If you have been having trouble getting pregnant or you are concerned about your fertility, then it can be a good idea to see a fertility specialist. The doctor probably won’t recommend fertility treatment right away as it is important to check for any underlying causes first.
Fertility is a complex matter and many different factors can affect it. While some of these are outside our control, there are some lifestyle factors that you can change to improve your fertility. It is a good idea for both partners to think about how they can improve their lifestyles when they decide to try for a baby. Giving up smoking, reducing your alcohol intake, and reducing stress can all help. Your weight is another factor that can influence your chances of conceiving naturally or with IVF treatment. Read More
A range of different options are available for fibroid treatment in London, ranging from medication to relieve the symptoms to operations that can remove the growths from your uterus. Fibroids can be very painful, so finding the right treatment is important, but you may need to be patient as your gynaecologist won’t want to resort to surgery until you have tried other options first.
What Are Fibroids?
Fibroids are non-cancerous growths that can develop in your uterus. The growths are made up of excess muscle and fibrous tissue that can grow very large. When the fibroids are small, they don’t usually cause any symptoms, so you may not know that they are there. However, if the fibroids grow large enough, they can begin to cause problems. Symptoms that might be associated with fibroids include heavy, painful periods, abdominal or back pain, constipation, and needing to urinate more often. You might also find it uncomfortable to have sex. If you experience these kinds of symptoms and your gynaecologist determines that fibroids are to blame, there are several different options for Fibroid treatment in London.
Treatment Options for Fibroids
Fibroids don’t need to be treated unless they are causing symptoms and they will often disappear by themselves with time. Fibroid treatment in London will usually focus on relieving the symptoms. You might be offered medication or an intrauterine device that can make your periods lighter. Treatment for fibroids can also involve trying to reduce the size of the fibroids with medication or to remove them surgically. These options will usually only be tried if your symptoms haven’t been relieved with treatment and surgery will generally be recommended only if medication has failed to shrink your fibroids. Several different surgical options are available for fibroid treatment in London, ranging from procedures that target the fibroids themselves to a complete hysterectomy to eliminate the problem permanently.
When you decide to seek fertility treatment, it is easy to assume that you will simply start IVF treatment right away, but there are actually a range of different treatment options, ranging from medication to ICSI for in vitro fertilisation. When you see a fertility specialist in London, you won’t begin treatment immediately. You should be prepared to talk about your fertility first and to be patient while your doctor conducts a fertility assessment.
Talking about Fertility
Your doctor will want to know about your medical history to help work out why you may be having fertility problems. You will probably also be asked about your attempts to conceive, so you should be prepared to talk about how often you have been having sex and how long you have been trying. Some people feel a bit embarrassed talking about this kind of thing at first, but there is no need. Your fertility specialist at the London clinic is a professional who has heard it all before. Finding a specialist who puts you at your ease is important, so you should make sure you pick a doctor you can talk to comfortably.
Getting a Diagnosis
After talking to you about your health and attempts to conceive, your fertility specialist will probably want to conduct some investigations to find out why you are having trouble getting pregnant. Men may need to provide a sperm sample so that the sperm count and motility can be assessed. Women may need more tests as it may be necessary to take a blood test to check hormone levels and to conduct an ultrasound or other tests to check for problems with the womb or ovaries. Although you may feel impatient during this initial assessment period, it is very important to have these kinds of tests when you first see a fertility specialist in London. You might feel that you want to begin your fertility treatment immediately, but it is important for your doctor to understand exactly what is going on so that you can get the best treatment for you.
Deciding to try for a baby again after having a miscarriage is a big step for many couples. Although most miscarriages are chance events that don’t increase the risk of having another miscarriage in the future, many people still feel anxious. Seeking miscarriage advice from your doctor can help to reassure you that these worries are normal and the risks are low. It can also be an opportunity to get some advice to help you to get pregnant. Talking to your partner, your doctor, and other people can also help you to decide when the time is right to try again. You need to feel both physically and emotionally ready.
Your Fertility After a Miscarriage
Most miscarriages are one-off events that are caused by chromosomal abnormalities or other issues that meant the embryo could not survive. Having one or two miscarriages does not mean that you are more likely to experience problems with future pregnancies, and your fertility won’t be affected. It is often possible to get pregnant again right after a miscarriage, although it can take a few months for your cycle to return to normal. This means that you will need to use contraception until you feel ready to try again.
If you are worried about trying again after a miscarriage, you can always seek miscarriage advice from your doctor. Even if all you need is some simple reassurance, it can help to talk to an expert about your concerns. If you are feeling anxious about your pregnancy, you might also want to consider choosing consultant-led antenatal care when you do get pregnant. Although there isn’t usually any increased risk of complications after a miscarriage, it can help to put your mind at rest if you know you are being cared for by a specialist
When you need help getting pregnant, it is important to choose the right clinic for your care. Although fertility treatments such as IVF are sometimes available on the NHS, many couples choose a private women clinic for fertility treatment instead.
The Benefits of Private Fertility Care
Choosing a private women clinic for fertility care can enable you to access treatments that might not be available to you with the NHS. The NHS places strict requirements on who can have treatments like IVF and it also limits the number of cycles that you can complete. The situation is even more complex because people in different parts of the country may be eligible for different services. If you don’t live in the right area or fit into the right boxes, private treatment may be your only option for getting fertility treatment.
However, there are some good reasons to choose a private women clinic even if you are eligible for NHS fertility treatment. A private clinic can be a more welcoming space, where your doctor has more time to talk to you about your treatments, and where you may feel more relaxed. The importance of a space where you feel comfortable shouldn’t be underestimated when you are choosing a clinic for fertility treatment, as it will help you to cope with the pressures and anxieties involved in the process. A private clinic can offer other advantages too, such as more control over decisions like how long you want to continue with treatment and the continuity of care you can experience at a private women clinic that offers both fertility and antenatal care.
Paying for Private IVF
The main drawback of private fertility care is that you will have to pay for it, which is why many couples only come to a private women clinic after trying the NHS. The cost of private IVF and fertility treatment can seem high and must be taken into consideration, but they are still only a fraction of the cost of raising a child.
The number of people who have trouble conceiving has skyrocketed in recent decades with men all around the globe having poorer sperm counts and more women being affected by maladies such as endometriosis or immune incompatibility. Today, one in six couples have difficulty starting their family and will need the help of a fertility specialist to achieve pregnancy.
The European Environment Agency says that this increase in infertility problems and even cancers could be caused by chemicals in the environment that disrupt the endocrine – or hormone – system. As hormones are messengers that tell the body how to function, any alteration in how they behave could have a profound effect on health and well-being.
Chemicals that can disrupt hormones include additives found in food, pharmaceutical products, pesticides, household cleaning products and cosmetics. Some scientists believe that the rise in disorders such as diabetes, cancer and infertility are the result of rising levels of exposure to these products.
A deleterious effect on fertility in wildlife populations has been observed after exposure to pollutants, for instance, male fish have developed female reproductive organs due to anti-androgen drugs such as those used to treat prostate cancer. It is thought that a lesser but nonetheless adverse effect on fertility could be happening in humans.
Exposure to oestrogenic endocrine disruptors is already an accepted risk factor for the development of breast cancer, endometriosis, polycystic ovarian syndrome and other disorders that can affect a woman’s fertility. This is why difficulty in getting pregnant is not a rare occurrence.
Most people will conceive within a year of having regular unprotected sexual intercourse but if you have been trying to get pregnant for more than a year (or six months if you’re over 35) you may want to seek advice of a fertility specialist. For private IVF treatment with the latest techniques you can make an appointment direct with our Consultant obstetrician and gynaecologist Mr Colin Davis at the Excellence in Women’s health clinic in London. Mr Colin is skilled in all types of assisted reproductive technology for both male and female infertility problems. With appropriate treatment, many couples will achieve their dream of parenthood.
After your fertility assessment has been completed you will be given the chance to discuss a care plan with obstetrician and gynaecologist Mr Colin Davis. If invitro-fertilization has been indicated as your best option, there are several types of IVF:
Stimulated IVF – Stimulated IVF is the most established form of IVF and uses a variety of hormone based medication to over-ride the natural menstrual cycle so that fertility specialists can retrieve larger numbers of eggs to maximise the chances of conception. Drugs used could be:
Clomifene Citrate (Clomid) – This stimulates ovulation by encouraging the ovaries to produce more eggs.
Follicle Stimulating Hormone (FSH), Gonal F and Luteinizing Hormone – These hormones, given by injection, stimulate the ovaries to produce eggs. These may be used if the patient hasn’t responded to Clomid.
Human chorionic gonadotrophin (HCG) – This is the pregnancy hormone. This is produced by cells that form the placenta. Its function is to tell the corpus luteum to produce progesterone. Progesterone keeps your period away after you have conceived. In the context of IVF, HCG is used as a trigger shot to stimulate the release of eggs.
Semi-Stimulated IVF – This type of IVF is also called mild IVF. It uses fewer drugs than the standard form of IVF and it is based on the woman’s natural cycle, rather than a medically simulated one. This means the cycle is around two weeks – shorter than with a drug regime – and it carries a lower risk of developing side-effects like ovarian hyperstimulation syndrome. It is also more cost effective.
Natural IVF – Natural IVF is when invitro-fertilization is carried out with no drugs at all and relies entirely upon the woman’s natural cycle. Ultrasound technology allows fertility specialists to observe when a woman’s eggs have matured. They can then be retrieved for fertilization in a lab. This option is cheaper than standard IVF and is sometimes chosen by women because they don’t want to have stimulatory drugs or they have previously had side-effects from them.
Reasons you might need IVF include problems with the fallopian tubes, those with low egg reserve, those who have failed to respond to other treatments and couples with male factor infertility. If the male partner has a low sperm count, only one is needed for direct injection into the egg and only those of a good quality are chosen for use in an IVF cycle to give you both the best chance to conceive. IVF treatment London could give you the best chance to realise your dream of a family.