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To many professionals, an accurate infertility diagnosis may seem less relevant than the biological clock of the Intended Parents. For example, why spend months on an expensive surgical exam to diagnose tubal adhesions in a 38-year-old infertile patient if IVF is still the fertility treatment?
Many aspects of infertility and its medical treatments can be emotionally overwhelming. The medical workup for infertility can be difficult, and accepting the resulting diagnosis can be incredibly painful. Infertility diagnosis often brings about a range of stressful emotional reactions, including denial, shock, anger, depression, and anxiety. In addition, making decisions about medical treatments for infertility can be stressful.
A true cause of infertility is hard to reveal nowadays despite all the modern achievements of fertility work-up, but IVF procedure often represents a reasonable treatment regardless of cause. Indeed, IVF is usually an empirical intervention in most of those who are treated. And, as we can see, the classical medical paradigm of history-taking, investigation, infertility diagnostics and treatment has declining value in the modern management of infertility.
We should emphasize that a proper work-up is still valid and important in fertility treatments – because some diagnosed causes of infertility can be treated successfully, and sometimes other diseases – such as diabetes or even pituitary tumors – can be identified, and these require their own dedicated treatment. A proper work-up will also be important for the infertile couple to know if they still have a reasonable chance of spontaneous pregnancy.
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Recently, it has been reported that as many as 80% of infertile couples will conceive within four to five years of receiving their infertility diagnosis. Infertile couples who choose childfree living may experience grief and mourning similar to those felt when they learned of their infertility diagnosis for the first time. For other couples, a time gap between infertility diagnosis and fertility treatment becomes a crucial factor.
Fertility specialists usually prefer to work with both partners. So, no matter what your female fertility test suggests, most men will also be tested for fertility. During infertility diagnosis, most infertile couples will undergo several basic tests and procedures. Some of those tests can play a more important role than others, depending on your personal medical background and condition. Look at a brief explanation of a set of tests and procedures.
Gestational surrogacy in Ukraine is a reproductive technology used to treat infertility only for valid medical reasons. The list of clinical indications where gestational surrogacy is permitted is provided in paragraph 6.2 of the Order of the Ministry of Health of Ukraine No. 787 “On Approval of the Procedure of Assisted Reproductive Technologies Application” adopted on September 9, 2013, summarized as follows:
Thus, if the aforementioned clinical indications are revealed in a female infertile patient as a result of the infertility diagnosis, she is fully permitted to use gestational surrogacy as an infertility treatment method.