drugs).
Rate of Success (Conception):
– 5% to 25%

IN VITRO FERTILIZATION (IVF)
With vitro fertilization (IVF), eggs are harvested from the ovaries and fertilized with sperm in a laboratory. The resulting embryos are then placed in the woman’s uterus.

Possible Side Effects:
– Cramping for a day or two.
– Sometimes done with the concurrent use of fertility drugs which can cause Ovarian Hyperstimulation Syndrome (OHSS) and increases the risk of having multiples.
Costs:
– In the US it can range from $8,000 to $15,000 (plus the costs of the fertility drugs).
Rate of Success (Conception):
– 28% to 35%

GAMETE INTRAFALLOPIAN TRANSFER (GIFT)
With the gamete intrafallopian transfer (GIFT) procedure, eggs are mixed with sperm in a lab, and then the mixture is injected into the fallopian tubes allowing for fertilization to occur naturally inside the body.

Possible Side Effects:
– Longer recovery time than IVF.
– Some general discomfort from the anesthesia.
– Sometimes done with the concurrent use of fertility drugs which can cause Ovarian Hyperstimulation Syndrome (OHSS) and increases the risk of having multiples.
Costs:
– In the US it can range from $8,000 to $15,000 (plus the costs of the fertility drugs).
Rate of Success (Conception):
– 25% to 30%

ZYGOTE INTRAFALLOPIAN TRANSFER (ZIFT)
Like the GIFT procedure, the eggs and sperm are mixed in a lab, but with the zygote intrafallopian transfer (ZIFT), confirmation that the eggs are fertilized is done before surgically placing them in the fallopian tubes.

Possible Side Effects:
– Similar to GIFT but with a longer lab time.
– Some general discomfort from the anesthesia.
– Sometimes done with the concurrent use of fertility drugs which can cause Ovarian Hyperstimulation Syndrome (OHSS) and increases the risk of having multiples.
Costs:
– In the US it can range from $8,000 to $15,000 (plus the costs of the fertility drugs).
Rate of Success (Conception):
– 25% to 30%

INTRACYTOPLASMIC SPERM INJECTION (ICSI)
The intracytoplasmic sperm injection (ICSI) procedure, injects a single sperm into a single egg and then the resulting embryo is placed in the uterus.

Possible Side Effects:
– Sperm may need to be harvested from the donor’s testicle with a needle or surgical biopsy.
Costs:
– In the US it can range from $10,000 to $17,000.
Rate of Success (Conception):
– About 35%

DONOR EGGS & EMBRYOS
Using the IVF procedure, a donated egg (or embryo) is mixed with your donor’s sperm and then implanted in the uterus.

Possible Side Effects:
– The time it takes to choose an egg (or embryo) donor.
– Emotions related to the fact that the baby has no genetic ties to the mother.
Costs:
– In the US it can range from $10,000 to $20,000.
Rate of Success (Conception):
– About 43%

SURROGATE MOTHERS (GESTATIONAL CARRIERS)
Surrogate Mothers (Gestational Carriers) are women who carry an embryo (or donor embryo) to term and then legally relinquish any and all parental rights.

Possible Side Effects:
– Emotions related to not having control over the surrogate mother.
– Fear that the surrogate mother may not fully relinquish parental rights.
Costs:
– In the US it can range from $15,000 to $50,000 (with about $10,000 going to the surrogate mother and additional large amounts going to legal fees).

Rate of Success (Conception):
– Depends on the procedure used and the surrogate mother.

Staff @ MexicaliMedicalGuide
April 10, 2013

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