Treatment possibilities

Behandlung bei ungewollter Kinderlosigkeit in Berlin in der Praxis für Kinderwunschtherapie

Hormonal treatment in promoting ovulation

With five day treatment using hormone medicine or hormonal injections, the growth of the eggs will be supported. A final injection of HCG will lead to ovulation. This treatment allows us to control the ovarian cycle, as a means to determine the optimal time for fertilisation. The development of the corpus luteum is also promoted by the hormonal treatment.

Insemination

After productive hormonal treatment has ensured the growth of 1-3 eggs , sperm is implanted into the uterus by means of a catheter. This increases the chance of pregnancy if there are slight to moderate problems with sperm count or viability.

IVF - In-vitro-Fertilisation

Behandlung bei Kinderwunsch mit IVFIVF will be performed in the case of one of the following; oviducts are closed or dysfunctional, if endometriosis has occurred, or if there are idiopathic problems associated with obtaining pregnancy.

During IVF, fertilisation takes place outside the body. Sperm and egg are brought into contact in vitro. Before this, hormonal treatment takes place to allow growth of sufficient amount of eggs. If enough egg cells are grown, they are collected by a small needle inserted into the vagina under the control of sonography. It is common that patients are put under general anesthesia.

The collected eggs will be combined with good, viable sperm cells, and cultivated in proper incubation conditions. It will be known if fertilisation has taken place on the following day. At this point, the couple must decide how many embryos will be implanted in the female (to a maximum of three). The other egg cells can be stored cryogenically. It will take one to two days for the embryo(s) to develop before implantation into the uterus.

The entire procedure is painless.

To ensure proper implantation into the uterus, a hormone that promotes corpus luteum development is administered. Two weeks following implantation, a pregnancy test will be performed. The chance of a successful pregnancy depends on many factors, and the average is 28% for each trial.

ICSI - Intra Cytoplasmatic Sperm Injection

Behandlung bei Kinderwunsch mit ICSIThis method is used if the sperm is the reason for unsuccessful fertilisation, or, if IVF was unsuccessful.

Using a special microscope, aviable sperm cell is directly injected into the egg cell. The method in which egg cells are developed and obtained are the same for those in IVF.

MESA - Microchirurgical Epididymal Sperm Aspiration

If the male infertility problem is associated with dysfunction in the vas deferens, sperm cells can be taken directly from the epididymus and used for the ICSI procedure.

TESE - Testicular Sperm Extraction

If the is no sperm in the ejaculate, we can examine tissue from the testis as a means to
determine if there are still viable sperm available.

After examination, this tissue can be frozen, and later used for the ICSI procedure. The success rate of TESE is about 20% for each trial.

Cryotransfer

Additional egg cells can be cryogenically frozen and used for the following ovarian cycle. About 50% of eggs survive this process of freezing and defreezing. After hormonal treatment, viable eggs can be implanted into the uterus.

The probability of achieving pregnancy has been shown to be about 18 % per ovarian cycle. However, the cryogenic storage of egg cells is not covered by insurance.

Laser assisted hatching

The developing embryo is covered by a thin membrane. During the process of Laser Assisted Hatching this membrane is made thinner. This allows a more proficient release of the embryo from this membrane, facilitating better uptake of the embryo by the uterus.

This method of treatment is usually performed on women over the age of 37, when there is use of cryogenically stored eggs, or after unsuccessful attempt(s) of IVF/ICSI. This treatment is also not covered by insurance.