This is when the sperm is normal, the tubes are patent and there is normal ovulation. This condition affects 25% of couples. If you are young, it is sensible to continue trying naturally. If there is no success after 3 years, IVF is the best option.
For anyone trying to get pregnant it is important to be healthy to have a normal weight (BMI between 18 and 30), to eat a healthy diet and exercise regularly, to avoid excessive alcohol, smoking and recreational drugs and for the women to take folic acid. The chances of getting pregnant decrease dramatically with age, especially beyond the age of 39.
Access to fertility services can be arranged through your GP. The GP can organise basic tests such as hormone levels and a semen analysis. If these are abnormal, you should be referred to a fertility specialist.
If you require IVF/ICSI you may be eligible for Primary Care Trust (PCT) funded treatment. Each PCT has strict criteria for eligibility.
Broadly speaking you must have no existing children, be less than 40 years of age and have a BMI under 30. Most PCTs will fund one cycle of treatment including the drugs. If you have to pay for treatment the cost can range between £3000 and £20,000.
Risks of IVF/ICSI must be considered. The main risk is multiple pregnancy (twins or triplets) if we put back more than one embryo. In women with PCD we would recommend avoiding multiple pregnancies by placing only one embryo at a time as all the risks of pregnancy are greater with twins. There is a chance of decreased respiratory function as the growth of the baby compresses the lungs. Twins are also more likely to be born prematurely and could end up with long-term health problems.
An egg collection requires an anaesthetic or deep sedation, so it is advisable for the respiratory function to be optimal in women with PCD when they start IVF/ICSI treatment.