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What can be done to improve sperm count and motility?

Independent of the infertility contributor factor, a healthy life style is very important to optimize the testicular function and the potential of male fertility.  You can also:

  • Avoid contact with toxic products such as: heavy metals, pesticides, anesthetic gas, etc.;
  • Avoid smoking, drugs or excess consummation of alcohol;
  • Avoid activities that increase the testis and scrotum temperature (hot tubs, saunas, sitting for prolonged periods, etc.)
  • Talk with your doctor about the influence of some medications on the sperm function: antihypertensives (for high blood pressure), antihistaminines (for allergies), antihyperlipidemics (for high cholesterol) or antidepressants.

Many studies have also proven that taking vitamins and antioxidants can improve male fertility.  The most important ones are Vitamin C and E, Selenium, Zinc, Folic Acid and CoEzyme Q10.

For more information on vitamins for male fertility (Fertil Pro), please ask to any member of our team at your next visit to the Clinic.

 

 

How many embryos should be transferred?

On day three (3) post retrieval, one of our embryologists will assess the quantity and quality of your embryos.  After consulting with the medical team, he/she will be able to give you their recommendations, in accordance with the Clinic regulations, to determine if the embryos should be transferred that day or be kept in culture for an extra two days and let them reach blastocyst stage.

 

Usually, most of the top quality embryos reach the blastocyst stage. However, we cannot exclude the possibility that your embryos will not survive the culture period and that the transfer could be cancelled. 

 

The final decision on the number of embryos to transfer and whether or not to culture until the blastocyst stage will always lie with the client (and her partner, if applicable), as long as it respect the maximum indicated in the Clinic policy.

 

You should also keep in mind that even with the transfer of only one embryo, there is still a very slight possibility of having twins due to monozygotic twinning (~3% of possibility for one embryo to separate and form two embryos) which occurs after the blastocyst stage, and therefore after the transfer.

 

Again, clients should always consider the possibility of multiple births when making this decision.  The more embryos that are transferred, the higher is the risk for multiple pregnancies, possible complications for the mother during the pregnancy, and increased risks for the child due to a probable premature delivery.

 

Conceptia cares for the health of our patients (and of future babies) and that is why we feel that it is our responsibility to keep you well informed on the consequences and possible outcomes of your procedure.

 

Why are multiple pregnancies a problem?

If all twins, triplets, and quads were born as healthy as singletons there would not be any concerns. Unfortunately, multiple pregnancies have much higher risks than singletons for the foetuses as well as for the mother. The risk of these complications arising must be balanced against the number of embryos transferred and the corresponding increase in success rate.


Maternal risks associated with multiple pregnancies

Multiple pregnancies are associated with more sickness, fatigue, heartburn, and lack of sleep during pregnancy, and may also pose financial problems. Other possible complications:

  • Incompetent cervix
  • Miscarriage
  • Haemorrhage and vaginal bleeding,
  • Pregnancy induced high blood pressure
  • Pre-eclampsia occurs three to five times more frequently
  • gestational pregnancy diabetes
  • Anaemia
  • kidney infection,
  • Polyhydramnios (excessive amounts of amniotic fluid that surrounds the fetes)
  • Caesarean section is often needed in twin pregnancy, and almost always required for triplets or more
  • Intrauterine Growth restriction  
  • Preterm labour
  • Extended bed rest
  • Others


Foetal complications associated with multiple pregnancies:

  • Preterm delivery. These babies are more likely to suffer serious, lifelong health problems such as cerebral palsy and disability.
  • Multiple pregnancies have a four-fold increase in the rate of low birth weight compared to single pregnancy. The risk of lifelong disability increases significantly for babies that are underweight.
  • Stillbirth rates and neonatal death rates are higher for multiple pregnancies compared to singletons.
  • Birth defects are twice as common as in single birth.
  • Premature birth also increases the risk of consequences on organs, including but not limited to: lungs (Neonatal respiratory distress syndrome, Bronchopulmonary dysplasia), brain, heart, intestines and eyes.

 

Who should consider the transfer of a single elective embryo transfer (eSET)?
Please also refer to the last two questions.

Conceptia Clinic, as well as the Canadian fertility and Andrology Society, think that the elective single embryo transfer (eSET) must be seriously taken into consideration by all persons/couples who proceed to an IVF treatment and particularly some persons/couples that are more at risk, of complications (in case of a multiple pregnancy) such as with fertility health history of:

  • Uterine malformation;
  • Previous premature birth;
  • Incompetent cervix
  • Etc…