Trial Confirms Clinical Benefit of Time-Lapse Monitoring

Large Prospective Randomized Trial Confirms Clinical Benefit of EmbryoScope® Time-Lapse System

AARHUS, DenmarkSeptember 15, 2014 /PRNewswire/ —

The success rate of assisted reproduction was significantly increased by the use of revolutionary time-lapse technology

A study accepted for publication in the renowned scientific journal Fertility & Sterility, confirms that a revolutionary and clinically certified technology can substantially increase the success rate in assisted reproduction.

The use of the EmbryoScope® time-lapse system significantly increased ongoing pregnancy rates, implantation rates as well as significantly reduced early pregnancy loss.

These are results from one of the world’s largest multi-center fertility clinics, IVI, based in Valencia Spain. The current study was conducted as a follow-up to a large retrospective analysis, which reported in 2012 that the combination of undisturbed culture and a customized embryo classification algorithm gave higher pregnancy rates. The data presented now confirm a relative improvement of more than 20 percent in clinical pregnancy rates by using the EmbryoScope® time-lapse system compared to standard evaluation procedures.

In the current study, 843 patients were randomized between treatment in the EmbryoScope® time-lapse system and standard incubation. Embryo evaluation in the time-lapse system made use of a customized morphokinetic model applying morphology and time-lapse variables to select embryos, whereas standard morphology was used in the standard incubation system. Patients receiving EmbryoScope® treatment using a morphokinetic model were 23.2% more likely to have an ongoing pregnancy as well as 35.7% less likely to experience an early pregnancy loss. Dr. Marcos Meseguer and his team have made thembryo monitoringis algorithm, which is available in IVI laboratories.

“This is the largest trial to date to study the clinical benefits of time-lapse technology on clinical outcomes, and we are delighted to confirm our previous findings,” says Dr. Meseguer, who conducted the survey. “IVI has always been at the forefront of offering our patients new and better treatments, and we were one of the first clinics in the world to offer the EmbryoScope® time-lapse system routinely to our patients. This also confirms that the research we have conducted in developing a customized embryo evaluation model will improve our efforts to help childless couples achieve the dream of parenthood.”

The results reflect the benefit of using a customized evaluation model, which was developed by analyzing outcome results from previous treatments and combining this with the superior incubation in the EmbryoScope® time-lapse system. A previous study conducted by IVI indicates that improved incubation alone could not account for the large improvement in clinical outcomes observed in this study.

“Unisense FertiliTech recognized the need to create advanced software to allow clinics to design and use models customized to their own clinical practice,” says CSO Niels Birger Ramsing. “We continue to invest resources to improve these software tools and to develop start-up embryo evaluation models which can be readily used by a wider range of clinics.”

 

The EmbryoScope® time-lapse system has been in clinical use since 2009 and has since been used for more than 200,000 patient treatments in 46 countries.

CEO Michael Reeslev says: “These results confirm outcome improvements reported from a number of clinics using our system and we are delighted that the prospective randomized controlled trial shows that our technology offers significant benefits to clinics and their patients.”

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Body Bureau offers embryo monitoring with Time-Lapse Imaging at its donation clinic in the Czech Republic. Contact Us today for more information.

Fertility Infographic

How Body Bureau Can Help:

There are many reasons a couple experience difficulties in conceiving, but Body Bureau can help. We have regular London consultations for treatment that takes place in Vilnius, Lithuania’s capital city. As an EU country it abides but all the same high standards and regulations and is in the UK but at about 50% (IVF from only £1275),  of the price of other private health and IVF clinics. Also we can offer affordable Egg (from £4000), Sperm, Embryo donation services in our partner clinic in Prague, Czech Republic.

No waiting lists, success rates above UK average, newest methods, assessment consultations and after-care in London, most modern clinics. For more information and book an appointment, call us NOW 0207 617 7301 or email us info@bodybureau.co.uk.

More about our infertility treatments.

Main Reasons for Egg Donation Abroad

 There are many reasons why thousands of patients are choosing to go abroad for egg donation every year.  Not least because of the restrictions put on services by public health services like the NHS in UK, which mean many couples are either ineligible for help, or eligible but have to queue on long waiting lists, further affecting their chances of success.

We take a look at the main reasons UK couples are going abroad:

 

Affordable_Egg_donation_abroad

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1) Higher Success Rates. There is no proper research why this is, but success rates in some clinics abroad are probably higher for egg donation because the donors in those countries – which allow anonymous donation – tend to be younger and healthier. This of course has an impact on the likelihood of success as their eggs are much better quality, leading to better outcomes of the procedure.

2) Egg donation abroad is cheaper. It is definitely cheaper to go for treatment in some European countries than in the USA or UK. For example, IVF with egg donation in our Czech Republic clinic cost from around £4000/€4500/$6600 comparing to an average price of £8000 in the UK, €7000 in Spain or $16000 in USA. Travelling abroad does require some extra outlay, such as travel and accommodation, but often even after adding all these costs together it is possible to save up to 60% when comparing totals, so it is always worth considering the option of going abroad. Companies like Body Bureau can help to save even more as we offer pre-assessment, consultation and aftercare in a London-based clinic. This helps to reduce the time you have to spend abroad significantly, as your treatment can start in your home country.

Egg Donation in Czech Republic Prague

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OrangeStudioEdita

3) Donor anonymity. This alone can convince some parents to travel abroad for treatment.  For instance, in the UK donor anonymity legislation was changed in 2005, allowing people the right to seek identifying information about their donor once they reach 18. This is not acceptable for many couples so they decide to have IVF with egg donation in a country where their donors remain anonymous forever by local law. UK donor anonymity law also effects the supply of both egg and sperm donors, as many potential donors are put off from donating in the first place because they do not want their identity to be revealed in the future.

4) Lack of egg donors in the country you reside in. In some countries, like the UK, there is a perceived shortage of egg donors because historically the financial compensation for donors was very low. Recently the regulatory body in the UK – the Human Fertilisation and Embryology Authority – increased the amount of compensation available to donors, so situations should improve slightly. However, long waiting lists still exist – something deeply unacceptable for many people, as time is not an abundant commodity for people looking for infertility treatment.

5) Better care and personal approach. For those who have had a bad experience in terms of treatment or doctors in their own country (privately or NHS), they often have a much better experience dealing with clinics and coordinators from abroad. They often find them much more keen to help, to listen to their problems and to offer the most appropriate treatment options available for each individual couple, avoiding expensive, ineffective methods.

6) Availability of certain techniques.  Some methods and procedures may not be allowed or be readily available in their own country so people have travel abroad for them, for example; gender selection, pre-implantation genetic diagnosis, embryo monitoring, egg/embryo freezing etc.

How Body Bureau Can Help:

There are many reasons a couple experience difficulties in conceiving, but Body Bureau can help. We have regular London consultations for treatment that takes place in Vilnius, Lithuania’s capital city. As an EU country it abides but all the same high standards and regulations and is in the UK but at about 50% (IVF from only £1275,  of the price of other private health and IVF clinics. Also we can offer affordable Egg (from £4000), Sperm, Embryo donation services in our partner clinic in Prague, Czech Republic.

No waiting lists, success rates above UK average, newest methods, assessment consultations and after-care in London, most modern clinics. For more information and book an appointment, call us NOW 0207 617 7301 or email us info@bodybureau.co.uk.

More about our infertility treatments.

 

Infertility Myths and Facts

It is estimated that infertility affects 10-15 percent of all UK families. Often, however, couples avoid talking openly about it, and as a result the subject of infertility is surrounded by many myths.

About the most common myths we hear, we talk to our Northway fertility Centre doctor, Reda Ziobakiene.

Dr. Reda Ziobakiene

– Is it true that female infertility is a much more common problem than male infertility?

– This is not true. According to global statistics, female infertility accounts for 30-40%, male infertility for 30%, 20% is due to both partner’s infertility, and the remaining 10-20% is unexplained infertility. Assessment of our fertility centre data, from all procedures performed in the previous year, shows that 43% of the time the cause was male infertility issues.

– Is it true that women who use contraceptives now will have difficulty getting pregnant, or even will not be able to get pregnant, in the future?

– This is one of the most common myths and what is strange is that it is popular among medical professionals. In fact, although the use of contraceptives in the past few years dropped by almost a quarter, infertility each year is growing dramatically.  So this fact shows that there is no direct link between these factors.

Also, there are strong enough scientific arguments against it. For instance, a research study, which investigated a group of women that for a long time used a variety of contraceptives and another group, which never used them, found that for both groups of women the time from trying to become pregnant to conception did not differ.

I would also like to point out that there is a specific group of women with infertility problems due to hormonal disorders – women who have Polycystic Ovarian Syndrome (PCOS).  For this group of women, those who have used contraceptives in the past, experience significantly shorter time to conceive than those women who did not use contraceptives.

– It is said that assisted reproduction procedures have a negative impact on a woman’s health. Are you sure this is the case?

– Again, this is a myth, because neither medication nor fertilization procedures have long-term harmful effects on a women’s health. However, the reason or cause of the infertility may be associated with a certain diseases. For example, women who are infertile with certain hormonal disorders have an increased risk of ovarian or breast cancer. However, as I said, this has nothing to do with the procedure or the drugs that are administered in the treatment of infertility.

– Is it possible to delay having a child until a later age, in the hope that with the help of assisted reproduction techniques, older women may become pregnant?

– I would strongly recommend against that. The media constantly writes about how women aged 50 or older gave birth, and it is contributing to the formation of this incorrect opinion. In fact, fertility is absolutely associated with a woman’s age.

For women under the age of 35 years the chances of getting pregnant after fertility treatment are up to 50%, while women over 40 years have only an 18% chance, and women over 43 years only 5-6%. So it is not really recommended to wait a long time before trying. Ideally a baby should be planned before the age of 30 years, as then is the highest probability of success.

– Women’s discussion forums are full of statements saying that, when having assisted reproduction procedures, the first time you will not get pregnant, and you will need at least two or more treatments. Is there any truth in this?

– This is also not true. A substantial proportion of women – about 25-30% – conceive after the first treatment.

– Is it worth repeating an IVF procedure if the first treatment was not successful?

– Definitely. The chances of success after several procedures is higher than the chance after the first treatment.  In the United States, professionals conducted a study of 250,000 women undergoing assisted reproduction procedures over the course of 5 years. For women in the under 30 years age group, total pregnancy outcome was 78%. However for the same age group, pregnancy rates after the first procedure were 50%. But with increasing age the chances of getting pregnant in any case do decline.

– Do assisted reproduction procedures increase the birth rate of “different” children?

– It is always hard to predict what people expect and what they have in mind when they say “different”.

Photo by: 123rf

Perhaps they will be ‘different’ because they are very long awaited, and probably more loved and spoiled.

If there are fears of an increased risk of birth defects, they really doesn’t need to be. It is true that after certain highly complex procedures such as intracytoplasmic sperm injection (ICSI), using sperm with more severe abnormalities, minor anomalies, or certain organ malformations can be 1-2% cent more likely. Most of it is kidney, urinary tract, reproductive organs, and heart and vascular lesions, but as I said, it is only a small anomaly.

But it should be kept in mind that these procedures are not advised or performed for those who are unhealthy or with certain disorders.

It is often thought that the children born by assisted reproductive techniques will also be infertile, and they will need to apply the same procedures themselves. The reality disproves this myth too. Infertility is not hereditary. If your mother had trouble conceiving, it does not mean that it will be the same for you.

For example, the first girl born with an assisted fertilization procedure – who is now 35 years old  -successfully became pregnant and gave birth to two healthy children.

 How Body Bureau Can Help:

There are many reasons a couple experience difficulties in conceiving, but Body Bureau can help. We have regular London consultations for treatment that takes place in Vilnius, Lithuania’s capital city. As an EU country it abides but all the same high standards and regulations and is in the UK but at about 50% (IVF only from £1275) of the price of other private health and IVF clinics. Also we can offer affordable Egg, Sperm, Embryo donation services in our partner clinic in Prague, Czech Republic.

No waiting lists, success rates above UK average, newest methods, assessment consultations and after-care in London, most modern clinics. For more information and book an appointment, call us NOW 0207 617 7301 or email us info@bodybureau.co.uk.

More about our infertility treatments.

Over 5 Million Babies Born Thanks to Assisted Reproduction

Around 180,000 IVF babies are born each year in the UK but that’s nothing on the total born using assisted reproduction techniques (ART).

It was recently announced that the total the amount of babies born in the world using ART methods since 1978 – the year the first IVF baby was born – is 5 million.

Richard Kennedy, from the International Federation of Fertility Societies said: ‘The number of babies born through ART is now about the same as the population of a U.S. state such as Colorado, or a country such as Lebanon or Ireland. This is a great medical success story. 

IVF was pioneered by Sir Robert Edwards, who died earlier this year, and by Dr Patrick Steptoe. Their technique led to the birth of Louise Brown on July 25, 1978, at Oldham General Hospital.

The treatment involved an egg being removed from one of her mother’s ovaries with a probe before being mixed with her father’s sperm in a petri dish – not a test tube. The resulting embryo was implanted in Mrs Brown’s womb two days later.

Mrs Brown was not the first woman to become pregnant after IVF treatment, but none of the previous pregnancies had lasted for more than a few weeks.

Most remarkably, half of those 5 million IVF babies have been born in just the last six years, showing the growth and spread of the treatment created to help women who have trouble conceiving.

Scientists have been looking at new techniques to ensure healthier children. One controversial method, known as “three-parent IVF,” allows doctors to implant the mitochondria of the mother into an empty donor egg and then fertilise it with sperm from the father.

A UK child was recently the first to be born using an IVF technique called next generation sequencing, which allowed doctors to screen potential embryos for diseases and other problems.

Many of the 180,000 IVF babies born in the UK are actually conceived abroad due to the high cost of private healthcare in Britain. Body Bureau helps clients by sending them to their clinics in Lithuania, Poland and Czech Republic, recently voted top medical tourism destinations.

We also have a London clinic for consultations and preparation meaning patients only need to travel for the actual procedure, and are away for just 5-6 days. More information and prices here.

When Should You Remove a Mole?

“Doctor, I have so many moles, there must be something wrong with my health. Please can you remove them?” This is a typical sentence you might hear in a dermatologist’s office, but in many cases there is nothing to worry about.

Often our doctors carefully examine every mole on a patient’s skin with special device called a  dermatoscope, and reassures the patient that majority of the moles are not harmful. “Moles should be monitored and checked. Whether or not you need to remove them, however, is a matter for the specialist “- says the Northway Medical Center’s Dermatologist Asta Dumbliauskiene.

When is it right to remove moles, and when is it not? When is the best time to remove them? We talk to Doctor Dumbliauskiene about these issues.

 

Doctor A.Dumbliauskienė reminds us: the best time to remove birthmarks and moles is when the sun outside is not too bright.

– What is a mole?

– Not all formations on the skin are moles by default. Sometimes people confuse moles and pigmented spots (freckles), skin tags, benign (non-cancerous) lentigines or seborrheic keratosis.

Moles – benign lesions on the skin. However they can change, in other words, become malignant, so it is very important to prevent this and keep an eye on them.

– What features should make a patient more cautious?

– Generally speaking, there is the so-called ‘ABC’ rule that can help you:

A – Asymmetry.  A mole that is asymmetrical, not round and regular for instance, or other asymmetric shapes, should raise suspicion.

B – Borders. A mole’s edges should be equal. If any edge is uneven, like jagged, it will would be worth checking with your doctor.

C – Colour. A mole should be a solid colour so if some of it gets darker, or darker dots appear, or all of it gradually becomes darker, you should get it checked out.

Dermatologists further evaluate with D – is dermatoscopic formations. This is investigated by viewing with a dermatoscope – as mentioned, the key device for dermatologist.

For the patient it is difficult to decide whether a mole dangerous or not. Sometimes, the patient comes in concerned about one irregularly-shaped mole, but after it is removed it turns out that it did not pose any danger. Instead – nearby – is a black, flat mole that the patient did not even suspect and, as it turns out, this mole can be abnormal and needs further investigation.

– Does the size of the mole matter?

– Although it is said that moles up to half a centimetre in diameter are harmless, it is best to be evaluated by a doctor. But if a mole begins to grow rapidly, evolve or change the answer is unequivocal – this should be of concern.

If moles are increasing and changing, and it is alarming, it is worthwhile to consult a doctor.

– Often women notice that moles appear after pregnancy and childbirth. Are these dangerous moles?

– During pregnancy there are changes in hormone activity so moles can increase, become swollen or alter slightly. However in most cases moles return to their original state.

– What happens if the doctor finds a mole that causes them concern?

– If the doctor finds a mole that looks abnormal, they cannot be removed by usual external methods. All such moles should be cut out surgically for histological examination.

– And if the moles are normal, and present no danger?

– If they do not raise suspicion, judged individually, then sometimes people ask us whether it is necessary to remove a mole. In these cases the answer is no, normal spot removal is not necessary. But if it is located in a place where it is constantly irritated, for example, around your neck or on your stomach, enduring the constant irritation of a chain or belt, or in an aesthetically disadvantaged area, then it can be removed.

A constantly irritated mole can quickly become damaged or painful, rather than one which is not in a place of easy irritation.

By the way, the most ‘vulnerable’ moles for this sort of irritation appear in the armpits, groin.

– How are benign moles are removed?

– Moles, which do not have any of the changes that may indicate their malignancy, can be removed at our clinic removes by applying Cosmetic Radiosurgery .

Radiosurgery is attractive because it causes minimal tissue damage. It’s like polishing, when tissues are removed layer by layer. The less damaged the tissue, the better wound healing.

– After treatment, are there are any traces of the former mole left?

– Currently there is no mole removal method which does not leave some sort of mark. After radiosurgery procedures a very blurry spot usually remains. At first a pink stain will be present, which will gradually become lighter. We can’t say that there will be not even the slightest trace left, but it is not as visible as if you were to have it removed surgically by scalpel. Radiosurgical method is even known as mole removal without cutting.

– After the procedure, can patients return to normal life?

– For the first day the patient can’t wash the wound, but from the next day showering is allowed. Visits to the sauna, swimming pool, steam room, or lying in the bath are not recommenced for 7-10 days. It’s also better not to plan any heavy exercise, or to go on a trip where you will be sweating heavily. And most importantly – for at least a month after the treatment do not to expose the area to the sun, or visit a sun bed. Otherwise the area might not recover normally and instead a pigmented stain can appear. Therefore, dermatologists do not advise the removal of moles from parts of the body that are open to the air in the summer. Such procedures are best to plan for a different time of year.

– Is the sun is dangerous for moles?

– Sunlight encourages normal spot growth, increases in size or other changes.

But even if we were to remove all moles located on the surface of human skin, the risk of developing melanoma would remain at around 50 percent. Therefore, sunscreen should protect not only moles but also the skin.

Younger girls should be reminded – not only do you need to watch out for the sun, but tanning salons as well. Man-made radiation is no less dangerous than UV rays from the sun.

And normally, people only think to protect their skin with protective creams when going to the beach. I would like to remind people that it is necessary to keep the skin protected on a daily basis, whenever it is exposed to the sun.

Moles receive additional negative solar charge, in addition to that wrinkles appears faster.

The skin needs to be protected, and the fact that it prevent malignancies and aging.

– Will those whose skin is darker need to be cautious as well?

– Yes, everyone should protect their skin from the sun. It’s just that generally, the darker the skin the lower SPF factor cream is needed.

– What is the riskiest part of body?

– For Men – ears, neck, shoulders and back. Often men forget to protect these places with a cream, and they tend to get the most sunlight.

Women – decollete, face and legs. Usually women forget to protect their legs appropriately.

Also, everyone needs to pay attention to their hands and feet. And sometimes melanoma develops in the pigmented part of the eye. To avoid this we always need eye protection on a sunny day  – the need to wear reliable glasses, that protect from the sun’s harmful rays.

 How Body Bureau Can Help:

We offer effective mole examination and removal services in Lithuania. Unchanged moles, and other pigment formations can be removed by various methods:

Surgical removal of moles and other pigmented structures using Radiosurgical method. Prices: £90-200

Surgical removal of moles and other pigmented structures using the CO2 laser Prices: £90-£220

For more information and to book an appointment, call us NOW 0207 617 7301 or email us info@bodybureau.co.uk

Body Bureau wins a 2013 Medical Tourism Association Leadership Award!


Body Bureau - award winning medical tourism company

Body Bureau goes from strength to strength and wins a 2013 Medical Tourism Association Leadership Award.

Body Bureau, a leading London-based medical tourism boutique, is the only UK facilitator to win an MTA award.

Although offering a large range of medical care services at their respected partner-clinics, Body Bureau specialise in providing affordable infertility treatment, such as IVF and ICSI, to those unable to afford the bloated charges made for these services in the UK, or those abandoned by the NHS due to it’s restrictive policies.

The recent opening of a London Pre-Assessment clinic allows much of the process to take place in the UK, including consultations and tests, meaning just one short trip of up to week is all that is required for the actual treatment.

Their main clinic in Vilnius, capital city of Lithuania, is the most modern in the region and uses advanced techniques.

Further to this, due to patient demand, they are also set to introduce a new clinic in the next couple of months that will specialize in donor services, single women and those up to the age of 49 years.

Learn more about other high quality and affordable Body Bureau services: Cosmetic Surgery, Vision Correction, Weight Loss Surgery, Dentistry, Health Screening.

For more information and book an appointment, call us NOW 0207 617 7301 or email us info@bodybureau.co.uk.

Sperm Count and Fertility – Why Are Rates Dropping and What Can Be Done.

Sperm Count and fertilityOnce upon a time, not so long ago, difficulty in conceiving and problems with fertility were seen to be mainly a female problem. Women all over the world would have to undergo endless tests, and only then would the man be asked to undergo testing.

But thankfully times, and attitudes, have changed with the knowledge that in 4 out of ten couples, infertility is due to male causes. This means in many cases the diagnosis stage is quicker and couples can be given the right treatment for them earlier.

However studies show that male fertility is dropping. A survey of 26,609 men in France showed a drop in fertility measured by their sperm count.

Sperm samples from these men were analysed and showed a 32% drop from 74 million/ml in 1989 to 50 million/ml in 2005.

This result, although a worrying decline, should be not strike fear into our hearts juts yet. 50 million sperm/ml is still well over the limit for normal fertility, which is 15 million/ml. So the lower sperm count a man has, the longer it will take him and his partner to conceive, not that they won’t conceive at all.

However any drop below 40 million/ml may become significant when taken together with his partner’s own fertility issues, if they have them as the fertility of a couple is the sum of their fertilities.

For instance if a woman, as many do in this day and age of longer life-spans and high-pressure careers, decides to wait until after she is 35 to try and conceive then her fertility will have dropped from an earlier age, and will continue to drop a significant rate going forward.

Even a young, healthy couple has no more than a 25% chance of conceiving in any one menstrual cycle.

Add to this, that her partner’s sperm count may have dropped below 40 million/ml they may find themselves trying for a baby for a lot longer than hoped. This can lead to impatience or even desperation, and after trying for a long time couples often decide to find a quicker option in IVF or similar procedures.

Research indicates that a sperm count of under 40 million/ml leads to a rapid fall in the chance of conceiving, so it would be best for would-be fathers to cut out all those things known to reduce their sperm counts. These include smoking, drinking, obesity, sitting down all day at a desk or in a car and wearing tight underpants, which can lead to an increase in heat in the testicles which are designed to try and the keep sperm inside cool.

As with many things, focusing on a good, healthy diet and keeping fit is the best way to keep your body working optimally, which hopefully in turn will keep your sperm count high.

But, women can help their sons too. It’s known that the size of a man’s testicles, and therefore his sperm count, was determined when he was growing in his mother’s womb.

It is understood that if a pregnant woman drinks or is obese, this can lead to small testicles in their son meaning, as always, our choices can affect our bodies in all sorts of ways.

Keep it natural and healthy!

 How Body Bureau Can Help:

There are many reasons a couple experience difficulties in conceiving, but Body Bureau can help. We have regular London consultations for treatment that takes place in Vilnius, Lithuania’s capital city. As an EU country it abides but all the same high standards and regulations and is in the UK but at about 50% (IVF only £1275) of the price of other private health and IVF clinics.

No waiting lists, success rates above UK average, newest methods, assessment consultations and aftercare in London, most modern clinic in Lithuania. For more information and book an appointment, call us NOW 0207 617 7301 or email us info@bodybureau.co.uk.

More about our infertility treatments.

How A Man’s Lifestyle Can Affect Fertility

It is known that 15 percent of families experience infertility problems of some sort and 5 percent will never have children at all. Infertility affects a family painfully – both the men and women who face problems with infertility experience many different reactions and feelings.

On the subject of men’s infertility we are talking to our doctor, Associate Professor Endocrinologist Birute Zilaitiene.

– In how many cases is infertility caused by male health problems?

– Various sources state that in couples suffering from infertility 40 percent of the time the cause is down to female factors, 40 percent male factors, 10 percent due to immunological incompatibility, and the last 10 percent of causes remain unclear.

In about a half of the cases of infertile families investigated by our clinic, research showed that the couples couldn’t conceive due to the pathology of the man’s sperm.

However it is true that a woman’s fertility can compensate for a man’s mild infertility problems, and so it is possible for couples to have children without medical help.

– How do men react to the problem of infertility?

– The good news is that more and more men are taking much more responsibility and most come for the necessary tests, often well supported by their wives during these difficult family periods. Often the couple raises the natural question – what we ourselves can do to improve a man’s fertility, and increase the possibility of conception.

– What causes a man fertility problems?

– Current research identifies five key determining external factors:

1. Age. A woman’s fertility starts to decline gradually from 32 years of age, with a significant decrease from the age of 35 years, and a man’s sperm quality begins to deteriorate from about the age of 45 years. There is evidence that partners of men over 45 years of age need up to five times longer time to become pregnant, compared with those of men aged 25 and younger.

It is also known that there are higher rates of newborn abnormalities found in the children of older men. Assisted reproductive techniques can not help to solve age-related infertility.

 2. Obesity. Obese men often have impaired fertility due to lower testosterone levels and higher rates of erectile dysfunction, but there is evidence that even at normal levels of testosterone in these men, their sperm quality is often worse than when compared with normal weight men.

 3. Smoking. It has been shown that smokers suffer impaired fertility more often than non-smokers, mainly due to sperm DNA damage.

 4. Alcohol. There is a proved connection between alcohol consumption levels and the probability of conception. What does the research show?

Partners of men consuming more than 20 units of alcohol per week (more than 250ml of 40 percent-proof spirits) need more time to become pregnant than those whose husbands are drinking less alcohol.

When planning a pregnancy it is safest if the couple do not consume alcohol at all. If this is not possible, a maximum of two standard alcohol units consumed per day, and there should be limited impact on the quality of semen (25 ml of spirits or a pint of beer).

 5. Sexual intercourse at the correct time. It is recommended to have a sex the three days before ovulation (including the day of ovulation) during the period.  It is generally recommended to have sex every 2-3 days to ensure better sperm quality. However, according to recent data, there is no evidence that conception was lower having sexual intercourse every day.

Unfortunately, these above factors are often ignored, and argued against by the success of other couples, regardless of their age or addictions. This is the wrong approach, because each couple’s fertility is entirely individual.

It is not possible to overcome genetic anomalies, or severe damage to spermatogenesis due to previous surgeries, oncological treatment. There are circumstances that are not always dependent on the couple, such as their age, but a healthy lifestyle and regular sex are all available means to change couple’s fertility.

 – Can diet have impact on man’s fertility?

– The question about nutrition and its relationship with fertility is frequently asked. So far, there is no final, definite answer, but some studies have shown that foods rich in antioxidants may increase the chances of conception.

Such food can be attributed to beta-carotene-containing products – carrots, spinach, tomatoes, papayas, cherries, melons, peaches, vitamin C-rich kiwi, pineapples, melons, and various berries, broccoli, cabbage, lemons and other citrus fruits.

Vitamin E is also beneficial, and with the food – lettuce, peanuts, almonds, coconuts, grains, flakes and zinc-containing products – asparagus, potatoes, vegetables, eggs, fish. It is most likely that a healthy diet ensures normal functioning of the reproductive system.

– Is it correct that male fertility may be affected by wearing too tight clothes or frequent visits to saunas?

– There are well-known adverse effects of heat on spermatogenesis. It is therefore recommended to avoid tight clothing, and spending long periods in the bath or sauna.

– So having a healthy lifestyle can solve the problem of infertility?

– Lifestyle changes are important, but often, unfortunately, they are not a sufficient tool to solve all male fertility problems.

The desired result can be achieved only after andrological tests and the application of appropriate medical interventions.

Unfortunately time is not a great ally for couples – and a partners age is one of the most important factors determining the likelihood of getting pregnant.

Considering IVF treatment? Body Bureau can help you to fulfil your dreams to start your family. More about our infertility treatments.

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Having a Hysteroscopy can help solve infertility problems

A hysteroscopy is a diagnostic procedure performed to examine and evaluate the changes in the uterus and carry out necessary surgical operations. How is such a modern surgery implemented and what are it’s strengths? We talk about it with our Northway Medical Centre’s obstetrician-gynaecologist, dr. Rolandas Ziobakas.

obstetrician-gynaecologist Rolandas Ziobakas Hysteroscopy

Q – In what cases is there a need to perform a Hysteroscopy operation?

A – A hysteroscopy is often performed as part of  infertility treatment, as well as some other reasons (for example, failure to remove uterine contraceptive coil).

A hysteroscopy is usually performed when the patient has endometrial polyps or myoma, which are deform the uterine cavity; or when there’s a suspicion of endometrial hyperplasia (hypertrophy). These endometrial pathological changes can cause pain, along with irregular and heavy periods. During a hysteroscopy we carry out an accurate diagnosis and then remove uterine polyps or myoma. After this procedure the patient’s abnormal bleeding stops. If a woman complains about significant and prolonged bleeding during menstruation or irregular uterine bleeding, and the bleeding cannot be treated simply with medication, hysteroscopycal ablation surgery is usually recommended. This endoscopic procedure often becomes an alternative to hysterectomy. When there is an unexplained bleeding from the uterus during the postmenopausal period, diagnostic hysteroscopy helps to identify the cause of the bleeding, which can be a malignant tumour in the uterus.

 Q – You mention that a hysteroscopy can be carried out for infertility treatment. Does this mean that having the operation can increase the possibility a woman has for getting pregnant?

A- Yes, this method is suitable for those who cannot conceive or carry a foetus. Infertility may be caused by abnormalities in the uterus such as intra uterine adhesions,  the presence of a uterine septum, myoma, or uterine cavity deformation. Cervical internal adhesions may occur after previous uterine intervention procedures (e.g., uterine curettage operations due to heavy bleeding), or uterine abnormalities confirmed only after endoscopic operations.

After a hysteroscopy it is possible to evaluate, diagnose or rule out the suspected illness. If a woman has experienced several consecutive early recurrent miscarriages, a hysteroscopy would help determine a possible reason for this. For example – a malformation like a partial uterine septum, which can be removed. More often, it is enough to make a small surgical correction before success in conceiving is achieved. However, when this method is inefficient, medical treatments or assisted reproductive techniques can be adjusted.

Q –  Is this method suitable for all women?

A –  Hysteroscopy cannot be performed if a woman is pregnant, suffering from genital inflammation, cervical cancer, or if she has serious health problems. In this case she would be examined and treated using other methods.

Q –  How the hysteroscopy is performed?

A –  The patient is more often under general, usually intravenous anaesthesia during the surgery so she does not feel any pain. The surgeon will use a device called a speculum to open up the walls of the vagina. They will then insert the hysteroscope (a thin telescope-like device) through the cervix, into the uterus with a small amount of fluid for the uterine cavity to widen. The gynaecologist inspects the cervical canal and uterine cavity – all clearly visible on a nearby monitor. If the doctor finds any pathological changes – he removes them. If there any suspicions of a endometrial condition, a biopsy test is performed – a little piece of tissue is taken.

We perform a particularly sustainable hysteroscopy, using thinner than usual instruments. Because of this the patient feels less discomfort after the surgery.

Q – What are the benefits of hysteroscopy? And what about recovery?

A –  A Hysteroscopy is done all at clear sight, so any uterus disease diagnosis is very reliable. After surgery, the pain is minimal as there are no incisions or wounds in the abdomen,  so there is no risk of wound infections. In addition, the patient can be discharged on the same day after surgery, and on the next day she would be ready to return to work. For a period of one to two weeks after the surgery it is not recommended to swim or to use tampons.

 

Hysteroscopy in private clinic costs from £950 including anaesthesia and 1 day after-care in the clinic.

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