Learn about the causes of infertility and fertility treatments
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Melanie Raposo: Hi! Welcome to The Pregnancy Show everybody, I'm Melanie Raposo and right now I'm at the SWCH Fertility Centre, and I'm talking to Dr. Librach again, and today we're talking about infertility and we have something very special for our viewers today, we have an exclusive look and effective way being fertilize and you don't want to miss this. Dr. Clifford L. Librach: There are many causes of infertility and we say that about 60% of the causes are due to female and about 40% due to man. Sometimes there are some problems with both of them that also overlap that. So in the female we look at, where the problem may lie. In terms of the egg, so it has to produce an egg in order to ovulate and make a baby. The other thing is then the egg has to go through the fallopian tubes and travel into the uterus, so the tubes have to be open in order for someone to get pregnant. She has to have a uterus that's capable of carrying a baby, and also the sperm have to get to the right place at the right time. And then when we look at the man, he has to have enough sperm to be able to fertilize an egg and get out through tubes and then ultimately produce a baby. Melanie Raposo: There are variety of infertility treatments available and they can range from the lower tech treatment such as medications to stimulate the ovaries to procedures that can unblock the fallopian tubes if necessary. For more serious fertility problems there are the higher tech treatment such as In Vitro Fertilization. Dr. Clifford L. Librach: So, In Vitro Fertilization or as it's called IVF is where we take the eggs out of the woman's body, so we have to make her produce lots of eggs, we extract those eggs from the body and we use an Ultrasound machine, like this to do that, and then we take the eggs and we put them into dishes, okay, and basically in those dishes we then fertilize the eggs, and we now can enhance fertilization when theoretically let's say there is a low sperm count. We can then take sperm and actually place it right into the egg and that's called ICSI. And then we create these embryos that grow inside the laboratory and then we can place some of them back into the woman, and not only that but we can freeze the rest of them, keep them almost forever until the person is ready to have another baby or another try, if it doesn't work. Melanie Raposo: Dr. Librach says that while undergoing these fertilization treatments, one of the things woman need to be prepared for is the possibility of having twins or even multiple births. Dr. Clifford L. Librach: Now, luckily most of those multiple births are just two babies, okay, and so twins, very rarely sometimes we will have more than two and in those cases we have to counsel people about whether they do something called Selective Reduction where they only carry two, so for the safety of the mom. Melanie Raposo: Now there are certain things you can do to prevent fertility problems such as avoiding excessive drinking and avoiding smoking and drugs, but one of the biggest way as Dr. Librach tells us is having children sooner than later. Dr. Clifford L. Librach: As a woman gets older, one of the things that happens as woman get older is a change in their eggs. So woman as they age and it specially starts to happen after 30, and then at 35 it gets even more intensive, and after 40 it's a very big change in the ovaries, and what happens is the eggs become more abnormal, they change, they become genetically abnormal, and many of them are incapable of producing a baby. So that's why women when they get older, their periods are still there, have a much, much lower chance of getting pregnant and a much higher chance of miscarrying, losing the baby as their eggs are abnormal and a higher chance of having a baby that might be abnormal, which we can test for, but we don't want to be in that situation. For more information about infertility visit ThePregnancyShow.com.