For women who rarely or never ovulate, one option to help boost their chances of falling pregnant is fertility drugs. The two main types used are tablets of clomiphene citrate, branded Clomid or Serophene, or injections of follicle-stimulating hormones (FSH), branded Gonal-F or Puregon. Doses for clomiphene tablets range from half a tablet to three tablets a day, depending on the severity of the ovulation issue and the woman’s body size. A FSH is injected via a pen-like device just under the skin’s surface. For men who have hormonal irregularities, medication is available that can assist with producing hormones for sperm production and erectile dysfunction.
It’s the oldest and least invasive of all the medically assisted conception options, and assisted insemination or intrauterine insemination (IUI) still remains a good option for some couples. It’s a quick and simple procedure, much like having a Pap smear. The sperm are inserted into the cervix or uterus with a soft, thin plastic tube (catheter) around the time of ovulation. To ensure the timing is spot on, the woman’s cycle will be closely monitored with blood tests and ultrasounds beforehand.
This is a reproductive procedure where a woman’s eggs are removed from her body, fertilised with sperm in a laboratory and then transferred via a catheter into her uterus.
Intracytoplasmic sperm injection
This IVF procedure involves injecting a single sperm directly into the egg by piercing its outer covering. This option is particularly helpful for men with a low sperm count or where few good quality sperm are produced, and where there’s a problem with anti-sperm antibodies in the semen.
Donor eggs & embryo transplants
Some women may not be able to produce healthy eggs due to ovarian failure or age-related infertility. For these women, egg (oocyte) or embryo donations may be options. An embryo transplant involves the artificial insemination of a donor’s egg with the male partner’s sperm. After fertilisation has occurred, the embryo is transferred to the female partner’s uterus. To be successful, it is imperative that fertility drugs be used to synchronise both women’s menstrual cycles.