
Dr. Fatemeh Bakhtiari Ghale is a renowned obstetrician and gynecologist based in Tehran, specializing in infertility, laparoscopy, and IVF treatments. […]
Modern fertility medicine offers multiple pathways to parenthood for those struggling with conception. These evidence-based interventions address various causes of infertility through personalized treatment plans.
✔ Couples trying unsuccessfully for >1 year (or >6 months if female partner >35)
✔ Women with irregular/absent ovulation
✔ Those with blocked fallopian tubes
✔ Men with low sperm count/motility
✔ LGBTQ+ couples and single parents seeking biological children
Oral medications (Clomid/Letrozole) stimulate egg production
Injectable hormones (FSH/LH) for stronger stimulation
Success rates: 20-60% per cycle depending on age
Washed sperm placed directly in uterus during ovulation
Often combined with ovulation drugs
Best for: Mild male factor, cervical mucus issues
Success: 10-20% per cycle
Process:
Ovarian stimulation (8-14 days)
Egg retrieval (minor surgical procedure)
Lab fertilization (conventional or ICSI)
Embryo transfer (3-5 days later)
Success rates:
<35 years: 50-60% per cycle
35-37: 40-50%
38-40: 30-40%
ICSI: Direct sperm injection for severe male factor
PGT-A: Embryo genetic testing for abnormalities
Donor programs: Eggs, sperm or embryos
Gestational surrogacy
Sperm retrieval (TESA/PESA) for obstructive azoospermia
Sperm washing for improved motility
Sperm cryopreservation before cancer treatment
Consider these factors with your specialist:
Diagnosis (cause of infertility)
Age (ovarian reserve/sperm quality)
Medical history
Financial/emotional readiness
Ethical preferences
✔ Maintain healthy BMI (18.5-25 ideal)
✔ Take prenatal vitamins (3+ months pre-treatment)
✔ Manage stress levels (consider counseling)
✔ Avoid alcohol/smoking
✔ Time intercourse/treatment with ovulation tracking
Cost ranges:
IUI: $300-$1,000 per cycle
IVF: $12,000-$20,000 per cycle
Insurance coverage varies widely
Support groups can help cope with stress
💡 Schedule a fertility workup if:
You’re under 35 and haven’t conceived after 1 year
You’re over 35 and haven’t conceived after 6 months
You have known reproductive health issues
“Modern fertility treatments have helped millions overcome infertility – your journey starts with that first consultation.”