Infertility

Question 1

What is the definition of infertility?

Answer 1

A couple with 1 year regular intercourse

without use of contraception and no pregnancy.

Question 2

What are possible treatments against infertility?

Answer 2

Treatment depends on the cause.

Surgery, hormonal treatment, artificial insemination and in vitro fertilization are possible treatments.

Question 3

What are indications for IVF as treatment against infertility?

Answer 3

Tubal infertility.
Endometriosis.
Long-term unexplained infertility.
Slightly or moderately reduced sperm quality.
Other treatment trials without success, failed.

Question 4

What are indication for IVF + ICSI?

Answer 4

Ejaculated sperm:
Significantly reduced sperm quality.
Low/no fertilization in IVF.
Sperm antibodies.

Question 5

What are possible complications of infertility treatment?

Answer 5

Ovarian hyperstimulation syndrome (OHS).
Bleeding.
Infection.
Multiple pregnancies (e.g. twins).

Question 6

What are indications for banking of oocytes and sperm?

Answer 6

Sperm: Before cancer treatment, problems with ejaculation.
Oocytes: Before cancer treatment, as long as there is no risk of cancer cell transfer.

Question 7

What type of fertilization is required if preimplantation genetic diagnostics will be performed?

Answer 7

IVF + ICSI.

Question 8

Is it possible to get preimplantation genetic diagnosis in Norway?

Answer 8

Couple has to apply for PGD after having had genetic counselling. The application is sent to a ”PGD committee”. Treatment is carried out abroad (Brussels, Stockholm), same refunding as IVF/ICSI.

PGD method is not (yet) available in Norway. (PGS is not (yet) allowed in Norway.)