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Fertility Basics & IVF / Endometriosis Care – Your Guide to Treatment Options

Introduction

Fertility treatment starts with understanding your options. While in-vitro fertilization (IVF) is the most effective, it is not always the first step. Many families begin with testing, lifestyle changes, or less invasive options such as intrauterine insemination (IUI). This page provides a comprehensive overview of fertility basics, IVF success factors, PCOS, endometriosis, and the key choices that intended parents face. At Surrogacy4All, we believe education is power—helping you make informed, confident decisions on your journey to parenthood.

PCOS Diagnosis – Rotterdam vs. NIH Criteria

Polycystic Ovary Syndrome (PCOS) is one of the most common causes of infertility. Two main diagnostic criteria are used: the **Rotterdam criteria**, which require two of three findings (irregular ovulation, elevated androgens, polycystic ovaries), and the **NIH criteria**, which emphasize hormonal imbalance and irregular cycles. Understanding the differences is critical for accurate diagnosis and tailored treatment.

IVF Basics – How It Works, – Success Rates, and What to Expect

In-vitro fertilization (IVF) involves stimulating the ovaries, retrieving eggs, fertilizing them with sperm in a lab, and transferring embryos into the uterus. Success rates depend on age, ovarian reserve, and underlying conditions. For women under 35, IVF success rates are typically over 40%, while rates decline with age. At Surrogacy4All, patients benefit from physician-led protocols that optimize outcomes.

Fresh vs. Frozen Embryo Transfers – Which Is Right for You?

Patients often wonder whether to use fresh embryos (transferred immediately after fertilization) or frozen embryos (cryopreserved and used later). Fresh transfers may offer quicker timelines, while frozen transfers allow more flexibility and often yield equal or higher success rates due to improved endometrial preparation. The best choice depends on your medical history, fertility goals, and clinic recommendations.

Fertility Testing Explained – AMH, FSH, and Ovarian Reserve

Testing helps determine a patient’s reproductive potential. **AMH (Anti-Müllerian Hormone)** indicates ovarian reserve, while **FSH (Follicle-Stimulating Hormone)** levels reflect ovarian response. Ultrasound can measure antral follicle count (AFC). Together, these tests guide treatment planning and help predict IVF success.

Ovarian Stimulation Protocols – What Patients Should Know

Ovarian stimulation involves using medications to encourage the development of multiple eggs for retrieval. Protocols vary depending on age, ovarian reserve, and diagnosis. Standard protocols use gonadotropins with careful monitoring. Poor responders or women with diminished ovarian reserve may require adjusted dosing or alternative approaches.

IUI vs. IVF – Which Treatment Should You Consider First?

Intrauterine insemination (IUI) is often recommended for mild fertility issues. It involves placing prepared sperm directly into the uterus. While less invasive and lower in cost, IUI has lower success rates compared to IVF. IVF is generally recommended for more complex cases, such as severe male factor infertility, blocked tubes, or advanced maternal age.

Endometriosis and Fertility

Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus, often causing pain and infertility. It affects up to 40% of women struggling with infertility. Diagnosis may involve laparoscopy or imaging studies. Treatment options include surgery to remove lesions, medications to suppress growth, and IVF for those unable to conceive naturally. Surrogacy may also be an option in severe cases where pregnancy risks are high.

Conclusion – Why Choose Surrogacy4All?

Fertility basics—from PCOS and endometriosis to IVF and embryo transfer—can feel overwhelming. At Surrogacy4All, we provide physician-led care, transparent education, and holistic support throughout the journey. Whether you are exploring your first fertility treatment or considering advanced options like IVF or surrogacy, our team is here to help you every step of the way.