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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 September 10, 2020

          How to Be a Better Parent: 11 Things to Remember

          How to Be a Better Parent: 11 Things to Remember

          Two of the most challenging jobs in the world are raising a human being and being the best parent possible for them. Raising a child without implementing specific rules is not enough, however. The job has to be done in such a way that when you’re “done,” you’ve already created a loving, responsible, self-sufficient, kind-hearted, thoughtful, empathic, and respectful persona. Hence, it is ideal to lower the bar a little and start learning how to be a better parent.

          Don’t get me wrong; mistakes will be made along the way. You won’t be perfect, regardless of how hard you try.

          And no matter how great a job you do, your child may have issues beyond your control. Remember, they will be born with a will of their own that may conflict with yours. Nevertheless, carrying out the following tips will provide you with the best chance to create a fantastic human being of whom you can be proud.

          1. Listen

          I knew a couple who had a daughter. She was smart, sweet, and as cute as a button, but her parents were old school. They believed the adage that a child should be seen and not heard. She might as well have been a doll in a curio cabinet. Unfortunately, this little girl had a lot of exciting ideas and things to say. I knew this because she would share them with me on the occasions that we were alone.

          Children are interesting, funny, and curious, and they look upon you — their parent — as a hero. They have a wealth of knowledge and a great perspective on life. Listening to your child is one of the greatest gifts you can offer. They will feel valued and grow up knowing that they matter.

          It’s not always easy to listen. Sometimes, children will carry on without saying anything profound. But if they believe you’re listening, they will feel important and provide you with amazing nuggets of information.

          Note: Make a real and honest effort when you are listening to your children. Don’t listen while multitasking and muttering, “Hmm, that’s nice, dear!”

          Sadly, I’ve seen lots of parents on their phones, their heads buried in Facebook or Instagram feed, while their child tries unsuccessfully to get their attention. In his book, The Road Less Traveled, M. Scott Peck, M. D., wrote, “You cannot truly listen to anyone and do anything else at the same time. True listening, total concentration on the other, is always a manifestation of love.”

          2. Provide Unconditional Love

          I knew a mother who loved her son so much, but her love came at a high price. When he behaved as she expected him to — getting recognition for being a star athlete or academic achievements — she showered him with love. In truth, she bragged and put up framed newspaper articles of her son’s accomplishments.

          That same boy, though, went through a rough patch when he was a senior, becoming unruly and hostile. Down came the framed article, and up came the silent treatment.

          Providing unconditional love creates a secure bond and a healthy person. Knowing you have your parent’s love no matter what makes a fantastic anchor for the child. They know they can mess up and still be loved. They know they can come to you with their worst offenses, and while you might get upset, your love will remain intact.

          3. Teach by Example

          Children watch and listen to you very closely. You may think that they’re not paying attention, that they’re in the other room, playing with their Legos, but they are listening.

          If you want to teach your child, lead by example.

          For instance, if you want them to eat healthy foods, eat healthy foods. If you don’t want them to pick up bad habits, like smoking, don’t smoke. If you don’t want them to be violent, be peaceful. If you wish to raise a trustworthy child, keep your word.[1]

          If you want to teach your child how to communicate, speak kindly and listen with an open heart. Whatever you want your child to learn, be willing to do it yourself. You are the best teacher for the job!

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          4. Spend Time Together Often

          Life is full of work, errands, get-togethers, appointments, etc. It’s easy to get lost in all the hustle and bustle and not leave enough time for your children. I know busy parents who set their children down on the couch to watch TV or play with an iPad while they’re working.

          Occasionally, that isn’t a bad thing. But regularly, it can create a gap between you and your child.

          You can avoid being an absentee parent by spending time with your children every day. Talk to them about anything; ask about their day. If you can, allow them to help you with household chores. E.g., cleaning, folding laundry or stacking dishes in the dishwasher.

          They’ll feel good when they know you need them, and you can use this as a family bonding opportunity.

          5. Follow Through

          Follow through creates trust in your child. They will believe that what you say you’re going to do will genuinely be done.

          Children are very perceptive. Let me reiterate: they are always watching and listening.

          For instance, I was on a walk one afternoon with my granddaughter and her parents. The little girl was asked if she wanted to ride the stroller, and she replied, “No, I want to walk.”

          My daughter-in-law responded, “Okay, but if you get tired, I’m not carrying you! Understood?”

          After about 15 minutes, my granddaughter complained that her legs hurt. She started whining and complaining. When my daughter-in-law picked her up, she commented, “I thought you said you weren’t going to pick me up?”

          My daughter-in-law did not follow through, and her daughter knew it. She was only four years old.

          You see, when parents say things and end up not doing them, they become empty threats — words without any back-up.

          Following through is critical in raising a responsible adult. You need to be kind, clear, and concise.

          The child has to know that you mean business. If you tell them they’re not having a sleepover unless their homework is done, then the homework better be done. If it’s not, there will be no sleepover.

          It doesn’t matter if you had plans with your friends or a date with your husband. Just make sure that whatever the consequences are for your kids’ bad behavior, you can back it up with action.

          6. Focus on Positive Qualities

          There is an old American proverb that says, “The squeaky wheel gets the grease/oil.” It is used to communicate the notion that the most clamorous problems are the ones that will more than likely get noticed.

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          If your child is well-behaved and minding their own business, you might be tempted to let them be. On the other hand, if they are acting out and making a raucous, they may get a lot of attention.

          This sends the message that the kids have to misbehave before you focus on them. Bad attention, after all, is better than no attention.

          Positive attention is paramount. If you only pay attention to your child’s negative behavior while ignoring their positive qualities, you are robbing them the chance of being their best selves.

          Simply notice all the things you love about your kids and minimize the criticisms. That’s especially essential when you have children between the ages 0 and 5. Since they are impressionable, whatever you say often will stay with them for the rest of their lives.

          Here are more ideas on how to think positively despite the circumstance: Turn to the Bright Side: 10 Ways to Encourage Post-Incident Positive Thinking

          7. Apologize When Necessary

          We all make mistakes. There are some parents, however, who don’t apologize no matter how many mistakes they make with their children. They incorrectly assume that apologizing is a sign of weakness.

          Well, nothing could be farther from the truth. As we have learned before,[2]

          “Apologizing to your child is a sign of respect for the overall relationship you have with him.”

          Making mistakes is human. I guarantee you that your child will not think less of you. If you fail to apologize, you miss out on a teachable moment about the importance of taking responsibility. After all, you want your child to apologize when they do something wrong.

          If the kids lie, lash out at another child, or break something of value, you want them to own up to it and apologize for what’s happened. It is during these moments that you teach your child that an apology is the right course of action. If you don’t do the same thing, what exactly are you teaching them?

          You may find it difficult to apologize because you feel superior or fear losing your authority. In truth, your child will see you as a human, and they may feel closer to you than ever.

          Show your kid that no one is perfect, that you all make mistakes in life. Apologies can correct so many wrongs. Just a few simple words can cure the worst transgressions.

          A word for the wise: put your ego aside. Say you’re sorry and move on. If you can do that, you will be building a strong relationship — one based on love and respect — with your children.

          8. Allow Kids to Be Who They Want to Be

          My maternal grandfather, Pánfilo D. Camacho, was a lawyer and author in Havana, Cuba.[3] He expected my uncle, Jorge Camacho, to follow in his footsteps.[4] My uncle, however, wanted to be an artist and fulfill his dreams in Paris, France.

          At the time, my grandfather did not see art as a “real job” or something that could provide security. Despite knowing how his father felt, my uncle met with him and explained that his goals. Thankfully, my grandfather thought about it and gave his only son his blessing. He also helped with all the necessary expenses to get my uncle to Paris and study with the best of the best.

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          My uncle became a very celebrated artist in France. Jorge Camacho’s amazing surrealist art is still sold today.

          This scenario could have played out quite differently if my grandfather dug in his heels. He could have forced my uncle to become a lawyer just like him.

          Fortunately, he realized that allowing my uncle to be who he wanted to be was the right thing to do. And it was. My uncle was grateful and made a name for himself. My grandfather was proud, and their relationship grew strong.

          Allow your child to be who they want to be, not who you think they should be. After all, it is their life — their journey. You’re just there to watch and provide guidance whenever necessary.

          9. Grow Along With Your Children

          Children grow and evolve, just like us. It’s important to grow with them and adjust the way you discipline and talk to them.

          For example, if your 4-year-old misbehaves by bending the truth or whining, you may ignore their antics and stay calm with regards to the lying. This is common for this age group.

          If you’re dealing with an 8-year-old, your child understands the difference between right and wrong and looks to you for guidance.[5]

          Meanwhile, teens need to be addressed in another way. That is a difficult and challenging age group — one that deserves great care and attention. You cannot talk to your 16-year-old as if they were still 9!

          10. Validate Their Feelings

          While growing up, lots of things that generate a multitude of feelings happen. As a parent, you want to take the time to validate your child’s feelings. Don’t be dismissive and act like their feelings are not important.

          The other day, my 8.5-year-old granddaughter came over. I could see that she’d been crying. When I asked if she was, she looked at me with sad eyes. My granddaughter informed me that she missed her best friend whom she hadn’t seen for almost six months since the community quarantine began.

          I didn’t say, “Don’t worry about it; you’ll see her someday! Now, run along.” Nope. I looked her in the eye and said, “It must be so tough not to see your best friend for such a long time.”

          My granddaughter’s eyes welled up with tears as she nodded. I validated her feelings, and she felt heard. As it turned out, her little friend was allowed to visit the next day. She came over to my house again, but this time, she exclaimed, “This is the happiest day of my quarantine!”

          If you do not validate your child’s feelings, they will think that their feelings are unimportant and learn not to share them at all. You don’t want that, of course.

          You want to have your finger on the pulse of their emotions. You need to make sure they come to you in the future when heavier things come down the pipe.

          Here’s an example of WHAT NOT TO SAY: Your teenage daughter comes to you and utters, “Richard broke up with me. I’m devastated!” Then, you reply, “Don’t worry about it! There is plenty of fish in the sea — probably even better ones. You’re too young anyway.” You might as well have stabbed her in the heart.

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          Instead of doing that, try saying, “That is heartbreaking. You must really be hurting. If you want to talk, I’m here to listen.”

          Listen and communicate with compassion.

          11. Ask Open-Ended Questions

          Whenever I used to pick up my 16-year-old grandson from school, I’d make the mistake of asking, “How was school today?”

          You can probably guess the answer. It was always the same, “Good!” Just one lonely word.

          So, I decided on another approach: asking open-ended questions. The next time I picked him up, I asked, “So, what was the best part of your day?”

          It was impossible for my grandson to just reply, “Good.” He was forced to stop and think about some incidents that already happened. It doesn’t matter what they tell you; the key is to get them to talk. That’s how you learn what’s going on in their lives.

          This not only works with children but also with adults. For example, when you ask someone, “Do you like your job?”, they may answer yes or no. But if you say, “What do you like or dislike about your job?”, you’ll get a lot of information.

          Open-ended questions are the key to getting more information than you’ll know what to do with!

          Final Thoughts

          Being a good and responsible parent can be one of the most rewarding tasks in the world. It is not effortless, however. It takes a lot of work and patience.

          Implementing the above-mentioned 11 suggestions won’t guarantee a perfect family, but you will have a solid base to build and grow upon.

          Your child is a reflection of you. What do you wish them to reflect?

          Learn how to be a better parent and help produce a legacy of outstanding humans.

          More on Improving Your Parenting Skills

          Featured photo credit: Gabe Pierce via unsplash.com

          Reference

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