WHO CAN BENEFIT FROM LOWER-TECH TREATMENT?

IVF is a remarkable and necessary fertility technology that allows many people to conceive and deliver healthy babies who may not otherwise be able. However, it is not necessary for everyone. Many people have success with lower tech treatments such as ovulation induction, ovulation triggers, timed intercourse and/or intrauterine insemination (IUI). Women who are good candidates for lower tech treatments are those who do not ovulate regularly (such as in the case of PCOS), those with male partners with mildly decreased sperm parameters who could benfit from IUI, single women and same sex female couples who aren't necessarily infertile but would like to conceive using donor sperm and heterosexual couples who experience female or/and male sexual dysfunction that prevents intercourse. 

There are a couple circumstances where lower tech treatments will not be successful and high tech treatment should be considered from the outset. These include bilateral tubal disease (both fallopain tubes damaged or blocked) and severely decreased sperm parameters: low sperm count, low motility (movement) and/or low morphology (normal shape). Additionally some studies support immediately pursuing high tech treatment for women 40 or older, however this is something that can be discussed on a case by case basis. Other considerations when deciding on fertility treatments include time to pregnancy, cost of treatment, risk for multiples, desire for miscarriage reduction, invasiveness of treatment and big picture family planning goals. We are happy to discuss all of this with you at a consultation.

Our greatest wish is for you to have the family you desire. If you are not a candidate for or not successful with lower tech treatment we will refer you to a facility that can help you with your next steps. There are several excellent fertility clinics in the Seattle area that offer high tech treatments and we will personally help you decide which one may be a good fit for you and ensure your records are transferred.

First Steps Fertility and Women's Health, 2019

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