Infertility

K+31 specialists conduct a comprehensive examination and treatment of all types of female and male infertility.
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About the disease

About the disease

Forms of inability to conceive a child:

  • Male infertility (inability of male reproductive cells to fertilize an egg)
  • Immunological infertility (the presence of MAR antibodies that interfere with conception in the cervical mucus of a patient or in the vas deferens of a man)
  • Endocrine infertility, which can have many causes, including problems with hormones
  • Tubal infertility (obstruction of the fallopian tubes and other pathologies
  • Congenital defects of the uterus and fallopian tubes in women or the vas deferens in men

The issue of restoring reproductive function in men and women is dealt with by a specialist – a reproductologist. He determines the causes of human infertility and selects methods for treating female or male infertility. In the absence of treatment results, a decision is made to use assisted reproductive technologies. Including in vitro fertilization (IVF) – when a sperm is introduced into an egg in a test tube, after which the resulting embryo is transferred to the patient’s uterus. If immunological infertility is detected, intrauterine insemination can be performed, when sperm is injected directly into the uterus, which makes it possible to conceive a child.

In cases where disorders in the body are irreversible and the doctor diagnoses absolute infertility, there is an option to use surrogacy. Infertility is a problem that requires a professional approach, which is guaranteed to all patients of the K+31 clinics in Moscow.

What is infertility?

Female or male infertility is the inability to conceive a child. It is a problem for approximately 20% of married couples. Such a diagnosis is made when, for a whole year, with constant sexual activity and without the use of contraceptives, pregnancy does not occur. The condition can be secondary or congenital.

Causes of infertility

The causes of infertility in women and men are varied. This may be the result of inflammatory and infectious processes, previous sexually transmitted infections, diseases of the internal genital organs and abdominal cavity, surgical intervention, for example, removal of the uterus and fallopian tubes, problems in the cervical canal, adhesions and much more.

So, if we are talking about endocrine infertility, then the cause may be:

  • Polycystic ovary syndrome, when a dense membrane forms around the ovaries, preventing the release of the egg
  • Hyperprolactinemia (increased prolactin levels in the blood, which is a consequence of some functional disorders or the presence of a pituitary tumor)
  • Hypothyroidism (inability of the thyroid gland to function normally, leading to hormonal imbalances)
  • Ovarian exhaustion syndrome, which can be caused by heredity, strict diets, depression and other factors that provoke female infertility
  • Luteal phase insufficiency, expressed in a decrease in the functionality of the corpus luteum, a lack of progesterone and, as a result, malfunctions of the reproductive systems
  • Hypoplasia of the uterus, which is known to many as the "childish" uterus, when there is underdevelopment of the reproductive system in women
  • Myoma in the uterine cavity. It is a benign formation growing in the muscle tissue of the uterus. Myomatous nodes not only prevent pregnancy, but also interfere with the safe bearing of the fetus and its maturation
  • Infertility is also associated with various malformations of the reproductive system

Often, infertility is diagnosed as a result of endometriosis. This is the growth of tissue, which is similar in structure to the uterine endometrium, in atypical places. This leads to inflammation, the formation of adhesions, and the loss of the ability to bear a child.

The causes of male infertility are also varied:

  • Obstructions in the genital tract due to injury or infection (secondary infertility in men)
  • Hormonal disruptions, pathologies in the development of the pituitary gland, testicles, hypothalamus
  • Low sperm count and activity in semen caused by varicocele or chemotherapy
  • Abnormal sperm structure
  • Inflammatory processes in the prostate and ureter, especially in chronic form, are often the cause of infertility in men
  • Complications of diseases such as mumps, rubella, diabetes, viral hepatitis
  • Testicular neoplasms

There are also psychological causes of infertility in men, which are not accompanied by physiological changes and disorders of the reproductive system. This includes premature ejaculation, lack of erection, etc.

Classification of methods of treatment of female infertility

Modern medical technologies allow doctors at infertility clinics to effectively help patients, including in difficult situations.

Drug therapy

Treatment of female infertility with medication is used in cases of hormonal imbalances or disorders such as polycystic ovary syndrome or increased prolactin levels. The main stages of drug therapy include:

  • Influence on ovulation with drugs that promote egg maturation and normalize the cycle
  • Correction of hormonal levels - restoring the level of sex hormones for normal conception
  • Therapy of concomitant diseases - eliminating infections or inflammatory processes

Drug treatment is often used as a preparatory stage before high-tech methods such as IVF (in vitro fertilization).

Surgical recovery

The main types of operations:

  • Laparoscopy is a minimally invasive procedure for removing adhesions, treating endometriosis, or restoring the patency of the fallopian tubes
  • Hysteroscopy is an intervention that involves the removal of polyps, fibroids, or the elimination of septa in uterus

Such procedures are carried out in the infertility therapy centers "K + 31", equipped with effective modern equipment.

Assisted reproductive technologies

Basic programs include:

  • IVF - collection of female and male cells, fertilization in the laboratory and delivery of the embryo to the woman's body
  • Cryopreservation - freezing of eggs, sperm or embryos for further use

Assistant methods are carried out in specialized infertility therapy clinics, where experienced specialists work.

Psychological support

Emotional state plays an important role in the success of female dysfunction treatment. In infertility therapy centers, patients are provided with the help of professional psychologists. This allows them to cope with anxiety, fear of procedures and increase the chances of a successful pregnancy. All infertility treatments are carried out under the strict supervision of reproductive doctors.

Classification of methods of treatment of male infertility

When planning a family, one must not forget about checking the male reproductive health.

Drug therapy

Treatment of male infertility using medications is used for hormonal imbalances or inflammatory processes. The doctor prescribes medications that help restore normal hormone levels or eliminate the infection. This type of treatment is often combined with other methods to achieve maximum effect.

Surgical treatment

Surgery is used for conditions such as varicocele (dilation of the veins of the spermatic cord), obstruction (blockage) of the vas deferens, or other anatomical disorders. The operations are based on modern technologies that ensure minimal invasiveness and a short recovery period.

Assisted reproductive technologies

The main methods include:

  • ICSI is a technology that allows the use of even single spermatozoa
  • Insemination is a method that involves the use of prepared sperm, which is suitable for low sperm motility

Hormonal therapy

If the level of hormones that affect spermatogenesis (the process of sperm formation) is disturbed, a course of special medications is prescribed. This approach allows you to restore the natural functions of the body and improve the quality of sperm.

General information

Indications for ART

Modern methods of assisted technologies are used in cases where other approaches to the treatment of infertility are ineffective. The decision to use these methods is made by a reproductive physician based on a detailed diagnosis and assessment of the state of the reproductive system of the patient or couple. The main indications for use include:

  1. Tubal-peritoneal factor of infertility. This condition occurs when the patency of the fallopian tubes is impaired or absent. In such cases, natural conception becomes impossible, and fertilization of the egg is carried out in laboratory conditions.
  2. Male factor of infertility. Dysfunction therapy in this way is recommended when the quality or quantity of male germ cells decreases. Doctors conduct a detailed diagnosis of sperm and select an effective fertilization option, including ICSI in cases of severe pathology.
  3. Endocrine disorders. Diseases associated with hormonal imbalance in women (for example, polycystic ovary syndrome or ovulation problems) may require ovarian stimulation and the use of advanced technologies to achieve pregnancy
  4. Immunological factor of infertility. In situations where a woman's body produces antibodies that prevent fertilization or implantation of the embryo, IVF with preliminary preparation is indicated
  5. Unexplained infertility. In the absence of obvious reasons for infertility, when standard diagnostic methods do not reveal any abnormalities, doctors recommend auxiliary options as an effective way to achieve pregnancy
  6. Age factor. In women over 35, the likelihood of spontaneous conception decreases due to a decrease in ovarian reserve. In such cases, the infertility therapy program often includes an effect on ovulation
  7. Genetic indications. If there is a risk of transmitting serious genetic diseases, preimplantation genetic diagnosis (PGD) is used as part of the fertilization program
  8. Other indications:
    • Preparation for oncological therapy (cryopreservation of eggs or sperm)
    • Absence of pregnancy after repeated attempts at artificial insemination
    • Anomalies in the development of the uterus and other organs of the reproductive system

The use of ART requires a professional approach, highly qualified specialists and modern technologies. At the center for the treatment of infertility in Moscow, patients receive a full range of services, from diagnostics and consultations to IVF programs and post-implantation pregnancy support. The cost of treatment depends on the chosen method and the volume of necessary procedures, which is discussed with the doctor at the stage of therapy planning.

Indications for IVF

The main situations when fertilization with IVF is required are problems with women's and men's health, as well as specific medical conditions that prevent conception naturally.

Female factors:

  1. Tubal dysfunction - complete or partial absence of the fallopian tubes or their obstruction. In this situation, fertilization of the egg by sperm is impossible without the use of special technology
  2. Endometriosis is a disease that involves the proliferation of endometrial cells outside the uterus, which can disrupt ovulation and embryo attachment
  3. Age-related changes - in women who have reached 35 years of age, the likelihood of natural conception decreases, and IVF becomes an effective solution
  4. Hormonal disorders - long-term problems with ovulation caused by polycystic ovary syndrome or other endocrine pathologies

Male factors:

  1. Low sperm counts - insufficient motility, low sperm count, or abnormal sperm structure, making natural fertilization of the egg unlikely
  2. Azoospermia - no sperm in ejaculate, in which sperm are surgically extracted for use in ART programs

General medical indications:

  • Immunological infertility
  • Unexplained infertility
  • Failures of other ART methods - if intrauterine insemination or other programs have been unsuccessful, IVF may be the next step
  • Genetic diseases - the risk of transmitting hereditary diseases to the child, which can be minimized with the help of preimplantation genetic diagnosis

Each stage of fertilization is carefully monitored by doctors. In a specialized laboratory, fertilization of the egg by the sperm occurs under special conditions, which significantly increases the chances of successful conception. After the embryo is delivered to the mother's body, it is attached, after which the pregnancy begins to develop.

Diagnostics

If male infertility is suspected, a spermogram is performed, which involves studying the ejaculate using a microscope. Conducting such a study allows us to determine:

  1. Volume of ejaculate
  2. Number of spermatozoa
  3. Concentration of male germ cells
  4. Motility and viability of spermatozoa
  5. Number of normal forms, leukocytes

To diagnose immunological infertility, the following is performed:

  1. MAR test
  2. Shvarsky, Kurzrok-Miller tests or Kramer test

Diagnosing infertility in men includes a blood test, testicular biopsy and other tests prescribed by a doctor taking into account the anamnesis.

Endocrine infertility is accompanied by menstrual cycle disorders, anorgasmia, and lack of sexual desire. In order to accurately determine whether this is the diagnosis, the specialists of the Clinic +31 conduct a comprehensive examination, including:

  • Ultrasound examination of the pelvic organs
  • Measuring rectal temperature, which can be done for six months
  • Tests to assess hormonal status
  • Various tests

When diagnosing tubal infertility, the following tests are carried out:

  • A smear is taken from the vagina for flora and an analysis of the number of leukocytes is done
  • PCR is performed to detect genital tract infections
  • ELISA analysis is done to detect antibodies to pathogens
  • A bacterial culture is performed to detect the number of pathogens, as well as sensitivity to drugs, related to the group of antibiotics
  • Ultrasound examination with parallel collection of special samples

Examination in the presence of endometriosis includes:

  1. Ultrasound of the pelvic organs
  2. MRI to detect ovarian tumors
  3. Hysteroscopy, as well as separate diagnostic curettage, if there is a suspicion of internal uterine endometriosis
  4. Conducting a study to detect cancer cells
  5. Laparoscopy
  6. Histological examination of the endometrial biopsy

If uterine fibroids are suspected, the following is performed:

  • Ultrasound examination of the pelvic organs
  • Dopplerometry
  • MRI, if it is established that the fibroids have large sizes
  • Hydrosonography and hysteroscopy

Infertility Treatment

Endocrine infertility treatment is usually based on eliminating its cause:

  • For polycystic ovary syndrome, a special operation is performed, the result of which allows the egg to normally leave the follicles in the ovaries
  • For hyperprolactinemia, cabergoline is prescribed, tumors are removed
  • If infertility is due to improper functioning of the thyroid gland, then hormone replacement therapy is used

Appropriate hormonal treatment is also carried out in the case of luteal phase insufficiency, to stimulate ovulation, identifying a "childish" uterus.

In serious cases, when the cause of infertility cannot be eliminated, such as in the presence of defects of the reproductive system, specialists decide to perform IVF using a donor egg.

Laparoscopy is often used for tubal infertility. It not only allows you to identify adhesions, but also to separate them. If treatment of such infertility has not yielded results, then IVF is used in this case.

Endometriosis foci are most often cauterized using laparoscopy. After which hormonal drugs can be prescribed as part of drug therapy for up to 6 months. Most women manage to conceive as a result of such treatment.

If fibroids are detected, myomatous nodes are removed. The exact type of procedure is determined by the peculiarity of the disease. If the fibroid has reached a large size, embolization is used. Tumor removal and special postoperative therapy most often allows you to successfully conceive a child.

Diagnosis and treatment of female infertility of unknown genesis is carried out mainly taking into account the symptoms (for example, menstrual cycle irregularities). The disease can be either in the form of secondary infertility (there was at least one pregnancy before) or primary. Only a qualified specialist can assess female infertility, as well as male infertility. He also selects methods and methods of treatment taking into account the main and concomitant diagnoses.

It is important to take care of your health and visit doctors regularly. A doctor can notice symptoms at an early stage and prevent the development of absolute infertility in women. Clinics "K + 31" provide modern services qualified specialists. We promptly process incoming requests. Just make an appointment in the form on the website, doctors will select ways to solve any problem.

Infertility Prevention

Preventive measures, as well as advice, the observance of which will reduce the risk of encountering infertility:

  1. Don't get carried away with diets, don't overcool, avoid stress, observe hygiene and safety rules
  2. Eat right, try to get rid of bad habits, if you have them
  3. Visit your doctor regularly for examination

Advantages of infertility treatment at the reproductive technologies clinic "K+31"

Moscow's infertility treatment center "K+31" uses modern diagnostics and therapy options, including IVF and ICSI, to help patients achieve the desired result. We offer the following benefits:

  1. A team of professionals. The clinic employs experienced reproductive specialists, urologists-andrologists and embryologists. Infertility therapy for men and women is carried out taking into account the characteristics of each case
  2. Advanced technologies. The fertilization method allows you to create embryos in laboratory conditions. To do this, ovulation is stimulated, eggs are collected and fertilized in a specially prepared environment
  3. Comprehensive diagnostics. Before treatment, we conduct a full cycle of examinations, including hormonal tests and ultrasound
  4. Personal approach. Each patient is provided with an individual therapy program. We accompany couples throughout the entire treatment period, providing not only medical but also psychological assistance
  5. Comfortable conditions. We create a comfortable atmosphere so that patients feel confident and calm
  6. Transparent cost. The clinic offers an affordable price for infertility treatment, which can be found out during a doctor's consultation, and an open calculation system

By contacting the infertility treatment center "K+31" in Moscow, you get a modern approach and a high chance of success.

Advantages of infertility treatment at the reproductive technologies clinic

Our doctors

Kappusheva
Laura Magomedovna
Deputy chief doctor in gynecology, obstetrician-gynecologist
Kamoeva
Svetlana Viktorovna
Deputy Chief Physician for Obstetrics and Gynecology, obstetrician-gynecologist
Pivovarova
Svetlana Victorovna
Head of the outpatient department, gynecologist, endocrinologist
Shevchuk
Alexei Sergeyevich
Oncogynecology consultant, obstetrician-gynecologist
Pegova
Maria Romanovna
Obstetrician-gynecologist
Smirnova
Angelica Yuryevna
Obstetrician-gynecologist, endocrinologist
Dukhina
Tatiana Alexandrovna
Obstetrician-gynecologist, ultrasound specialist
Sirotinina
Maria Vasilievna
Obstetrician-gynecologist, gynecologist-endocrinologist, ultrasound diagnostics doctor
Grishin
Igor Igorevich
Obstetrician-gynecologist
Gomov
Mikhail Alexandrovich
Consultant in oncogynecology, obstetrician-gynecologist
Kashoyan
Anna Robertovna
Obstetrician-gynecologist, ultrasound diagnostics doctor
Gumerova
Dinara Radikovna
Obstetrician-gynecologist, ultrasound doctor
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