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Sunday, 17 December 2017

Most couples get a baby soon. For some, however, conceiving is not so easy and the number of couples facing infertility is increasing. Infertility is a serious problem in modern society, as every sixth or seventh couple in Europe is infertile, and according to the World Health Organization, every fourth couple in the world is infertile. “More than a number, it’s important for everyone to know a couple in their neighborhood who is infertile. This tells us that this incidence is really high and that it is a serious public health problem, "emphasizes the interlocutor prof. dr. Eda Vrtačnik Bokal, Ph.D. med., head of the Clinical Department of Reproduction of the Gynecology Clinic of the University Medical Center Ljubljana.

neplodnost

. :: See how you can help yourself with infertility > >

Infertility treatment procedures

The best known procedures are in vitro fertilization (sperm cells are introduced into the uterus) and in vitro fertilization (ZTO; eggs and sperm cells are fertilized outside the body, and the embryo is then transferred to the uterus). The ZTO also includes direct insemination by inserting a sperm into an ovum (ICSI) and fertilization with a selected sperm (IMSI).

STORAGE OF GENETIC MATERIAL IN ONCOLOGICAL HOSPITALS

The Clinical Department of Reproduction has greatly increased the possibility of storing the genetic material of women with cancer before chemotherapy or radiotherapy, as they know that chemotherapy and radiotherapy mostly cause ovarian damage and reduced ovarian reserve or complete failure. In this area, the clinic works very well with the Oncology Institute, which refers women to chemotherapy. The clinic is very successful in this, as, for example, even highly developed countries capture only a few percent of women with cancer who are included in the storage program, and in our country this percentage is probably over half.

. :: See how you can help yourself with infertility > >

Slovenia is one of the few countries that implements IMSI procedures

At the Clinical Department of Reproduction of the Gynecology Clinic in Ljubljana, they perform all known procedures of insemination with biomedical assistance, which are also performed worldwide. However, they are one of the few who also implement IMSI procedures. It is a laboratory method used in male infertility. "We look at sperm under 200 times magnification, but the IMSI method allows us to look at them under 6000 times magnification. So very clearly we see what the heads of these sperm are like. We then look for vacuoles in our heads and find out what shapes they are. The more vacuoles there are and the more unsuitable their shapes are, the lower the quality of the sperm. Thus, for those men who have a lot of sperm, but are changed in shape, we can choose the optimal ones. This improves the pregnancy rate and the birth rate, "explains prof. dr. Eda Vrtačnik Jar.

 

How long does the procedure take from admission to a successful conception?

We have very fast procedures. We urge the professional and lay public that after one year of unprotected sexual intercourse - if pregnancy does not occur - couples come to the veins of our clinics in Ljubljana, Maribor or Postojna. When infertility can be treated with medication, the procedures take three to four months, and when surgical procedures are needed, the couple is given the opportunity to conceive spontaneously 6 to 12 months after the procedure. Only surgery is not successful, patients are referred for intrauterine fertilization or ZTO. In the case of a male cause of infertility, the couple is immediately referred to the ZTO. In this case, a maximum of three or four months elapses between diagnosis and procedure.

In Slovenia, just over 4% of children are born according to ZTO procedures, which places you at the very top of Europe. What is the reason for such good results?

The state has listened well to this problem. The health insurance company reimburses all costs, which is a great opportunity. With us, couples have all infertility treatment free of charge. With regard to ZTO procedures, the agreement with the insurance company is such that six procedures are available for the first birth, and four ZTO procedures for each subsequent birth. This is the highest availability in the world, so only Israel has it.

Accessibility is one of the key reasons for good results, but it is also important that all three centers address infertility fully and responsibly.

Do you look at its characteristics when choosing a donor?

We look at hair color, eye color, complexion, size. We list these qualities in the couple and the donor, and then select the donor that is as similar to the couple as possible.

A woman can store gametes while she is still young and use them later. What do you think about a woman choosing a child after the age of 40, 50? I think there should be a limit. I don’t think kids like older parents. The younger the child, the easier it is to learn how to ride a bike, the easier it is to run after it and the healthier they are. Older people are less able to deal with children. In my eyes, it’s perfectly right if younger people have children. By no means do I support this after the age of 50, but that’s just my personal opinion.

Is there any restriction on material storage?

Yes. We store genetic material, but only until the age of 40.

Are all steam donation procedures anonymous?

Of course. It is interesting, however, that in those countries that have switched from anonymous to known donors, there are far fewer of them after the change.

INFOCOTIC

 
  • we talk about infertility when a couple does not get pregnant after a year of unprotected sex. If a woman is over the age of 35, it is recommended to seek help after 6 months of unsuccessful attempts
  • after the age of 35, the chances of successful IVF are reduced, and after the age of 40 they are greatly reduced. Recent research has shown that age also affects pregnancy in men. Later, those women who have older partners get pregnant.
  • Less than 30 percent of women become pregnant in the first month of unprotected sex. A woman under the age of 35 needs half a year to conceive a child.
  • Knowing your own body is very important. Record your menstrual cycle accurately and try to determine the days of ovulation. This will help you plan your pregnancy, and later this information will help your gynecologist discover the cause of your infertility. Of course, it is important to live with less stress, keep a healthy and balanced diet and avoid alcohol, cigarettes and coffee, etc.

Celebrities with infertility problems

. :: See how you can help yourself with infertility > >

Sarah Jessica Parker

The actress, who portrayed Carrie Bradshaw, our most popular "single" girl in the Sex and the City series, and her husband Matthew Broderick opted for a surrogate mother who gave birth to twins. They conceived their first child in a natural way.

Nicole Kidman

The Australian redhead spoke openly about the failed pregnancy or. infertility after the birth of her second biological daughter Faith. When she was married to actor Tom Cruise, she had an ectopic pregnancy. For her, getting pregnant was a very difficult problem.

Celine Dion

She really wanted another child. She struggled with infertility for 6 years and then became pregnant in the 6th attempt using the IVF method. At the age of 42, she and her husband had twins.

Brooke Shields

Famous model and model Calvin Klein was among the first to speak publicly about infertility as early as 2005 · She went through 7 IVF procedures.

Two years later, she managed to conceive naturally.

Courteney COX

After a few miscarriages, she opted for artificial insemination, with which she gave birth to a daughter, Coco. “Artificial insemination is a wonderful thing available to people today, and I am among the lucky ones who can afford it,” Courteney told Good Housekeeping magazine.
 
 
Source: mojDOKTOR, www.mydoctor.si

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