Pathway 2021

Page 32

32

PATHWAY TO A CHILD

A woman’s fertility falls significantly from the age of 35, and virtually disappears by the age of 45. Fertility treatments such as IVF can’t overcome the effect of a woman’s age – only using someone else’s eggs (donor eggs) can do that. Up to the age of 50, a man’s age does not seem to affect the success of fertility treatment.

Importance of age, page 26

Nearly every man will need to do a semen analysis as part of fertility diagnosis. A test for DNA fragmentation in sperm is also becoming common.

Semen tests, page 40

Have a look at our Fertility Fact sheet on Male infertility and semen tests on our website or on www.fertilityfacts.co.nz

Sadly a lost cause for most men. BUT we wish we got a dollar every time a man says ‘wish I’d done that sooner’.

The box at the bottom of page 35 has practical tips for partners, and so does the box on page 43.

Fertility treatment can be an emotional roller coaster, and men and women often react differently. Guess who wants to talk and who prefers to bury themselves in work, retreat to the ‘man cave’ or something similar.

There is increasing evidence that men smoking, being overweight, and/or not having enough antioxidants in their diet can reduce the pregnancy rate in IVF and probably other treatments too. Lots of men are now taking Menevit which contains a combination of antioxidants.

Read the 6 ‘tips for him’ on page 31.

Counselling, page 36

Emotional support, page 34

Lifestyle, page 31

Basically, there are four types of treatment: wait for nature, use a fertility pill called clomiphene or letrozole, intra-uterine insemination (IUI) and in vitro fertilisation (IVF). IUI has the option of using donor sperm (DS). IVF also gives the options of using donor sperm, donor egg, or surrogacy (donor uterus).

Types of treatment, page 20

Calculate your chances of a baby now and in a couple of years time using the biological clock on the FA website, or on www.biologicalclock.co.nz

Just look up the table on page 16 to see what’s what

Crib sheet*

Hormones and medications, page 16

Subject and where to find it in this magazine

Guys, thank you for your attention! When we piloted this magazine we found 70% of men didn’t read any of our patient information. Their partners said they were a great support, but obviously not when it came to being well informed. While this section is not a substitute for the full monty*, we hope it will provide some useful shortcuts.

Essentials for men


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Articles inside

More information Fertility Facts Fees guide

0
pages 131-132

Index

5min
pages 125-130

I wanted to be a mum

3min
page 124

Public funding

4min
pages 122-123

Donor Embryos

5min
pages 116-118

Surrogacy

7min
pages 119-121

Egg

3min
pages 110-111

On being a donor

2min
pages 100-101

Donor and surrogacy basics

19min
pages 102-107

Pregnancy care

3min
page 97

Waiting for your pregnancy result

1min
page 96

Holding on to hope

4min
pages 94-95

Screening for genetic disorders

5min
pages 88-89

Chance of a child

3min
page 93

Sperm sample

3min
page 84

Egg collection

2min
page 83

Blood tests and scans

3min
page 82

We feel blessed

3min
page 76

Add-on treatments

5min
pages 74-75

Choosing the best embryo

5min
pages 72-73

Risks and side effects

9min
pages 68-70

Decisions to make

2min
page 71

Just one beautiful child

6min
pages 61-63

Problems and solutions

3min
page 67

What happens in IVF

4min
pages 64-65

OI with FSH

2min
page 60

IUI

18min
pages 52-59

Consent

1min
page 45

De-stressing, not distressing

2min
page 43

Becoming fertility fit

6min
pages 41-42

Fertility tests

4min
pages 39-40

The emotional rollercoaster

1min
page 34

Ways you can offer support

2min
page 35

Essentials for men

5min
pages 32-33

Lifestyle tips – her and him

2min
page 31

Our colourful journey

2min
pages 24-25

Clomiphene and Letrozole

1min
page 20

Hormones and medications

4min
pages 15-16

Salve: Our patient app

2min
page 17

Your privacy

4min
pages 10-11

Using a donor

4min
pages 22-23

Other languages

4min
pages 18-19

Feedback, complaints and advocates

4min
page 9

Approach and values

2min
page 8
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