The current issue of RBMO (Reproductive BioMedicine Online- Dec 19, 39, #6,pp 879) editorial covers our current knowledge of this subject, which is summarised below:
Pre-conceptual health-what you both can do before you conceive to improve your child’s health and future
The implantation, growth and development of an embryo leading to the birth of a live child, is a complex process dependent upon the Genetics and Environment.
Current literature confirms that in couples trying to conceive where the male age is over 45 years, is associated with lower implantion rates leading to a decrease in live birth rates.
This is a very commonly asked question and today is dealt with under the heading of Epigenetics. Nature versus Nurture or Genetics versus Environment.
We are often asked what can the patients do to improve fertility. This is one area where an overwhelming amount of misinformation exits and of course the world wide web adds to the confusion.
- 1 in 5 contain banned substances including stimulants and anabolic steroids
- These contents are not listed on the product and so users will be unaware
Adjunct or adjuvant therapy is another treatment used together with the primary treatment. Its purpose is to assist the primary treatment and in the case of IVF improve success rates.
Disease processes, ageing and lifestyle issues can affect sperm quality, leading to decreased fertility. The maturation process for sperm takes at least 3 months so any form of corrective action will take 3 months to be effective.
Replacing a single embryo, especially if it has been cultured to the blastocyst stage, is the best way of preventing multiple pregnancies, but the decision as to how many embryos to replace is a complex one and needs to be discussed with your Fertility Specialist, after taking into account your individualcircumstances, both medical and social.
When you embark on your first IVF or IUI cycle, it is not uncommon to be full of expectation that this cycle will be successful. While a pregnancy is the case for some, it is not always the case for many. Sometimes people will have to go through many cycles until they achieve a pregnancy and for others, pregnancy will always remain elusive. For those who are faced with unsuccessful cycles, they can often experience a range of emotions that can be both confusing and sometimes frightening.