What is infertility
Infertility is strictly defined as the inability to achieve a pregnancy after two years of exposure. By two years 95% of the population should have achieved a pregnancy.
How long should we try before we see a doctor
You should see a doctor whenever you have concerns about your ability to conceive. Depending upon your ages and the duration of infertility your doctor may decide to institute a series of simple investigations to check the quality of your partner's sperm and also to check that you are ovulating.
How often should we have intercourse
Intercourse should be carried out at least on alternate days at the time of ovulation.
How do I know what to look for in an infertility clinic
Infertility clinics should be welcoming and friendly. If you have any doubt ask to visit the clinics in your particular area and talk to the senior staff.
How do I make an appointment
It is best if a letter of referral is received from your general practitioner or consultant. Simply ask for a letter of referral to be sent to us or contact us by email or fax.
How long will I have to wait to see a doctor
Usually about four to six weeks.
How long will it be before we start treatment
This will vary depending upon the cause of the problem.
Is there a waiting list for treatment
There is no waiting list for treatment using donor sperm, in vitro fertilisation, intracytoplasmic sperm injection, ovulation induction and intrauterine insemination. Egg donors are in extremely short supply and therefore the waiting list is long.
How long does the treatment take
This would vary with the precise form of treatment. Induction of ovulation and intrauterine insemination can be undertaken monthly whilst IVF will take longer depending on the protocol used to stimulate the ovaries.
Can I do my own injections
You will be given instructions and shown how to administer your own injections. The injections could also be given by your partner.
How important is the woman's age
The age of the woman is the single most important factor that determines the outcome of fertility treatment. All forms of fertility treatment become less succcessful as a woman approaches the menopause.
What are the options for women over the age of 40
The options will include ovarian stimulation and intrauterine insemination or IVF. Further information on treatment options for women over the age of forty is available on request.
What can be done to improve sperm quality
There are no effective simple measures to improve sperm quality. Men should not smoke or use an excessive amount of alcohol.
How successful is IVF
The success rate of IVF is determined by the age of the woman and ranges from about 40% in a woman less than the age of thirty to less than 5% in a woman over the age of forty.
Can fibroids interfere with IVF
Fibroids are most unlikely to interfere with IVF unless the uterine cavity is very distorted or there is a fibroid lying within the uterine cavity.
How can we be infertile if we already have a child
Secondary infertility, that is the inability to have a second or third child, is not uncommon and requires investigation and appropriate treatment.