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Fertility treatments
There can be many reasons for not being able to conceive, but often there are various factors. TFP conducts an extensive patient interview and diagnostic testing in our fertility clinics to tailor your fertility treatment to you
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What are my fertility treatment options?
If there is indeed a fertility disorder present in one or both partners, modern reproductive medicine offers various treatment options. Our experienced team will recommend the best treatment or therapy for your individual situation. For more information about the types of fertility treatments available at our clinics, see the list below.
IVF
In IVF, mature eggs are retrieved from the woman following hormonal stimulation and brought together with about 50,000 processed sperm from the partner. Fertilisation of the eggs takes place outside the body, but of its own accord. If fertilisation is successful, then usually an embryo (two in some cases) is transferred to the uterus after 2–5 days. In vitro fertilisation (IVF) is a form of assisted fertilisation and has become one of the most common fertility treatments in Austria.
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Insemination
If it is proving impossible to get pregnant in the conventional way, our fertility doctors can perform an insemination (semen transfer). The sperm is introduced into the uterus with the help of a simple medical procedure. This makes it easier for the sperm cells to travel upwards from the vagina through the cervix.
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ICSI, IMSI, PICSI
Intracytoplasmic sperm injection (ICSI) is usually used when the male semen quality is so severely restricted that the ovum cannot be fertilized independently by the semen. If the quality or number of suitable sperm is too low for a successful IVF procedure, the eggs obtained following hormonal stimulation can be fertilised in the laboratory by means of microinjection using one sperm cell each. The resulting embryos are transferred to the uterus, just as in IVF treatment.
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TESE/MESA
If there are no fertile sperm in the man's ejaculate, sperm may be able to be harvested from the testicular tissue (TESE) or the epididymides (MESA) by means of a biopsy. This sperm may then be used for fertility treatment via ICSI.
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Hormone treatment
Hormonal disorders can occur in both men and women, but hormone therapy is usually offered to women. The goal is to promote egg maturation and induce ovulation. This hormonal treatment can increase the likelihood of successful fertilisation and is performed in our clinics.
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Medications
There are a number of medications available to support or enable fertility treatment, such as those that promote follicular production and maturation of the follicle or to trigger ovulation, in order to create the best possible conditions for insemination. Follicle-Stimulating Hormone (FSH) or Human Menopausal Gonadotropin (hMG) can also be taken to promote maturation of the egg.
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Cryopreservation
Thinking ahead gives more family planning options. The freezing of eggs increases a woman's chances of having children later in life. The cryopreservation of sperm has already been practised successfully for over 50 years. The fragile egg requires a special kind of treatment however, because of delicate inner structures and a cytoskeleton that is vulnerable to the formation of ice crystals. In Austria, this procedure is only possible under certain conditions.
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Immune therapy
The embryo represents a big challenge for the female immune system. Since both maternal and paternal parts are combined in the embryo, the immune system may recognize this “intruder” and reject it. Often, embryos are recognized as being foreign by killer cells that are found in large numbers in the uterus. By taking a sample of tissue from the uterus during the second half of the menstrual cycle, we can establish the number of natural killer cells present.
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Egg cell donation
Egg cell donation has been legal in Austria since 2015 and is offered by TFP fertility clinics. The law states that the recipient of the donor egg cell may not be older than 45 years old at the start of treatment. You can pursue fertility treatment using eggs from an anonymous donor or, of course, also bring your own donor with you (for example, your sister, niece or friend).
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Donor sperm bank
Fertility treatment with donor sperm can help not only heterosexual couples with fertility problems to have a child, but also same-sex partners. With a pool of approved donors, our very own TFP sperm bank is available for this treatment type.
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Time Lapse
The modern "Time Lapse" technology enables a close observation of the continuous development of the embryo around the clock. We also offer this innovative procedure in our fertility clinics in Austria.
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PID
The Pre-implantation Genetic Diagnosis (PID) enables diagnosis of deformities in the earliest embryonic development stage. The chances of pregnancy and the birth of a healthy child are increased using PID or PGD methods. At the same time, the risk of miscarriage or the necessity of abortion due to genetic reasons are reduced.
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PBD
Polar Body Diagnostics is an investigation into the genetic material of the female egg cells. In particular, this helps women who suffer from recurrent miscarriages very early on in the pregnancy for no clear reason. Polar Body Diagnostics can identify (with high probability) problems with chromosomes and highlight specific hereditary diseases.
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RI Witness
Sample confusion in the IVF laboratory has serious consequences for patients and must be avoided at all costs. Therefore, the labelling of the culture dishes and tubes is done with the utmost care with the patient name and birthday, a unique patient ID, a colour code or a combination of these elements. Used as a safety system in reputable IVF clinics worldwide, RI Witness is considered the gold standard.
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Psychological support
Psychological factors may negatively influence the possibility of having a successful pregnancy and the birth of a longed-for child. That is why psychological support is so important during fertility treatment. It helps to detect and reduce detrimental stress factors. Just talk to us – we would be happy to advise you.
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Gynaecological surgery
In some cases endometriosis, fibroids (myomas), blocked fallopian tubes or abnormalities of the uterine cavity lead to infertility. Surgical treatment can improve the chances of getting pregnant. Usually minimal invasive laparoscopic tecniques like pelviscopy but also hysteroscopy are used. The decision for surgical treatment as an option is taken during the initial consultation.
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Endometrial scratch
New studies in reproductive medicine have shown that, when a “mild endometrium irritation” occurs in a cycle prior to an IVF (e.g. in the course of a hysteroscopy which is sometimes carried out before an IVF in order to determine the uterine cavity), the chances of implantation in the two following cycles are increased.
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Implantation support
The implantation of the embryo into the uterus of the mother is a very complex process. In order to avoid rejection of the embryo, an immune tolerance against the embryo must develop. The seminal plasma (ejaculate without sperm), appears to have an active role to play in this process.
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Mini IVF
Many women who are planning to undergo fertility treatment worry about the high hormone doses and the related high costs. Ultra-light stimulation (mini IVF) is a new method of stimulation that has been developed in order to avoid many problems before they arise.
Assisted-Hatching
The embryo is surrounded and protected by a shell called the zona pellucida. Shortly before the embryo nests in the womb, this shell opens with the help of special enzymes and with the pressure of the embryo's growth - and the embryo "hatches". The Assisted-Hatching fertility treatment supports this process.
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Social freezing
Women of childbearing age have the possibility of freezing their own unfertilised eggs to increase the chances of pregnancy in later years. Originally developed for cancer patients, many younger women make use of this technology today to postpone their family planning. While social freezing has been recognized as a regular treatment method in the context of fertility treatment for several years, for example in the USA or in Germany, the freezing of egg cells (so-called cryopreservation) has so far only been carried out in Austria if it is medically necessary.
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Supportive treatments
EndoSee
The TFP Fertility Clinic Vienna is the only private institute in Austria to offer this examination directly at the clinic. With the help of the EndoSee (special device with a very thin camera), the uterine cavity can be assessed and small interventions can be performed.
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