Can I Check My Fertility as a Single Woman with Paralysis? - Obstetrics and Gynecology

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Please ask the doctor some questions—urgent?


Dear Doctor: I am a person with lower limb paralysis (using a wheelchair) and I am not married yet.
Sometimes I think about wanting to have children in the future.
Can I have a check-up first, or do both partners need to undergo testing together? Would that be strange? I really love children.
Are "in vitro fertilization" and "artificial insemination" the same thing? What are the costs involved? Thank you for your response.

ksz, 20~29 year old female. Ask Date: 2010/08/02

Dr. Dong Yuhong reply Obstetrics and Gynecology


Hello: It is recommended that both partners attend pregnancy-related examinations together, as this is not unusual.
By going together, both individuals can understand the purpose of the tests, the results, and the potential issues they may face if they wish to conceive, as well as the possible treatment options.
The costs of treatment can vary significantly depending on the type of treatment required.
I hope your examinations and treatments go smoothly.
Thank you.

Reply Date: 2010/08/02

More Info


As a single woman with paralysis who is considering future pregnancy, it is entirely reasonable for you to explore your fertility options independently. You do not need to be in a relationship or have a partner to begin assessing your fertility. Many women choose to investigate their reproductive health for various reasons, including personal health, future family planning, or simply out of curiosity.
To start, you can schedule an appointment with a reproductive endocrinologist or a fertility specialist. They can conduct a series of tests to evaluate your reproductive health, including hormone level assessments, ultrasound examinations of your ovaries and uterus, and possibly a hysterosalpingogram (HSG) to check the patency of your fallopian tubes. These tests can provide valuable insights into your fertility status without the need for a partner to be present.

Regarding your question about in vitro fertilization (IVF) and artificial insemination (also known as intrauterine insemination, IUI), these are two distinct methods of assisted reproductive technology. IVF involves retrieving eggs from your ovaries, fertilizing them with sperm in a laboratory setting, and then transferring the resulting embryos into your uterus. On the other hand, IUI involves placing sperm directly into your uterus during ovulation to increase the chances of fertilization. Both methods can be viable options for women who wish to conceive, and the choice between them often depends on individual circumstances, including the underlying fertility issues, personal preferences, and medical advice.

The costs associated with these procedures can vary widely based on several factors, including geographic location, the specific clinic, and whether you have insurance coverage. On average, IVF can range from $10,000 to $15,000 per cycle, and this does not include medications, which can add several thousand dollars to the total cost. IUI is generally less expensive, averaging between $300 to $1,000 per cycle, depending on the clinic and whether medications are used to stimulate ovulation.

It's also important to consider the emotional and psychological aspects of pursuing fertility treatments. Engaging with a mental health professional or a support group can be beneficial, especially as you navigate the complexities of fertility and potential parenthood.

In summary, you can absolutely check your fertility as a single woman with paralysis. You do not need a partner to begin this process, and there are various options available for assisted reproduction. Consulting with a fertility specialist will provide you with the necessary information and guidance tailored to your unique situation. Remember, the journey to parenthood can be different for everyone, and it’s important to explore the options that feel right for you.

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