Friday, September 30, 2022

What is the most common cause of not getting pregnant? | FAQ's | IVF Treatment

Every patient asks a doctor when they have a fertility problem: "Doctor, why am I not getting pregnant?" When they've done an IVF cycle and the IVF cycle fails, then the next logical question is "why did the cycle fail?" or "why did the embryo not implant?" Now, these are great questions, and no one's disputing that the problem is that we don't have the technology to be able to answer these questions.

And the reason for that is that while we have the technology to check if the tubes are open, we can't check if the tubes are functioning or not, so we know a tube that is blocked is not going to work, which is because it's open doesn't mean it's working. It's not a plumber's type. Similarly, we can do a semen analysis and check if there are sperm, we can count them, but it's not like a bank account; it doesn't necessarily tell you whether the sperm are functionally competent or not.

And that's exactly the problem with IVF failure We can make an embryo, but once you make an embryo and put it back in the uterus, we don't know whether that embryo is going to implant and what causes it to implant and what causes it to not implant.

Now the honest thing to do is to tell patients the truth and say, "Look, we don't have an answer." Patients get very upset when they hear this because, they want a doctor who will give them answers because, of course, once the doctor knows what the problem is, he's going to be able to solve it. Interestingly, in the field of infertility, the technology for diagnosing problems and making diagnoses is actually not very good.

But our technology for providing solutions is excellent. What could be possible if you don't know what the problem is? How can you identify the solution? The answer is that we can bypass the problem. For example, if the couple has unexplained infertility, which means the sperm are not fertilizing the eggs in the bedroom for whatever reason, we can fertilize them in the lab, create an embryo, and then place it back in the uterus so that, in this case, the test tube acts as a substitute or replacement for the fallopian tube, effectively bypassing the problem even if you don't know where the problem was.

To be honest, I believe this is for the best because we don't care about problems. This is not a research clinic where we're trying to find out why couples aren't getting pregnant. An infertility clinic wants to give infertile couples a baby, and the good news is that our technology for doing that has become extremely good.

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