Infertility care at Elrapha Hospital
Elrapha doctors have helped a lots of people begin or expand their families over the years. Our compassionate team of experts can evaluate the cause of your infertility, and help you find a treatment plan that’s the right fit for you. Our Fertility specialists in obstetrics and gynecology are leaders in infertility treatments, and will work with you to conceive via medication, surgery, in vitro fertilization (IVF) or another method.
Diagnosis and treatment
Elrapha Hospital is a leader in advanced infertility treatments, including oocyte preservation, fertility preservation, and treatment of uterine fibroids and endometriosis. At Elrapha Hospital, you can freeze oocytes to create an appropriate number of embryos. Our team is constantly assessing the latest evidence in fertility treatments to give you the best options while minimizing delays and unnecessary tests.
Treatment for men
Men’s treatment for general sexual problems or lack of healthy sperm may include:
- Changing lifestyle factors. Improving lifestyle and certain behaviors can improve chances for pregnancy, including discontinuing select medications, reducing or eliminating harmful substances, improving frequency and timing of intercourse, exercising regularly, and optimizing other factors that may otherwise impair fertility.
- Medications. Certain medications may improve sperm count and likelihood for achieving a successful pregnancy. These medicines may increase testicular function, including sperm production and quality.
- Surgery. For some conditions, surgery may be able to reverse a sperm blockage and restore fertility. In other cases, surgically repairing a varicocele may improve overall chances for pregnancy.
- Sperm retrieval. These techniques obtain sperm when ejaculation is a problem or when no sperm are present in the ejaculated fluid. They may also be used in cases in which assisted reproductive techniques are planned and sperm counts are low or otherwise abnormal.
Treatment for women
Some women need only one or two therapies to improve fertility. Other women may need several different types of treatment to achieve pregnancy.
- Stimulating ovulation with fertility drugs. Fertility drugs are the main treatment for women who are infertile due to ovulation disorders. These medications regulate or induce ovulation. Talk with your doctor about fertility drug options — including the benefits and risks of each type.
- Intrauterine insemination (IUI). During IUI, healthy sperm are placed directly in the uterus around the time the ovary releases one or more eggs to be fertilized. Depending on the reasons for infertility, the timing of IUI can be coordinated with your normal cycle or with fertility medications.
- Surgery to restore fertility. Uterine problems such as endometrial polyps, a uterine septum, intrauterine scar tissue and some fibroids can be treated with hysteroscopic surgery. Endometriosis, pelvic adhesions, and larger fibroids may require laparoscopic surgery or surgery with a larger incision of the abdomen.
Complications of treatment
Complications of infertility treatment may include:
- Multiple pregnancy. The most common complication of infertility treatment is a multiple pregnancy — twins, triplets or more. Generally, the greater the number of fetuses, the higher the risk of premature labor and delivery, as well as problems during pregnancy such as gestational diabetes. Babies born prematurely are at increased risk of health and developmental problems. Talk to your doctor about any concerns you have about a multiple pregnancy before starting treatment.
- Ovarian hyperstimulation syndrome. Fertility medications to induce ovulation can cause Ovarian hyperstimulation syndrome, in which the ovaries become swollen and painful. Symptoms may include mild abdominal pain, bloating, and nausea that lasts about a week, or longer if you become pregnant. Rarely, a more severe form causes rapid weight gain and shortness of breath requiring emergency treatment.
- Bleeding or infection. As with any invasive procedure, there is a rare risk of bleeding or infection with assisted reproductive technology or reproductive surgery.
Coping with infertility can be extremely difficult because there are so many unknowns. The journey can take an emotional toll on a couple. Taking these steps can help you cope:
- Be prepared. The uncertainty of infertility testing and treatments can be difficult and stressful. Ask your doctor to explain the steps, and prepare for each one.
- Set limits. Decide before starting treatment which procedures, and how many, are emotionally and financially acceptable for you and your partner. Fertility treatments may be expensive and often are not covered by insurance companies, and a successful pregnancy often depends on repeated attempts.
- Consider other options. Determine alternatives — donor sperm or egg, gestational carrier or adoption, or even having no children — as early as possible in the infertility evaluation. This may reduce anxiety during treatments and feelings of hopelessness if conception doesn’t occur.
- Seek support. Locate support groups or counseling services for help before and after treatment to help endure the process and ease the grief should treatment fail.