Treatment in a Fertility Clinic

HIV Parenting Choices

Infertility affects many people and couples. Infertility is typically defined as the inability to conceive after trying for at least one year of regular condomless sex. There are many factors that contribute to infertility, including age, hormonal imbalances, medical conditions, and lifestyle choices. When a person or couple who is (are) trying to conceive is facing infertility, consulting with a fertility specialist to determine the underlying causes and identify appropriate treatment is recommended. Seeking care in a fertility clinic involves a range of options designed to assist individuals or couples struggling with infertility. Treatment in a fertility clinic is another possible pathway to becoming a parent as a person living with HIV. Here are a few more details!

Understanding Treatment in a Fertility Clinic  

Different Treatment Options  

An initial consultation with a specialist will involve reviewing medical history, conducting tests, and recommending a tailored treatment plan. Seeking emotional support, which may involve, but is not limited to, counselling services and support groups may also be recommended or required based on treatment plans.   

No matter what your treatment plan is, fertility care involves regular blood tests and ultrasound monitoring for the person trying to become pregnant to track progress and adjust where needed. Monitoring and follow-up are crucial for the success of the treatment. The scheduling can be hard and finding support during these regular assessments is important.   

Fertility care might include prescribed medications. These medications might help with stimulating ovulation. Ovulation, help the ovaries to produce more eggs or help regulate ovulation. Other medications might be used for different reasons.   

Intrauterine Insemination (IUI) is a procedure where sperm is washed (see link to other blog) and concentrated before being placed directly into the uterus around the time of ovulation. This can be used in cases where there is a concern around sperm (like sperm count), of unexplained infertility, or cervical issues (because the sperm is passed beyond the cervix). This increases the chances of fertilization, and it’s commonly recommended for mild infertility issues.  

In Vitro Fertilization (IVF) is another treatment option. It involves stimulating the ovaries to produce multiple eggs, retrieving them from the ovaries, fertilizing them in a laboratory with sperm, and then transferring the resulting embryos back into the uterus. IVF is often recommended when other methods, such as IUI, have not been successful or when the cause of infertility makes treatments like IUI ineffective.  

Genetic Testing (PGT) Preimplantation genetic testing (PGT) is sometimes done as part of an IVF cycle to screen embryos for genetic abnormalities before they are transferred to the uterus.  

Intracytoplasmic Sperm Injection (ICSI) is sometimes used in combination with IVF where a single sperm is injected directly into an egg. This technique is commonly used with low sperm count or poor sperm motility.  

For some conditions, such as blocked fallopian tubes or endometriosis, surgical treatments may be recommended to improve fertility before any other type of treatment.  

Couples facing severe infertility may consider egg and sperm donation. The donated eggs or sperm are used for IVF or IUI treatments.  

Fertility clinics may offer counselling and support for individuals or couples undergoing treatment.   

Tips and Expectations  

Open communication with your medical team is a great tip to alleviate stress and confusion. Additionally, prioritize self-care practices, such as yoga, meditation, or hobbies that bring joy and relaxation. Connect with others going through similar experiences to provide comfort and advice.  

Fertility treatments can be overwhelming, but with the proper/correct information and support , individuals or couples can confidently navigate this journey. Remember that you are not alone—many resources are available to help you. Your dream of starting or expanding your family may be closer than you think.   

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Written by Esther Namalwa and V. Logan Kennedy | June 5th, 2025