Advertising
Advertising

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.

    Advertising

    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.

        Advertising

        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.

          Advertising

          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.”

          Advertising

          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.

          More by this author

          Time for an alcohol detox Cut down on drinking! Time for a post-holiday detox 5 Types of Horrible Bosses and How to Beat Them All Understanding Millennials – Who is Generation Y? Holistic Rehab - Despair and Addiction Holistic Rehab – Choices in dealing with addiction rehab without insurance How to Get Into Rehab if You Don’t Have Insurance

          Trending in Fatherhood

          1 5 Ways to Ease Back to Work Without Nanny Anxiety 2 Paternity: 7 ways of Establishing Who Fathered Your Child 3 When Should Your Teenager Start Dating? 4 His Dad Never Spoke His Mind. He Broke Down Once He Knew Why. 5 Dad Shows His Love To Daughter In A Heartbreaking Manner

          Read Next

          Advertising
          Advertising
          Advertising

          Published on April 3, 2020

          How to Strengthen Family Bonds When You’re Staying at Home

          How to Strengthen Family Bonds When You’re Staying at Home

          Now is a perfect time to work on making some memories with your closest family members. When situations call for social distancing outside of our home, we need to do the opposite within home.

          Now, more than ever, we need to engage with those living in our home. We may be together for a while, but look at it is way, it is a wonderful opportunity to create some good family memories and positive interactions together.

          Staying home can be isolating, especially when we hole ourselves up in different rooms than our other family members. Make an effort to spend quality time together. Sitting in the same room on different electronic devices is not quality family time. Put down the elections, join together in one room, and do activities together.

          Your family bonding becomes stronger when you spend time doing activities together. Below are 10 ideas you can do with your family and loved ones.

          1. Create Photo Albums

          If you are like most of the population, you probably have lots of photos and very few physical albums. My parents generation always had photo albums. I can go to my parents’ home in Florida and find at least 20 albums from the lives of my parents and my childhood that I can flip through and reminisce. Physical, tangible photo albums are always cherished.

          Look back at the past five years of your life. Were there meaningful trips that you took as a family or major life events such as a Baptism, marriage, or birth of a child that happened in the past few years? Do you have photos of the event stored somewhere digitally such as social media, on your phone, or on a computer? If you do and you want to savor those memories for years to come, then you may want to think about creating some photo albums.

          This is a great activity for family of all ages. You can approach the project in one of several ways. You can print the photos and put them in your own physical photo album (the kind our parents used and you can still buy), you can scrapbook, or you can create an online photo album.

          Whichever choice you make, the family can be involved in the process. I like the tangible photos and traditional albums or basic (no frills) scrap-booking, as do my kids. We have albums in all three formats. Whichever method you decide to do you can involve the whole family in the creation process.

          Scrap booking as a family can be fun too. It does not have to be over the top either. We do it with scrap booking paper (12 by 12 inches), photos, and bits of paper to write captions for the photos. The family uses photo safe glue to secure the photos to paper that each person selected and then we slide the pages into the clear page holders of the album. Albums are easy to create using this method and this method still allows for personalization of each page.

            To do a photo album project, I simply print out the photos that I want to use for the album. Many albums will ship printed photos directly to your home. For example, we did a National Park trip this past summer and visited seven of them in the United States over a three-week span.

            I printed all of the photos from the trip that I thought we could use for the album. Then I cut strips of colored paper. I use these strips to write a sentence of two. I usually put a strip with details on each page, but not every photo because that becomes more tedious.

            Advertising

            Having everyone select and do a page or two and write the details about what the photos they selected makes it even more meaningful. For example, my son Charlie writing “This is Glacier National Park where we camped and Max got bit by gobs of ants at the dog run and we had to find a vet to help him” makes it memorable. His handwriting and the thing that captured his memory about that particular day are special. It adds his touch to the memories from the trip. Having every family member participate in putting the photos into the book and writing a few sentences for the photos that they are putting into the book helps to make it a shared family experience.

            It is also a wonderful time for revisiting the occasion that you are creating the album about. For example, doing an album as a family for a trip you all took together provides us with plenty to talk about as we go through the photos. My kids always get excited and say “look mom, remember when….” about a hundred times anytime we do an album together. The photo album activity is a bonding activity, as is the reminiscing over special time you spent together in the past.

            2. Indoor Camping with Sheet Forts

            What kid doesn’t love a good sheet fort? Sheet forts are the kind of memories that make a childhood great. If your kids don’t have any sheet fort memories, then now is the time to start making them!

            All you need are some sheets. The bigger, the better. Flat and fitted work just fine. Fitted sheets can be helpful to secure under legs of tables since they have elastic corners and are gathered. We like to use tables, chairs, and sometimes couch cushions too. You create a space using the furniture and then cover the furniture with sheets. You are essentially making indoor tents.

            My kids like to play inside their forts for hours once they are created. I help with the creation, to ensure that things don’t fall over and hurt anyone, but once that is done, I let them play. They will take books, little action figures, and their stuffed animals into their fort to play. Feel free to climb into their fort with them too! They will think you are the best parent ever!

              3. Bake or Cook Together

              Staying at home is a great opportunity to cook or bake together as a family. If you have special recipes that you would like to teach your children, now is a great time to do that.

              If you have grandma’s apple pie recipe that has been passed down for generations, it would be a nice time to make it with your children. You can use the time to talk about your grandparents, the heritage of your family, and perhaps the meaning of the recipe to you.

              After you make the special dessert or dish with your children, it will then have special meaning to them too. They will be able to recall the time that they made that special concoction with you and the memories you made from that day.

              Here’re also some ideas for you: 15 Easy Recipes for Kids That Don’t Require an Oven

              4. Play Board Games Together

              I come from a family that plays games together. Even as adults, we love to play Boggle, Scrabble, Rummikub, and a variety of card games.

              My kids have caught the game bug too. When we go camping or are home over the weekend, we will play Uno, Connect Four, Dominoes, and Memory. These board and card games are inexpensive and provide hours of entertainment. It is also a great way to bond as a family and create memories.

              Advertising

              Some of my favorite memories from childhood are sitting at the kitchen table playing games with my siblings and parents.

              For very young children, you can start with games like Candy Land and Chutes and Ladders. From there, you can move onto slightly more challenging games for their minds such as Uno, Monopoly Junior, Memory, War (basic card game), and Connect Four.

              My kids started playing Candy Land at the ages of three and four. From there, they have been hooked on family game time ever since. They ask often to play together and now is a great time to teach them to play even more games. The entertainment, laughs, and memories are priceless!

              5. Put on a Show or Play

              Family talent shows, putting on a play, and putting on a musical show do not require an audience. Your family can do the show and record on your phone or other electronic device. It doesn’t need an audience other than you all to make it memorable. It is the experience of collaborating, planning, and executing the show together that make it special.

              My kids began making their own hat creations out of our various art supplies. I have been helping them in the process. We have art class daily as part of our new home school curriculum (I am one of those moms who never wanted to home school, yet I am doing it because our schools are closed indefinitely).

              Art class daily has become hat making time. Once they have made enough hats for a fashion show, I said we would put on a show and record it. It has spurred on their motivation to create elaborate works of art. They are excited about each hat and the show that is to come to fruition.

              You can find free plays and scripts on Free Drama. You can act them out as a family and record just for fun. You can also use a script from the website to create a puppet show. Each family member can then play multiple roles and it opens the door to more characters.

              If you don’t have puppets, then make some! You probably have a basket of mismatched socks like we do. It is a great way to use them at this point. Go to Pinterest for ideas on how to make sock puppets. Creating the puppets together is also a great bonding activity. Once you have your characters made, then you can act it out.

              Don’t forget to video it, because I can guarantee that your kids are going to be interested in seeing their own performance. Such a great way to make family memories and it doesn’t cost much, if anything at all!

              6. Reading Aloud

              Reading a book aloud is a great way to create some bonding time and memories. It is a much better alternative than everyone isolating themselves doing their own activities. Being pulled into the same imaginative world through a book creates a shared experiences.

              I remember reading The Old Man and the Sea to my mom when we were on a car trip when I was a kid. I recall talking about the premise of the book and our opinions about it. It obviously left an impression on me, as I remember this over 25 years later.

              I have read aloud books to my kids too. The first chapter book we read aloud together was Charlotte’s Web. After we read the book together, we then watched the movie. It is sweet how my kids will still point on the book or movie if we see it somewhere in public. They will say “remember when we read the book together and watched the movie?” They say it with such sweetness and innocent pleasure, it is a good reminder that the simple things in life are sometimes the best.

              Advertising

              Some other good books that we have read aloud together that my kids personally enjoyed were The Lion, the Witch, and the Wardrobe, The Secret Garden, and Little Women. I know several friends that have read the Harry Potter series with their children who are slightly older than my six and eight year old children.

              Medium shares a list of 20 great books to read aloud with your kids. Their list is helpful because it has descriptions along with recommended ages for each book.

              If you can’t get out of the house to go to the library, you should look into the digital software that your library utilizes. Visit your local library’s website to find out what apps you will need for you to borrow from their digital library.

              Our library offers a multitude of free e-book downloads. You borrow the materials much like you would a physical book. Usually, the downloads can be kept for 2-3 weeks at a time, depending on your library rules. They also have audible books available for download from many libraries as well. For example, our local library subscribes to Cloud Library. To use it, I simply downloaded the app and entered my library card information requested from the app. I was instantly given access to thousands of audible books free!

              7. Plant a Garden

              This tip only applies if you have a yard, however there are options for creating patio gardens and indoor gardens too. Planting a garden and teaching your child how to tend to vegetables is a wonderful bonding opportunity. You are teaching them real life skills, you will have real food to eat from your own garden, and you are creating memories that will last a lifetime.

              If you ask a person if they had a garden when they were a kid, everyone knows the answer. It is not something you have to think to hard about. Why? Because gardening is an experience. Why not experience it with your family too?

              If you don’t know much about gardening, then you can learn with your child as you go through the process. Here is an article from Bonnie Plants on how to plant a garden.

              If you don’t want to leave your home, then you can order gardening supplies online like I did. Lowe’s dropped off our raised garden bed kit on my doorstep and I ordered a variety of seeds from Amazon. Just look online at the garden stores that are closest to you and see what they ship to doorstep if you don’t want to leave the house.

              8. Host Your Own Family Party

              Just because you are home and can’t have a big party with lots of friends doesn’t mean you can’t still have a party. A party with your family is fun if you decide to make it fun.

              Pick a theme to really make it an event. An 80’s themed dance party is sure to get the whole family laughing and smiling. Pull out your best 80’s looking clothing, rat your hair to get that special 80’s look, put on some 1980’s tunes, and teach your kids some dance moves from the 80’s.

              Having a dance party doesn’t require many people. A party of two is still a party! Make some memories and perhaps show your kids what things were like when you were a kid. They will certainly remember an 80’s themed dance party for many years to come.

              Weekends spent at home don’t mean that they can’t be fun. Make the weekend special even if you have to be home. For example, Friday can be family movie night or family game night. Then Saturday night can be your 80’s dance party. Let your creativity go to work and if you need a few ideas check out this blog article that has 32 Party Theme Ideas .

              Advertising

              9. Learn an Instrument Together

              No time better than the present to start learning to play that instrument you have always wanted to play.

              Have you always wanted to play the guitar? Then, look online for a basic learning guitar that isn’t expensive, yet has good reviews. We did that for my daughter and purchased a decent quality ukulele from Amazon that was intended for beginners while still having a quality sound (it wasn’t some trinket from a tourist destination that wouldn’t hold a tune.)

              We found lessons online from an instructor who would conduct lessons one on one using Skype. Many instructors use this technology or other free software that allows quality video communications from their home to yours.

              The website we happened to use to find an instructor was TakeLessons.com. You can find instructors that will teach anything from drums to cello to saxophone. Prices vary too. You pick your instructor from their pool of instructors available. This website is basically a service that connects people with talent (some with really good music education too) who can teach to students who are looking to learn.

              Learning to play an instrument together and you are creating memories together! You are also learning a new skill that you can enjoy for years to come. Playing music together is good for the mind and soul!

              The TakeLessons.com website also has language lessons. You can learn a new language as a family. All from the comfort of your own home. I am sure there are many different website that offer lessons on learning another language. Do your research and compare prices before committing to anything.

              10. Plan Future Travels

              While you are learning a new language you can begin planning future vacations. You can do a family meeting and discuss where you would like to go and why.

              It would be even better to have each child research where they would like to take a trip. Each child and/or family member can present a pitch on why your family should travel to that location in the future. They can use their research to tell about the area such as its historical value, recreational features, and the learning experiences that can be had from such travels.

              This doesn’t mean you need to book any travels. It more about learning and finding hope in the future. If we can’t plan for the future, then there is no hope. Make mental plans now, as a family, for what you want to do and where you want to travel someday.

              Make Memories Today!

              There is no time better than the present to start making memories together and bonding as a family. In these times when many people are having to stay home for extended periods of time, it is a great opportunity to bond and connect as a family.

              You have a captive audience with your children at home. Don’t miss out on this time by holing up in separate rooms doing your own activities. Make it a point to chose group activities and engage your family during this time at home.

              Every day alive is a blessing. Every day having your family is blessing. Don’t take your blessings for granted. Love on them and create great memories in spite of the circumstances.

              Featured photo credit: Marisa Howenstine via unsplash.com

              Read Next