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Fertility and Infertility Treatments: What Your Doctor Won’t Tell You

2. In vitro fertilization (IVF) cannot compensate for poor quality eggs

While IVF can help women produce more eggs in one cycle in an effort to boost their fertility, it will not improve the quality of those eggs. In fact, the quality of the eggs plays an important role in the success of IVF. Simply put, good quality eggs produce good quality embryos that are more likely to develop within the womb successfully, leading to a healthy, viable pregnancy. So, while a woman with a few high-quality eggs may be able to get pregnant through IVF, a woman with a lot of poor-quality eggs may not be able to.

As a woman ages, her ability to produce high-quality eggs decreases dramatically. “Mother’s age is the most important predictor of whether IVF will work,” he says. Mary Ellen Buffon, Physician, Associate Professor of Obstetrics and Gynecology in the Division of Reproductive Endocrinology and Infertility at Northwestern University Feinberg School of Medicine in Chicago. “As women get older, the chances of success decrease.” While it is important to be optimistic about your chances of success, it is also wise to go into the process with your eyes wide open and your expectations realistic.

Related: How does body weight and body mass affect a woman’s fertility and ability to conceive

3. IVF can be painful

Doctors often neglect to mention that fertility injections, given as part of IVF, can cause physical discomfort. For one thing, “the shots can hurt, depending on where they’re given, the size of the needle, and the medications they’re given,” says Covington, an editor Fertility counseling: clinical guide and case studies. It is not uncommon for the injection site to become sore and tender over time. The result: “Many patients feel they are not adequately prepared for the physical and psychological burden of a course of treatment,” says Dr. Domar.

4. Fertility treatment can put you on an emotional roller coaster

It’s not just hormones and fertility drugs that can ruin your emotions; Other aspects of ART can, too. “Going through IVF is very stressful. Patients who have had depression or anxiety in the past may find that they are dealing with these symptoms again,” says Dr. Pavon. “Even patients who do not have this history can end up feeling depressed. or anxiety.”

In fact, 37 percent of women experience emotional maladaptation during IVF treatment, and 10 percent have a delayed emotional reaction of anxiety or depression, according to Study in the August 2016 issue of human reproduction. If you feel your mood is heading south, it’s important to spend time with people you trust that you can talk to or a mental health counselor who can help you through this journey.

5. Your partner may join you on that emotional roller coaster

Your partner’s mental state can also be affected, especially if fertility treatments continue. The same human reproduction The study found that psychological symptoms of misalignment — including anxiety, depression, coping with active avoidance, intimidation, and difficulties communicating with a partner — increased significantly in men one year after the couple’s first fertility assessment. (Your partner may also benefit from seeking support.)

6. Art can last longer than you expect

While a woman’s menstrual cycle takes an average of 28 days, an IVF cycle can take much longer than that. Pavon sometimes indicates that IVF involves a pretreatment of birth control pills to regulate a woman’s cycle and ovulation. Once the IVF process officially begins, the process can last from four to six weeks until the eggs are retrieved; After the eggs are retrieved, the embryos are usually transferred after three to five days.

Complicating matters, “starting a cycle does not mean completing it—about 20 percent of the time a cycle is canceled,” notes Domar, co-author of conquer infertility. If another cycle starts later, the whole process starts over and the clock is reset.

7. A positive pregnancy test does not necessarily mean success

With a positive pregnancy test, “there is always a risk of a biochemical pregnancy — a positive pregnancy test that drops very quickly after it’s detected — or an early miscarriage,” says Pavone. in A study published in the August 2018 issue of Reproductive biology and endocrinologyIn this study, researchers evaluated the outcomes of nearly 5,500 IVF/ICSI embryo transfer cycles that led to clinical pregnancies at two infertility treatment centres. The overall miscarriage rate among ART-treated couples was 12.5 percent—and the risks of miscarriage increased with maternal age.

RELATED: Celebrities Who Have Talked About Their Miscarriages

8. If you don’t get pregnant after ART, it may affect how you feel about your body

Because many women feel as though their bodies are designed to have children, the inability to conceive after fertility treatments can have a profound effect on self-image, body image, and self-esteem, Covington says. “It can leave women with a sense that their bodies are somehow flawed.” some Posted in Australian Medical Journal He even suggests that infertility and fertility treatments can lead to changes in sexual self-esteem and sexual function for women and men.

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