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When the path to parenthood is “blocked”

Therapy options in connection with the treatment of blocked/damaged fallopian tubes

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Blocked or damaged fallopian tubes are among the main causes of unwanted childlessness and are seen as classical indications for IVF treatment (“In vitro fertilization”).
Tubal damage is frequently associated with the accumulation of serous, inflammatory or post-inflammatory fluids. We are referring here to a condition called hydro- or sactosalpinx.

What are the possible implications of this concomitant phenomenon and what therapy options are available?

Read more…

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Genetics in reproductive medicine

Background and Significance

by | Published on 14. April 2016, in Treatment.
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Genetic disorders may cause severe diseases in humans and are known to have adverse effects on fertility, which may even lead to miscarriages. A closer look into these genetic disorders suggests that there are two main reasons for this:
Chromosomal disorders and gene mutations.

In chromosomal disorders, a distinction is made between numerical anomalies (changes in chromosome number – aneuploidy) and structural anomalies (changes in chromosome structure – e.g. translocations). According to experts, these chromosomal alterations are responsible for around half of all spontaneous miscarriages.

Gene mutations involve changes to the genetic makeup of a single gene, gene segment or several genes, resulting in so-called monogenetic or polygenetic diseases. One of the best-known examples of such a disease is cystic fibrosis – also known as mucoviscidosis – which is the most common inherited monogenic disease in Western Europe.

The linking of reproductive medicine and genetics is thus becoming more and more important. In this respect, it is worth mentioning the well-known term Pre-Implantation Genetic Diagnosis (PGD).

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Myths vs. facts of male sexuality

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My previous blog post (→ “From Venus to Casanova all the way to Marilyn Monroe…”) has dealt with sexual myths from their beginnings right up to the present day. Against this background, I would like to pursue the following questions on the basis of two examples:

What are the myths on male sexuality that still persist today?

Can current scientific research help us confirm or deny these myths?

Read more…

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Towards happiness of fatherhood

TESE – sperm retrieval procedure for “in vitro fertilization”

by | Published on 15. March 2016, in Treatment.
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IVF treatment (IVF/ICSI/IMSI) involves the fertilization of the egg cell by a sperm outside the female body in the laboratory. In some cases, however, sperms have to be collected directly from the man’s testes during a minor surgical intervention called TESE – “Testicular Sperm Extraction”.

The TESE procedure is used in men with a very low sperm count (cryptozoospermia, OAT-syndrome) or no sperm at all in the ejaculate (e.g. due to blocked seminal ducts).

Read more…

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Involuntarily childless

Medical clarification and treatment of the possible causes

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Couples wishing to conceive a child but who are not able to achieve pregnancy despite having frequent, unprotected sex for at least one year should consider medical investigation (fallopian tubes, sperm). In most cases, the reasons for infertility involve a variety of factors such as diseases, genetic disorders, increasing age, unhealthy lifestyle patterns and harmful environmental impacts.

Precise diagnosis provides information as to how individual therapy may look for the couple concerned. The appropriate treatment is determined individually on the basis of the medical results of both partners, since the cause of infertility may involve either the female or the male or both.
This clearly shows the importance of professional advice and medical examination by an experienced specialist doctor in order to be able to answer the couple’s following question:

“What treatment is appropriate for our situation?” Read more…

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From Venus to Casanova all the way to Marilyn Monroe…

Sexual myths and their impact on our life today

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Since time began, people concern themselves with sexuality, the wish to have children and symbols of fertility. Firmly anchored with our “deepest yearnings and wishes”, the first myths were born.

Emergence of myths
The origin and thus the deep rootedness of myths are just as old as the history of mankind itself. The myths’ content is the content of our life, our body and our environment. The archetype in mythology is the woman with her child. The first experience that all people in the world share is the very special bond with their mother’s body. (see Campbell 1993, P. 7) Read more…

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“From the first second…”

…Companion of couples undergoing fertility treatment – the Info Center team of the IVF Centers Prof. Zech

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As a service point for help-seeking childless couples, the Info Centers, at the private clinic Group’s seven European locations, are an important counseling and information platform for couples before, during and after the treatment. Every day, hundreds of couples concerned readily make use of this service and receive the relevant answers to their questions in a quick and easy way (by phone or e-mail).
The counseling services are provided in a results-oriented and efficient manner. This is made possible by the comprehensive expertise and the dedication of the employees. Guidance and useful tips are just as integral to the advisory service as the providing of assistance in strongly emotional situations.

What couples considering IVF treatment want to know

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“Once upon a time…”

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Today I invite you to join me and enter the world of stories. Now you are probably wondering what this has to do with reproductive medicine.
I try to verify as to whether there is any truth in “stories” – also with a view to the research into the causes of unwanted childlessness. This is helped by scientific studies, true to the motto:

“In seeking truth you have to get both sides of a story.”
(Walter Cronkite)

Thus, how much truth is in the following “story”?

Read more…

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“Understanding the miracle of nature”

What contributes to the success of fertility treatment

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Many couples wish for nothing more than to have their own child. But for some of them, their wish to conceive a child has remained unfulfilled, despite prolonged efforts to achieve a pregnancy. But, regardless of how different the underlying causes may be, today there are promising therapeutic options in reproductive medicine.

Counseling: Why is it important?
Since fertility treatment can be an emotionally challenging situation involving potential risks, with no guarantee that the outcome will actually be successful, the couple should, as a first step, seek detailed advice.
One possibility could be to participate in one of the information evenings as offered by the IVF Centers Prof. Zech, for instance. The evening’s topics range from the description of the fundamentals of human reproduction to the analysis of the causes of unwanted childlessness to the possibilities opened up by modern reproductive medicine. The participants have the opportunity to get in touch with medical specialists, ask any questions they may have and voice their personal concerns.

Infertility: What are the causes? Read more…

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Unwanted Childlessness and Stress

What do we know about the links existing between them?

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Illnesses, environmental pollutants, ageing are, inter alia, factors which may impair fertility. Unwanted childlessness is often due to a combination of several causes. To date, we know far too little, for example, about the role played by psychological strain. Couples wishing to conceive are usually under great pressure and are often exposed to high stress.
A number of questions arise at this point:

If this stress is caused by the unfulfilled desire to have children, then what about couples who have not been diagnosed with fertility disorders?

Is it possible that in both cases stress can reduce the chances to conceive a child? Read more…