IVF TreatmentThere are various methods of artificial insemination. Which procedure makes the most sense in the case of infertility depends on the individual situation. First of all, therefore, a careful diagnosis is carrie out on both partners in order to determine the underlying cause of the infertility.
The legal conditions in IVF Treatment in Pakistan exclude some measures that are allowe in other European countries. This includes, for example, the genetic testing of artificially fertilize embryos before they are returne to the womb (pre-implantation diagnostics), which is only permitte in exceptional cases, within very narrow limits and after examination by an ethics committee. The IVF Treatment implantation of more than three embryos or the freezing or further cultivation of already divided embryos (=two-celled cells) is also prohibited in Germany. Cloning, gender selection or genetic modification are expressly prohibited and punishable by law.
IVF Treatment Process of Insemination
Insemination is usually use when the man has found that the amount of semen is too low or the semen is of poor quality. In women, for example, infertility due to a disorder in the area of the cervix can be the reason for insemination. In order to make pregnancy possible, the sperm cells are injected directly into the uterus (intrauterine), the cervix (intracervical) or the fallopian tube (intratubal) with a syringe or via a soft catheter. The sperm cells must then independently find their way to the fertilizable egg cell.
There are two types of insemination:
Homologous insemination: In this form, the husband’s semen is use. Heterologous insemination: Here, the semen of an anonymous donor is use.
In Vitro Fertilization (IVF) Treatment
In vitro fertilization (IVF) is fertilization that is carrie out in a test tube (“in vitro” means “in the glass”). These are place in a nutrient solution and fertilized with the partner’s sperm cells. Statutory regulations are particularly strict for IVF. The number of eggs that can be use in replantation is limite to three. If there is no gender-linke hereditary disease, the gender of the child cannot be chose. In order to get enough fertilizable egg cells from the ovaries, treatment with hormones is usually carried out before IVF. The ovaries are stimulate to such an extent that several egg cells capable of being fertilize can be obtain. The measure of freezing surplus egg cells obtained in this way is prohibite in Pakistan. The success rate of IVF, which results in the birth of a healthy child, is 25 to 30 percent.
Intracytoplasmic Sperm Injection (ICSI)
Microinjection, or intracytoplasmic sperm injection (ICSI), is also a modified procedure of in vitro fertilization. With the ICSI method, a sperm cell obtained from the ejaculate or surgically from the testicles or epididymis is injecte directly into the female egg cell. Reproductive medicine specialists use the technique, for example, if the male partner has too few sperm cells in his ejaculate or if the spermatic ducts are blocke. In around 25 percent of cases, pregnancy can be brough about with this procedure.
Risks of IVF and ICSI
The G-BA checked the ICSI to see whether the use of this method led to an increased rate of malformations. The review showe that malformation rates are significantly increase in both ICSI and IVF conceive children compared to naturally conceived children. On the other hand, significant differences in risk increase between IVF Treatment Procedure in Pakistan and ICSI cannot be determine. The guidelines on artificial insemination therefore include the obligation for doctors who offer reproductive medicine services to provide information about the increased risk of malformations with ICSI or IVF compared to natural conception.
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