Modern medicine offers different possibilities of fertility after forty treatment, including intrauterine insemination, ovarian hyperstimulation procedure, and egg donation method.
In different regions the incidence of infertility is variable. In the United Stated more than 15% of couples are having problems in conceiving a child. After the age of forty (for the female) the incidence of infertility is intensively increasing. As the causes of infertility may be different, the treatment of infertility may range from simple counseling, to use of medication for treating infections or promote ovulation, to sophisticated medical procedures such as in vitro fertilization.
The risk of infertility is increased in people who suffer (suffered) from sexually transmitted diseases and different pelvian infections. Women that are elder than 35 years are more predisposed to chronicle diseases such as diabetes and hypertension, which represent a risk in pregnancy. Also the risk of miscarriage (spontaneous abortion) is proportionally increasing with aging.
Infertility after age of forty is mostly provoked by poor ovarian reserve or problematic ovulation. Elder women can frequently have anovulatory menstrual cycles. That is why one of the main directions of fertility after forty treatment is intrauterine insemination. During this procedure the sperm are washed, concentrated and injected through the vagina directly into woman's uterus. This permits a greater quantity of sperm to penetrate into uterus and fallopian tromps.
In many cases fertility after forty treatment combines different medical techniques. For example, intrauterine insemination is used along with ovulation enhancement. Ovulation enhancement is obtained by using fertility drugs. They are available in pills and injections. It is called controlled ovarian hyper-stimulation procedure. The efficiency of this procedure is decreasing as the age of woman increases.
It also implies a certain degree of risk, as can cause such serious problems as multiple pregnancies, infections and ovarian hyper-stimulation syndrome. It is demonstrated that with age the quality of eggs is decreasing and can generate different chromosomal aberrations. Ovarian hyper-stimulation procedure and intrauterine insemination can ease the fecundation but cannot improve egg/embryo quality. That is why a big number of infertile elder couples are opting for fertility after forty treatment called egg donation method.
It includes preparing the recipient's uterus with pregnancy hormones (estrogen and progesteron) to create optimal conditions for the further implantation. Egg donor also undergoes hormonal stimulation to produce multiple eggs. The eggs are retrieved and fertilized with sperm and embryos are then placed in recipient's uterus. This solution offers a number of advantages over adoption: the sperm is obtained from the potential father, so the child is genetically his.
Future more, the mother has control over important factors such as nutrition, smoking, drug use and drinking during pregnancy and can create optimal conditions for a proper intrauterine development of the fetus. An important moment is the early establishment of emotional closeness between the child and the mother and the experiencing of positive feelings of pregnancy, delivery and breast-feeding, that makes a woman feel a real mother to her child.