Infertility; is IVF really necessary?
Infertility; is IVF really necessary?
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Infertility is a relatively common problem which usually has a
marked impact on a couples life and their relationship, not
only with each other, but with family, friends, neighbours and
colleagues.
It is estimated that one in seven couples have difficulty in
conceiving. This figure is calculated from those who seek medical
help; the true figure is therefore probably higher and is
increasing. A woman only has a few fertile days in each cycle
and in a "normal relationship" it may take several months, to
achieve a pregnancy. Infertility is often a label and stigma,
rather than a diagnosis which should be made with caution.
For most couples the thought of infertility treatment means one
thing, IVF (in-vitro fertilisation). Twenty years ago IVF was
considered a last resort, a potential miracle for those who
otherwise would have no hope of conceiving a baby. Today the
pendulum has swung too far in the opposite direction and
infertility treatment has become synonymous with IVF.
In fact for most patients IVF should not be the first treatment
of choice.
The average success rate for IVF treatment in the UK is 19.5%. In
other words 80% of all IVF treatments fail to produce a baby.
When being offered medical treatment most people are optimistic,
feeling it will work for them, unfortunately with IVF the odds
are against this. Failure is not just a treatment that didnt
succeed, for the patient it may be devastating, perceived more
like a miscarriage or loss of a child.
Apart from the expense and operative procedures, there are also a
number of potential problems and health risks associated with IVF
for both mother and baby.
For a small group there is currently no alternative to IVF but
for most there are options. In approximately one third of
infertile couples the cause is designated as - unexplained, i.e.
a standard bank of medical tests does not reveal a factor. When
these are examined more carefully, with regard to diet,
lifestyle, medications, herbal and nutritional supplements,
occupational toxins, allied medical and physiological
conditions, many can be both explained and treated. And there
are other forms of treatment.
Dr. Michael Collins is a specialist in medical gynaecology and
infertility. Graduating in England, he has worked in the UK and
North America, his particular interest being in non-surgical
gynaecology. He has written numerous articles on womens health
as well as lecturing to both lay and professional audiences.
For further information email: Dr.Collins@obsgyn.co.uk