If you are here today, you are probably looking for information about infertility. This blog post inaugurates a series dedicated to exploring more deeply about infertility, infertility treatment and assisted reproduction.

Before we start our series, we would like to say that, here at the Instituto Medicina em Foco, we have the urologist in São Paulo, specialist in human reproduction, Dr. Matheus Gröner. Regardless of whether you or someone close to you is going through the discovery of infertility, a mere curiosity about the topic or is interested in assisted reproduction, it is important to follow this series, as knowledge can significantly contribute to the outcome of your journey.

A Infertility is a growing challenge faced by many couples around the world. According to statistics from the World Health Organization (WHO), approximately one in six couples finds it difficult to conceive naturally.

In this article, we will deeply explore the topic of infertility, its causal factors, advances in the area of assisted reproduction and how the human reproduction specialist in São Paulo, Dr. Matheus Gröner, has been fundamental in this process.

So to start, what is infertility?

Infertility is defined as difficulty conceiving after six months of frequent and unprotected attempts for couples under 35 years of age, or one year for couples over 35 years of age. This condition can be the result of several causes, involving male, female or both factors, and can be reversible or persistent.

Causal Factors of Infertility

A Infertility is a complex reality that can affect couples at different stages of their reproductive journeys. Understanding the causal factors of infertility is essential to identify the reasons behind conception difficulties.

At Instituto Medicina em Foco, we are committed to providing, in detail, the main factors that contribute to infertility male, female and also those that affect both partners. We will analyze how each of these factors can influence the ability to conceive naturally and the options available to help couples overcome these challenges.

Our multidisciplinary team has several specialists to help you deal with infertility and other conditions, among them are: the gynecologists Dr. Eduardo Baracat and Dr. Pedro Doria and the specialists in intestinal endometriosis Dr. Fábio Piovezan and Dra. Vanessa Prado .

Female factors:

• Ovulatory problems: hormonal disorders such as Polycystic Ovary Syndrome (PCOS) or Ovarian Insufficiency.

• Tubal damage: blockages or damage to the fallopian tubes.
• Endometriosis: abnormal growth of endometrial tissue outside the uterus.

Male factors:

• Low semen quality: low sperm count, reduced motility or abnormal morphology, or even changes in sperm DNA fragmentation. All can be caused by several factors such as genetic, metabolic, hormonal, anatomical changes, among others.

Factors common to both:

1. Lifestyle: obesity, smoking, excessive alcohol consumption.
2. Medical conditions: diabetes, hypertension, autoimmune diseases.
3. Environmental and occupational factors: exposure to environmental toxins.

Assisted Reproduction as a Solution for Infertility

A Assisted reproduction represents a significant hope for couples who face difficulties conceiving naturally. At Instituto Medicina em Foco, we have the specialist in assisted reproduction in São Paulo, Dr. Matheus Gröner.

Understanding how assisted reproduction can be a viable solution for infertility involves exploring not only the different methods available, but also the selection criteria and the potential results of these treatments.

A Assisted reproduction encompasses a series of medical procedures that facilitate conception through the manipulation of eggs, sperm and embryos outside the human body. These procedures are indicated for couples who cannot get pregnant naturally due to various causes, such as ovulation problems, sperm quality, tubal obstructions, endometriosis, among others.

Assisted Reproduction Techniques

• Intrauterine Insemination (IUI): this method involves the introduction of semen prepared in the laboratory directly into the woman’s uterus during the fertile period. It is a simpler and less invasive option, generally recommended when there are few sperm quality problems and, mainly, in some ovulatory causes.

• In Vitro Fertilization (IVF): one of the most advanced techniques of assisted reproduction. Involves fertilizing the egg with a high concentration of sperm in the laboratory, forming embryos that are subsequently transferred to the woman’s uterus. It is indicated for more complex cases of infertility, such as tubal obstructions, advanced endometriosis or fertilization failures in previous treatments.

• ICSI (Intracytoplasmic Sperm Injection): variation of IVF, in which a single sperm is injected directly into the egg to facilitate fertilization. It is recommended when there are severe sperm quality problems.

• Gamete donation: in some cases, egg or sperm donation may be necessary for couples who cannot use their own gametes due to genetic or quality problems.

• PGT (Pre-implantation Genetic Testing): this procedure is used to select genetically normal embryos before transfer, especially useful for couples with a history of family genetic diseases, women over 38 years of age or couples with recurrent abortions.

The Role of the Human Reproduction Specialist in Infertility

Instituto Medicina em Foco has a multidisciplinary team to assist in the treatment of infertility, namely: the nutritionist Dra. Christiani Chaves ; the specialist in nutrology Dr. João Spott, the bariatric surgeon Dr. Rodrigo Barbosa and the behavioral psychologist Dra. Jaqueline Moreira .

Dr. Matheus Gröner, urologist and specialist in human reproduction in São Paulo, is a prominent professional in this field. With extensive experience, he offers comprehensive and personalized assessments for couples seeking to understand and overcome infertility. His integrated approach considers both medical and emotional factors, providing continuous support throughout the treatment process.

When seeking specialized help, it is crucial that both partners participate in the initial consultation. Dr. Matheus Gröner performs a complete evaluation, including detailed medical history, physical and laboratory exams specific to identify the underlying causes of infertility. Based on these results, an individualized treatment plan is developed, using the most appropriate techniques to maximize the chances of conception.

The success rates of assisted pregnancy vary depending on several factors, such as the age of the patients, the cause of infertility and the assisted reproduction technique used. In general, IVF or ICSI have a higher assisted pregnancy success rate compared to other methods, providing hope for couples facing significant challenges to get pregnant naturally.

Although the diagnosis of infertility can be emotionally challenging, continuous advances in reproductive medicine offer effective options for many couples. With the support of experienced professionals such as Dr. Matheus Gröner and the use of advanced techniques of assisted reproduction, many couples manage to realize the dream of having a child.

In conclusion, infertility is a complex, but not insurmountable problem. With access to specialized care and infertility treatment appropriate, it is possible to find a solution that meets the individual needs of each couple.

If you are facing difficulties conceiving, do not hesitate to contact us. With the right support, the path to parenthood may be more accessible than you imagine.

References:

UPTODATE. Overview of infertility. Available at: <https://www.uptodate.com/contents/overview-of-infertility?search= infertilitysource=search_resultselectedTitle=1%7E150usage_type=defaultdisplay_rank=1>.

UPTODATE. Female infertility evaluation. Available at: <https://www.uptodate.com/contents/female-infertility-evaluation?search= infertilitysource=search_resultselectedTitle=2%7E150usage_type=defaultdisplay_rank=2>.

UPTODATE. Approach to the male with infertility. Available at: <https://www.uptodate.com/contents/approach-to-the-male-with-infertility?search= infertilitysource=search_resultselectedTitle=3%7E150usage_type=defaultdisplay_rank=3>.

UPTODATE. Female infertility treatments. Available at: <https://www.uptodate.com/contents/female-infertility-treatments?search= infertility+tratamentosource=search_resultselectedTitle=1%7E150usage_type=defaultdisplay_rank=1>.

UPTODATE. Treatments for male infertility. Available at: <https://www.uptodate.com/contents/treatments-for-male-infertility?search= infertility+tratamentosource=search_resultselectedTitle=3%7E150usage_type=defaultdisplay_rank=3>.

UPTODATE. Assisted reproductive technology: Pregnancy and maternal outcomes. Available at: <https://www.uptodate.com/contents/assisted-reproductive-technology-pregnancy-and-maternal-outcomes?search=reprodu%C3%A7%C3%A3o+assistidasource=search_resultselectedTitle=1%7E150usage_type=defaultdisplay_rank=1>.

UPTODATE. In vitro fertilization: Overview of clinical issues and questions. Available at: <https://www.uptodate.com/contents/in-vitro-fertilization-overview-of-clinical-issues-and-questions?search=reprodu%C3%A7%C3%A3o+assistidasource=search_resultselectedTitle=2%7E150usage_type=defaultdisplay_rank=2>.

UPTODATE. In vitro fertilization procedure. Available at: <https://www.uptodate.com/contents/in-vitro-fertilization-procedure?search=reprodu%C3%A7%C3%A3o+assistidasource=search_resultselectedTitle=3%7E150usage_type=defaultdisplay_rank=3>.