Depending on the couple's wishes, the present findings and other basic requirements (age, duration of the unmet desire for a child, etc.) may indicate that it is advisable to first monitor the course of the natural cycle through more intensive examinations (hormone levels; ultrasound). As a result, you can be informed about the optimal time for conception (the best time to achieve pregnancy).
If the hormone test performed at the beginning (if necessary after further evaluation) revealed a significant hormone disorder, this can be treated specifically. Of course, various hormone disorders can also occur simultaneously, so that several medications may occasionally have to be taken in parallel.
General anesthesia puts you into a sleep-like state; that is, it shuts down your consciousness and, above all, your sense of pain.
Insemination is one of the relatively simple procedures and is performed in cases of relatively mild male fertility problems or disorders in the cervical canal, e.g., disorders of mucus production or after a conectomy (incision of the external opening of the vagina). The treatment can be performed with or without hormone treatment depending on any pre-existing oocyte maturation disorder. The purpose of this treatment is to bring the prepared sperm in high concentration close to the egg cell in order to promote the occurrence of fertilization.
IVF (Reagent glass insemination) is typically used when the woman has bilateral fallopian tube blockage. But the man’s reduced sperm quality, the woman’s age, the couple’s distress, and the failure of other treatments can also lead to the decision to IVF seek this treatment.
In cases of severely impaired sperm quality, or when only sperm can be obtained via testicular tissue sampling, an additional test is ICSI required.
Thus, if IVF or IVF + ICSI „excessive“ (partially fertilized) eggs have been frozen, they can be used in the so-called „cryocycle“.
If no sperm are present at all, the use of donor sperm can also be considered. Other reasons may also seem reasonable.
In blastocyst culture, the embryos are further cultured until the 5th day.
