Fertility Treatment for Busy Professionals

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Fertility Treatment for Busy Professionals

From TTC to a Viable Pregnancy

If you and your partner has been trying to conceive (TTC) and your busy with work commitments, here are few tips that help you save time and shorten the time to conceive. Understanding few basic fertility concepts are helpful. What is fertility? It is the ability to conceive with regular unprotected intercourse. If you are having adequate frequency of intercourse, then you have been trying, irrespective of timing of intercourse. If this goes on for one year, if less than 35 or 6 months if 35 or more, then you are having difficulty getting pregnant.Female age is the most important fertility factor

Percent of currently married, childless women 15-44 years of age who have impaired fecundity by current age (from CDC: The National Survey for Family Growth):

 

2002 2006-2010
   Total 15-44 years    25.3%   21.2%
   15-29 years    17.3%   11.0%
   30-34 years    24.5%   14.2%
   35-39 years    33.9%   39.3%
   40-44 years    42.8%   47.1%

The longer you try, without conceiving, the stronger the indication that you have a significant problem with fertility.

The factors that need to be tested at initial workup include:

i. Ovulation and ovarian reserve

ii. Fallopian tubes: open or not

iii. Male factor: sperm analysis and

iv. General factors related to safety: infectious diseases and genetic carrier screening.

But how do you get all that done, understand the results, decide with your reproductive endocrinologist on a fertility treatment plan and execute the plan promptly, while you hassle your daily work and life engagements? A coordinated effort between you, your fertility specialist and other personnel enables you to promptly understand your fertility potential. A flexible reproductive endocrinologist can grant you an appointment at a time that does not disturb your work schedule. At your initial visit, ultrasound is performed for evaluation of ovarian reserve and any abnormalities in the uterus. In the same day, blood is drawn from you and your partner and can be sent for testing. Also a sperm sample can be submitted in the same day or few days later for sperm analysis. Hysterosalpingogram (HSG) can be performed by your physician or a radiologist within 1-2 weeks. Then, Can you communicate electronically with your physicians? This enable efficient discussion of lab results and subsequent steps.

How Fast Can You Decide on a Fertility Treatment Plan? It depends on many factors related to the complexity of fertility issues uncovered during the workup, need for surgery e.g to remove fibroids, polyps or dilated fallopian tubes, proposed fertility treatment, need for genetic testing of embryos (PGD) and need for third party reproduction (donor eggs, donor sperm, gestational carrier). If complex treatment is required usually a second visit is helpful for evaluation of the uterine cavity, trial transfer, training on fertility medication self administration. Handling of insurance and dispensing fertility pharmacies also help reduce the burden on women busy with work engagements.

Many women are advised to continue to try to conceive naturally (3 to 6 months). For those requiring fertility treatment usually a fertility treatment plan can be executed in 10 to 20 days and within 5 to 8 visits. Again the flexibility of the practice in scheduling and communication allow you to execute  around your daily work and family commitment.

The flexibility of the fertility clinic, efficient planning of visits and use of secure electronic communication methods enables women to go through fertility treatment with minimal inconvenience and work interruption.

Fertility Treatment for Busy Professionals by
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