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Finding Hope For Childless Couples: Understanding Options For Fertility Treatment

Finding Hope For Childless Couples: Understanding Options For Fertility Treatment

Babies and children are everywhere. And while it is, of course, a massively happy event when friends or family members happily announce they are about to start or grow their family, the painful truth is that pregnancy is not as easily achievable for every couple who wants a family. And many couples can find themselves in a difficult and upsetting situation where they may have to find that having a family will not be possible for them at all.

Today however, the situation is not as bleak as it was some years ago. Now couples facing a struggle to start a family either medically or biologically have options available to them. Remaining childless or having an incomplete family does not always have to be the only option anymore.

This article will take away the mystery and confusion about fertility treatment and help you have the family you’ve always dreamed of having. Each option is different and a clinician will ultimately be the best person to help you select the right path to take. However, it may help you to understand a little more about the options beforehand and what is involved with each.

In vitro fertilization (IVF)

IVF is a process proven by considerable amount of time. It has been almost forty years since the birth of the first baby, Louise Brown in 1978, in a process created by Nobel Prize winner Robert G. Edwards. Often known as “test tube babies”, there are well over five million children born by this process.

The IVF process involves eggs being extracted from the donor and fertilized in the lab with the partner’s sperm before being implanted in the uterus.

Before the process, your doctor will monitor your ovaries and the timing of the egg release, ensuring that your ovaries are producing eggs, and that your hormone levels are normal. It is normal to take fertility drugs during IVF. These are used to stimulate the ovaries into producing eggs, which is crucial to the process because having more than one egg available will increase the chances of becoming pregnant. In the case that the woman cannot produce eggs, it is possible to use a donor to supply eggs to make IVF possible.

The process may cause some discomfort, but generally no pain is felt and the process can be completed quickly. Typically, it will take between four to six weeks to complete a single IVF cycle and it may take two or three attempts before pregnancy occurs. However, after this, it is a normal pregnancy.

Fertility treatment - IVF

    Pros and Cons of IVF

    As with any fertility treatment, there is not a 100% guarantee of success. The success rate is dependent upon age with younger women being more likely to have a successful pregnancy via IVF. The chart below displays the success rate of IVF procedures in women by age.

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    Fertility Treatment - IVF Success Rates
      IVF Success Rates

      As you can see from the graph, the success rate drops off at higher ages. However, IVF can still be an option for older women to become pregnant.

      One of the potential advantages of IVF is it allows screening of donors not only for genetic conditions, but also for the selection of characteristics, including ethnicity and physical attributes.

      The average cost of IVF is $12,000 to $30,000 per cycle and in most cases, up to three cycles are required for a successful pregnancy.

      Fertility drugs

      Women with infertility issues may be suitable to use fertility drugs, which work by causing your body to release reproductive hormones that control the ovulation process. Fertility drugs can be effective with a success rate of about 40–50% in women who ovulate, helping them get pregnant typically within three cycles. They are often used as a first option for women who have fertility issues.

      Fertility Treatment - Drugs

        Fertility drugs should be avoided if the recipient has damaged Fallopian tubes or endometriosis.

        A course of treatment can cost between $10 – $100 per month for pills, or up to $6,000 per month for a course of injections. Generally, it will take between three to six months before either conception occurs or another treatment should be considered.

        Fertility drugs can cause more than one egg to develop in a process called multiple gestation. This can affect 1 in 3 women who are taking the treatment.

        Surgery

        Surgery may be used in cases when there are blocked Fallopian tubes, to remove endometriosis tissue, to treat PCOS, or for other anatomical abnormalities. It can also increase the chances of becoming pregnant using natural conception.

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        The success of any surgical procedure depends on the damage to the Fallopian tubes. There is an estimate that between 21–59% of women who undergo Fallopian tube surgery and 40% who undergo laparoscopic surgery do conceive. In addition to the usual risks associated with surgery, there is a small risk of an ectopic pregnancy, where the fertilized egg implants outside of the womb.

        The cost for surgical procedures varies depending on the surgery required and can be between $2,000 and $10,000.

        Fertility Treatment - Surgery

          Artificial Insemination

          This is a process where sperm is deposited directly into the uterus using a thin catheter in a process called intrauterine insemination (IUI). Artificial insemination is especially used when the couple are unable to have vaginal sex, perhaps due to disability or for same-sex couples.

          For a woman to undergo successful artificial insemination, her Fallopian tubes, which connect the ovaries to the womb, must be open and healthy because this is where the sperm will fertilize the egg and how the embryo moves down into the womb. The Fallopian tubes can be checked using a laparoscopy where a fiber optic camera is inserted through a small cut in the stomach. Alternatively, an X-ray or an ultrasound may be used.

          The success rate for artificial insemination depends on age. There is usually a 10% to 20% chance of conception per cycle. However, this increases to 60-70% with six cycles of treatment. The average cost is $865 per cycle.

          Doctors may recommend fertility drugs in addition to the procedure to ensure a safe pregnancy. As with other fertility treatments, artificial insemination can increase the chance of multiple births.

          Intrafallopian Transfers

          There are two main types of intrafallopian transfers:

          • Gamete intrafallopian transfer (GIFT): the egg and sperm are placed in the Fallopian tubes to allow fertilization to occur naturally.
          • Zygote intrafallopian transfer (ZIFT): multiple eggs are collected from the ovaries and mixed with sperm. During ZIFT, fertilization occurs in a lab and the zygotes (fertilized eggs) are inserted in the Fallopian tubes rather than the uterus, which is the main difference between ZIFT and IVF.

          Intrafallopian transfers can be used in cases when the woman’s Fallopian tubes aren’t blocked or damaged and the man has a low sperm count, or there are problems with the sperm in general. It is also used where there the couple object to IVF, for example, for religious reasons or where previous attempts at IVF have failed to result in pregnancy.

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          It will typically take 4 to 6 weeks to complete one cycle at a cost of between $15,000 and $25,000 per cycle. Again the success rate varies with age, but generally it is around 22%. The process is considered more invasive than IVF as it does require use of a laparoscope inserted through a small cut in the stomach.

          Surrogacy

          Surrogacy is when another woman carries and gives birth to a baby for a couple who otherwise could not have a child. The surrogate becomes pregnant either via IVF using the intended parents’ embryo, or through artificial insemination using either the father’s sperm or a donor’s sperm.

          Surrogacy has one of the highest success rates when there is a healthy egg, sperm, and surrogate. However, it can take about one and a half years to complete the process of matching, IVF, and pregnancy. The cost of the process varies between $130,000 and $200,000.

          The surrogacy process allows for extensive screening where you can select a surrogate that will provide the best match and be the best surrogate to carry your baby.

          In addition to surrogacy being suitable for couples who are unable to safely carry a pregnancy to full term, it can also allow gay couples to have children. In the US, there are specific LGBT surrogacy agencies who can provide advice and assistance through the process.

          How to approach fertility treatment as a couple

          Of course, fertility treatment is more than just a surgical procedure or arrangement for surrogacy. It is vital that the emotions involved with any form of treatment be considered and that the emotional stress not be overlooked for couples involved.

          Amanda and her husband had been trying to conceive for over a year before they were referred for treatment. They found her husband had a low sperm count and so IVF was suggested as a way to have the family they so desired.

          “Finding out was awful and came close to breaking us apart. I could not envision going through the ordeal of treatments and Tony just felt like a failure.” However, Amanda found the medical staff were able to provide the support they needed. “The medical people were very good at telling me all the stages and everything involved. I also found online communities to find out more details.”

          After the initial trepidation, they went ahead with the procedure and she found that approaching it together helped and built a stronger relationship between them. “We got through it and thankfully, we were lucky by having our daughter with our first treatment. We became a great team.”

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          Of course, not everyone can be as lucky as Amanda and Tony were with being successful in the first cycle. It was a truth she learned herself as they tried for a sibling and had two failed cycles. “We hit the rocks again as we both felt like failures. It was pretty tough,” she recalled. Thankfully, their next cycle was a success and they have two beautiful children to show for it.

          Amanda has the following advice for couples facing fertility treatment: “Get as much advice as possible. You need to remember to never play the blame game. It’s no one’s fault you’re going through treatment. It’s no one’s fault if your treatment does not work first time. Remaining positive is the only way to get through it.”

          Preparing for fertility treatment

          Your doctor or specialist can help you find the best fertility treatment for you. However, there are things you can do before you attend your first meeting to ensure they have the clearest information to help you.

          • Keep a detailed chart noting when your periods start and finish. You can use a spreadsheet or one of the many apps to help you record information.
          • Record if/when you are ovulating.
          • If you experience any pain or PMT.
          • Note how often you are having sex with your partner and when this takes place in your cycle. This will give your gynecologist vital clues to your whole cycle, which will help in the choice of the fertility treatment that will be best suited for you.

          Other things you can do to help your fertility include reviewing your diet to give you the best chance of conceiving. Look closely at your alcohol intake and give up smoking, strive to eat healthily with lots of fruit and vegetables, and, if either of you are overweight, see if you can lose a little. Even a 10% weight loss can greatly improve chances of successful conception. Think about possibly going to the gym together. It is a great way to spend time together and it will build up your stamina for when you do have children!

          Children for LGBT couples

          Only in recent years has the option been available for lesbian, gay, bisexual, and transgender people to raise their own biological children. Scientific research conducted by organizations like the American, Australian and Canadian Psychological Associations consistently show that gay and lesbian parents are as fit and capable as heterosexual parents to raise children and that their children are as psychologically healthy and well-adjusted as those reared by heterosexual parents.

          There is the option of adoption and fostering, as well as surrogacy and IVF for couples.

          The United States supports commercial surrogacy for same-sex couples and in the states where it is supported, there is support for surrogacy contracts and automatically naming the couple as the legal parents of the unborn child.

          In conclusion

          Just because you are struggling to conceive does not mean that you will never have a family of your own one day. As you can see, there are numerous tried and tested options available. Take the time to speak to your specialist.

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          Published on January 30, 2019

          How to Support a Working Mother as a Working Father

          How to Support a Working Mother as a Working Father

          In roughly 60 percent of two-parent households with children under the age of 18, both parents work full time. But who takes time off work when the kids are sick in your house? And if you are a manager, how do you react when a man says he needs time to take his baby to the pediatrician?

          The sad truth is, the default in many companies and families is to value the man’s work over the woman’s—even when there is no significant difference in their professional obligations or compensation. This translates into stereotypes in the workplace that women are the primary caregivers, which can negatively impact women’s success on the job and their upward mobility.

          According to a Pew Research Center analysis of long-term time-use data (1965–2011), fathers in dual-income couples devote significantly less time than mothers do to child care.[1] Dads are doing more than twice as much housework as they used to (from an average of about four hours per week to about 10 hours), but there is still a significant imbalance.

          This is not just an issue between spouses; it’s a workplace culture issue. In many offices, it is still taboo for dads to openly express that they have family obligations that need their attention. In contrast, the assumption that moms will be on the front lines of any family crisis is one that runs deep.

          Consider an example from my company. A few years back, one of our team members joined us for an off-site meeting soon after returning from maternity leave. Not even two hours into her trip, her husband called to say that the baby had been crying nonstop. While there was little our colleague could practically do to help with the situation, this call was clearly unsettling, and the result was that her attention was divided for the rest of an important business dinner.

          This was her first night away since the baby’s birth, and I know that her spouse had already been on several business trips before this event. Yet, I doubt she called him during his conferences to ask child-care questions. Like so many moms everywhere, she was expected to figure things out on her own.

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          The numbers show that this story is far from the exception. In another Pew survey, 47 percent of dual-income parents agreed that the moms take on more of the work when a child gets sick.[2] In addition, 39 percent of working mothers said they had taken a significant amount of time off from work to care for their child compared to just 24 percent of working fathers. Mothers are also more likely than fathers (27 percent to 10 percent) to say they had quit their job at some point for family reasons.

          Before any amazing stay-at-home-dads post an angry rebuttal comment, I want to be very clear that I am not judging how families choose to divide and conquer their personal and professional responsibilities; that’s 100 percent their prerogative. Rather, I am taking aim at the culture of inequity that persists even when spouses have similar or identical professional responsibilities. This is an important issue for all of us because we are leaving untapped business and human potential on the table.

          What’s more, I think my fellow men can do a lot about this. For those out there who still privately think that being a good dad just means helping out mom, it’s time to man up. Stop expecting working partners—who have similar professional responsibilities—to bear the majority of the child-care responsibilities as well.

          Consider these ways to support your working spouse:

          1. Have higher expectations for yourself as a father; you are a parent, not a babysitter.

          Know who your pediatrician is and how to reach him or her. Have a back-up plan for transportation and emergency coverage.

          Don’t simply expect your partner to manage all these invisible tasks on her own. Parenting takes effort and preparation for the unexpected.

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          As in other areas of life, the way to build confidence is to learn by doing. Moms aren’t born knowing how to do this stuff any more than dads are.

          2. Treat your partner the way you’d want to be treated.

          I can’t tell you the number of times I’ve heard a man on a business trip say to his wife on a call something to the effect of, “I am in the middle of a meeting. What do you want me to do about it?”

          However, when the tables are turned, men often make that same call at the first sign of trouble.

          Distractions like this make it difficult to focus and engage with work, which perpetuates the stereotype that working moms aren’t sufficiently committed.

          When you’re in charge of the kids, do what she would do: Figure it out.

          3. When you need to take care of your kids, don’t make an excuse that revolves around your partner’s availability.

          This implies that the children are her first priority and your second.

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          I admit I have been guilty in the past of telling clients, “I have the kids today because my wife had something she could not move.” What I should have said was, “I’m taking care of my kids today.”

          Why is it so hard for men to admit they have personal responsibilities? Remember that you are setting an example for your sons and daughters, and do the right thing.

          4. As a manager, be supportive of both your male and female colleagues when unexpected situations arise at home.

          No one likes or wants disruptions, but life happens, and everyone will face a day when the troubling phone call comes from his sitter, her school nurse, or even elderly parents.

          Accommodating personal needs is not a sign of weakness as a leader. Employees will be more likely to do great work if they know that you care about their personal obligations and family—and show them that you care about your own.

          5. Don’t keep score or track time.

          At home, it’s juvenile to get into debates about who last changed a diaper or did the dishes; everyone needs to contribute, but the big picture is what matters. Is everyone healthy and getting enough sleep? Are you enjoying each other’s company?

          In business, too, avoid the trap of punching a clock. The focus should be on outcomes and performance rather than effort and inputs. That’s the way to maintain momentum toward overall goals.

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          The Bottom Line

          To be clear, I recognize that a great many working dads are doing a terrific job both on the home front and in their professional lives. My concern is that these standouts often aren’t visible to their colleagues; they intentionally or inadvertently let their work as parents fly under the radar. Dads need to be open and honest about family responsibilities to change perceptions in the workplace.

          The question “How do you balance it all?” should not be something that’s just asked of women. Frankly, no one can answer that question. Juggling a career and parental responsibilities is tough. At times, really tough.

          But it’s something that more parents should be doing together, as a team. This can be a real bonus for the couple relationship as well, because nothing gets in the way of good partnership faster than feelings of inequity.

          On the plus side, I can tell you that parenting skills really do get better with practice—and that’s great for people of both sexes. I think our cultural expectations that women are the “nurturers” and men are the “providers” needs to evolve. Expanding these definitions will open the doors to richer contributions from everyone, because women can and should be both—and so should men.

          Featured photo credit: NeONBRAND via unsplash.com

          Reference

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