FAQ's - General questions
How long is the wait?
We have no waiting. All our treatments start immediately after a menstrual period (see treatment types). So one treatment cycle can be started when you want it. It is of course a prerequisite, that you beforehand have had a consultation at Trianglen.
Can we do anything to increase the chance of having a baby?
In some cases. See details under "Lifestyle Factors".
How long should we try to achieve pregnancy, before we seek treatment?
Generally in less than one year. After that, about 84% of all couples have achieved pregnancy. After two years, about 92% have achieved pregnancy. In some cases, we would recommend to seek medical advice and appropriate treatment earlier:
Should we be married to be treated for infertility?
No. It is possible to treat both couples and singles. See legal requirements here.
Is there an age limit for fertility treatment?
Yes. According to Danish law you may not receive fertility treatment if you are 46 years or older. There is no age limit for the man. The public fertility clinics do not treat couples where the woman is 40 years or older.
Can you be sure to have a child by fertility treatment?
No, unfortunately. But the possibilities are good in most cases. For example, a couple where the woman is under 40 years old have around 25-30% chance of achieving the birth of a living child after one IVF treatment. After three treatments, the overall chance around 65-70%. See more detailed information, see "Pregnancy Chances" and "Results".
The sperm sample showed that there were no sperm. Can we still be treated?
Yes. In some cases, where there is no sperm in the semen, the sperm cells can taken directly from the testicles (TESA). This sperm can be used to fertilize oocytes with micro insemination (ICSI). If it is not possible to obtain sperm from the man, we recommend insemination with sperm from a sperm donor.
What if a man is sterilized and now wants a child?
Sterilization (vasectomy) of a man is carried out by a removing a small piece of both vas deferens (the tubes that carry sperm from the testes). The testes still produce sperm, but the sperm does not come out in the seminal fluid. In this situation, there are various options for treatment:
Can you freeze a sperm sample for later use?
Yes. But sperm quality deteriorates whenever the sample is frozen. Freezing of semen samples can be used in rare cases where the husband, for example, are away when the sperm sample is needed.
Freezing of semen samples can also be used for storage of semen, if the man is facing treatment, for example with chemotherapy, which is known to harm sperm production significantly.
Should the fallopian tubes removed if they are damaged?
In some cases, it may be a good idea. If the fallopian tubes are distended by fluid, it can double the possibility of achieving pregnancy if the fallopian tubes are removed before IVF treatment. The fallopian tubes can be removed by surgery (laparoscopy). Fallopian tubes that are not distended by liquid does not need to be removed.
What if a woman is sterilized and now wants child?
Sterilization of a woman is carried out by blocking the passage through the fallopian tubes. This can be done by having been put small metal clip on the fallopian tubes or by removing a small portion of the tubes. There are two options for treatment:
Can we have intercourse during fertility treatment?
Yes. There is no evidence to suggest that sexual intercourse reduces the chance of getting pregnant.
Do I have to take injections?
Yes. You will get a thorough instruction in the clinic, and it is not possible for you to carry out the injections yourself, we will find a solution.
When will we know if "we" are pregnant?
After In vitro fertilization (IVF) we take a blood test 17 days after the ovulation injection. The blood sample is tested for pregnancy hormone (hCG). You will get the answer the same day. After insemination treatment, you get a "home pregnancy test" in which a few drops of urine may show whether the woman is pregnant. This test is made 14 days after insemination.
How far is the pregnancy really?
The pregnancy length is traditionally considered from the last menstrual period. In a "normal" cycle of 28 days ovulation and fertilization is around day 14. This means you are two weeks pregnant at the time of fertilization. Calculate your due date here.
Should women take folic acid?
Yes. Taking folic acid before you get pregnant and until the pregnancy is 12 weeks pregnant will reduce the risk of having a the child with malformations of the brain and spinal cord. Health Protection Agency (www.sst.dk) recommends a daily intake of folic acid of 0.4 mg per day. If the woman in a previous pregnancy had a child with a neural tube defect, or if she or her husband are born with neural tube defects the recommended daily dose is 5 mg.
If the woman can not produce eggs, can we use the eggs from one of our female friends who wants to help?
Yes. The law on egg donation is changed from October in 2012 and it is now allowed to use "your own donor." Read more.
How many have twins?
With IVF the twin rate is around 20%, if we have placed two fertilized eggs in the uterus. The possibility of being pregnant with twins is reduced, when only one embryo is placed the uterus. See our results for IVF treatment here.
By insemination treatment with hormone stimulation the twin rate is about 10%. See our results for insemination here.
What is PCOS?
PCOS is an abbreviation of polycystic ovarian syndrome. This means there are many small eggs bladders ("cysts") in the ovaries (ovaries). It can be seen by ultrasound. Follicles do not develop or only very slowly into mature eggs, and therefore the woman often has a very long menstrual cycle by up to several months between periods. At the same time, there is often a shift in hormonal balance, so there are too many male hormones. It can lead to excessive hairiness, especially in the face, genitals, the breasts, arms, etc.
What is endometriosis?
Endometriosis is a condition in which the uterine mucosa tissue grows in different parts of the abdominal cavity. It is a "benign" disease, but can be very annoying. There may be endometriosis of the peritoneum, in the ovaries and in rare cases also elsewhere, for example in the intestine and bladder. In the ovaries endometriosis often shows as "chocolate cysts", which have a rather distinctive look by ultrasound.
Endometriosis often shows as pain before and during menstruation. Endometriosis can also make it difficult to get pregnant. If there are large endometriosis cysts in the ovaries, we recommend to get them surgically removed before any fertility treatment.
Read more about endometriosis.
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