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Overcoming infertility

A young couple walks through the entrance to the National Mother and Newborn Hospital with anxious faces because they have something important to discuss with a doctor.
 Mr Touk and Ms Kin (not their real names) walk straight to the reception desk, where nurses greet them politely and ask them the reason for their visit. They say they are here to discuss fertility treatment. They have been married for five years but have not had a baby, even though they desperately want to become parents.
They had not used any form of birth control because they wanted Kin to get pregnant. They tried and tried but never had any luck. 

Dr Sivanesay Chanthavongsak.

The nurses advised them to see fertility treatment specialists who had recently completed several years of study in this field in Vietnam.
Deputy Director of the hospital, Dr Sivanesay Chanthavongsak, said the hospital has been providing advice on fertility treatment since it opened in Nongphaya village, Xaythany district, in 2014.  Hospital records show that about 30 women and men come to discuss fertility treatment each year. The number of couples asking for advice has increased in recent years.
Infertility affects both women and men and can stem from several causes.
Dr Sivanesay explained that some fertility problems are more easily treated than others. In general, as a woman ages, especially after age 35, her chances of getting pregnant go down while her risk of miscarriage goes up.
If you are 35 or older, your doctor may recommend that you skip some of the steps younger couples usually take. That’s because your chances of having a baby decrease with each passing year.
It’s important to understand that even if you are able to get pregnant, no treatment can guarantee a healthy baby. On the other hand, scientists in this field have made many advances that have helped millions of couples to have babies.
Take time to plan
Before you and your partner start treatment, talk about how far you want to go with treatment. For example, you may want to try medicine but don’t want to have surgery. You may change your mind during your treatment, but it’s good to start with an idea of what you want your limits to be.
Treatment for fertility can also cost a lot. And health insurance often doesn’t cover these expenses. If cost is a concern for you, ask how much the medicines and procedures cost. Then find out if your insurance covers any costs. Talk with your partner about what you can afford.
Thinking about this ahead of time may help keep you from becoming emotionally and financially drained from trying a series of treatments you hadn’t planned for.
Treatment for the woman
Treatments for fertility problems in women depend on what may be keeping the woman from getting pregnant. Sometimes the cause isn’t known. You may have problems with ovulating, unexplained infertility, blocked or damaged tubes and endometriosis.
Treatment for the man
Your doctor might recommend that you try insemination first. The sperm are collected and then concentrated to increase the number of healthy sperm for insemination.
Many couples who have problems getting pregnant arrive at a common point: They must decide whether they want to try assisted reproductive technology (ART).
•    In vitro fertilisation (IVF) is the most common type of ART. In this treatment, a fertilised egg or eggs are placed in the woman’s uterus through the cervix.
•    Intracytoplasmic sperm injection, or ICSI (say “ICK-see”). In a lab, your doctor injects one sperm into one egg. If fertilisation occurs, the doctor puts the embryo into the woman’s uterus.
Today, doctors at the National Mother and Newborn Hospital who graduated from studies in Vietnam recently will help any couple who want to have baby. “We are confident that the experience we gained in Vietnam will help all couples suffering from fertility problems and put a smile on their faces,” said Dr Syvanesay.



By Times Reporters
(Latest Update May 20, 2017)

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