During a year of active unprotected intimate life, a couple normally becomes pregnant (in women of reproductive age over 35, this time interval is 6 months). If pregnancy does not occur, it is recommended to consult a reproductive specialist, who will help find out the reason and choose the most optimal and shortest way to realize the couple in motherhood and parenthood.
For the onset of pregnancy, basic factors are required, without which it is impossible:
- High-quality germ cells (egg and sperm)
- Fallopian tubes – in them, the oocyte and spermatozoon meet (fertilization) and further advance to the uterine cavity
- High-quality endometrium of sufficient thickness (mucous membrane of the uterus, where the embryo attaches)
- Correct anatomical cavity of the uterus (absence of fibroids, adenomyosis and polyps that interfere with the attachment of the embryo, absence of congenital disorders of the development of the uterine cavity)
- Correctly adjusted endocrine system (hormonal profile, which contributes to the adjustment to the implantation of the embryo and the carrying of the pregnancy).
If a couple has difficulties planning a pregnancy, various assisted reproductive technologies come to the rescue, one of which is IVF.
It is believed that IVF is the choice of women who are 40 and older, but statistics says otherwise. Today, insemination by IVF is used even at a fairly young age in the presence of medical indications (in the case of male factor infertility, obstruction or absence of the fallopian tubes, in the presence of genetic disorders, in which it is necessary to undergo pre-implantation genetic testing of the embryo (PGT-M), in the case of premature reduction ovarian reserve, often after surgery on the ovaries.
Yes, indeed, IVF is an effective method that helps to achieve a healthy pregnancy, and it is often indicated at an older reproductive age. However, it is a very false thesis that IVF will be possible and effective at any time.
It is very important not to miss the moment. Younger age, a good ovarian reserve, a correct endocrine background, the absence of accompanying chronic diseases – all this – helps to achieve pregnancy with your own eggs as soon as possible and gives a very positive prognosis. Unfortunately, when there are certain medical situations (depletion of the egg supply, myomatous nodes that significantly deform the uterine cavity, severe endometriosis, insensitivity of the endometrium to female sex hormones and lack of growth, etc.) – even IVF will not always help to achieve pregnancy.
Therefore, the main point that we want to convey is that it is very important not to waste precious time and seek a consultation in time. The supply of eggs, which every year in a woman becomes smaller, and the very quality of oocytes decreases – this is the only thing that evidence-based medicine, unfortunately, cannot influence.
But having understood the reason for the non-occurrence of pregnancy, we will be able to develop a strategy for the successful implementation of the couple in parenthood, selecting the necessary auxiliary technologies if necessary