Our therapeutic options include cycle optimisation, hormone treatment, insemination, preparations for inseminations with foreign sperm, IVF treatment (“in vitro fertilisation”), ICSI (intracytoplasmic sperm injection), TESE (testicular sperm extraction), cryopreservation and laser assisted hatching.
Often a cycle observation already helps to determine the optimal period for sexual intercourse in order to achieve the desired pregnancy.
Clomiphene is often given to support egg maturation. These are pills that are taken in the first half of the cycle. Hormone formation in the second half of the cycle and the entire course of the cycle are supported by HCG, which can trigger ovulation.
The function of the corpus luteum is additionally supported by the administration of hormones (gestagens).
Hormone treatment may be necessary to achieve optimal follicular maturation. Medications in the form of tablets or syringes are ideal for this purpose. We can determine the success of hormonal stimulation on the basis of ultrasound and blood tests. We will clarify the correct form of treatment for you in a personal consultation.
Intrauterine Insemination (IUI)
An insemination treatment is useful for slight restrictions of the spermiogram. For this purpose, the collected and specially prepared ejaculate is injected directly into the uterine cavity using a thin catheter. In order to find the optimal time for this, insemination is usually combined with stimulation treatment and medication to trigger ovulation.
You can find more information about IUI in this video.
IVF treatment (“in vitro fertilisation”)
This method involves the fertilisation of the ovum outside the body (in vitro). To increase the chances of success of this method, the ovaries are stimulated by hormone injections, which you can administer yourself, to form several eggs.
The growth of the follicles can be controlled by ultrasound and blood tests. After ovulation is triggered in the practice, the egg cells are collected under a short anaesthetic.
The collected eggs are then brought together outside the body with the male sperm in a nutrient solution. The sperm can fertilise the eggs without further assistance. The resulting embryos are transferred to the uterine cavity a few days after the puncture.
You can find more information about IVF in this video.
ICSI (Intracytoplasmic Sperm Injection)
ICSI is a special method of IVF. All steps up to egg retrieval are therefore identical. The ICSI method is used in cases of poor sperm quality in men or when no fertilisation has taken place during IVF treatment.
In this method, a single sperm is injected directly into the egg cell using an injection needle. Thus the natural fertilization process is imitated by the injection.
The ICSI is merely an additional work step in the laboratory. The further course of treatment is the same as with IVF.
More information about ICSI can be found in this video.
TESE (Testicular Sperm Extraction)
If there are no sperms in the ejaculate, it is possible to extract sperms from the testicular tissue. For this purpose, a small tissue sample is taken from the testicle in a short surgical procedure in a urological practice or clinic. If sperm can be found, they can be used for ICSI treatment. The sperm or testicular tissue samples can also be frozen for later treatment cycles.