Many couples ask “what are the treatments that we can use to try to get pregnant?” The answer is simple: the ones that work for you! This is not a glib answer either. Many times couples reach the RE&I physician after being “treated” for infertility by non-fertility experts. The likely reasons for the failure of these treatments is the lack of personalization necessary to provide optimized treatments. Testing before treatments is the critical first step in the journey to a healthy baby!
Infertility Management Options
Options for fertility management are based on time, money, desire, need, family view, and your personal values/ethics.
1. Test first
One test, the HSG, is noted to have an almost 15% effectiveness rate for pregnancy. Folks get pregnant after HSG.
2. Lifestyle changes
A healthy body is a fertile body!
- Alcohol, tobacco and street drugs (legal or not) impact fertility, so just say NO!
- Vitamins such as Vitamin D3, antioxidants, Myoinositol, DHEA, omega 3 fatty acids (and more) have demonstrable impact on pregnancy rates.
- Reducing carbohydrates, going on the Keto/Paleo diet, and/or increasing consumption of non-packaged foods can and do help the body prepare for pregnancy.
- Reducing excess body fat with low carb diets, and moving more, can and do positively impact pregnancy rates and ovulation rates.
- A diet can help a patient with PCOS start ovulating and therefore get pregnant, so food can be medicine
Dr. Magarelli and Dr. Cridennda created the CMAP protocol used in the treatment of infertility with IVF and TCM (Traditional Chinese Medicine) and have proven acupuncture helps modulate the stress hormones cortisol and prolactin. Acupuncture also has reduced miscarriage rates and ectopic rates when used in combination…this too is a treatment.
3. Ovulation Induction (Clomid, Letrozole, Injectable medication)
This is a method to help a woman ovulate and make available eggs for intercourse to function.
- Please insist on getting ultrasounds during the cycle and use a trigger shot (HCG) to ensure ovulation occurs. Also, demand a Progesterone level approximate on day 21 of your cycle to ensure that you actually ovulated–it may show that you need more progesterone to keep you pregnant.
- The OI can be done with timed intercourse or IUI (see below).
4. Intrauterine Insemination (putting sperm inside the uterus)
This can help couples where there is a male factor succeed. Over 50% of all infertility couples have a male factor contributing to their infertility. This is usually and should be combined with OI (see above).
5. In Vitro Fertilization (IVF)
IVF is the process of fertilizing eggs outside the body. There are many options for this.
6. IVF with Chromosomal Testing of the embryos is a method of taking a few placenta cells from the embryo and sending the cell for genetic testing to pre-determine which embryos are “normal” or not.