Fertility treatments include In Vitro Fertilization (IVF), where eggs are fertilized outside the body and then implanted in the uterus; Intrauterine Insemination (IUI), involving the direct insertion of sperm into the uterus; and fertility drugs to stimulate egg production. Other methods include surgery for structural issues and assisted reproductive technology (ART) like egg or sperm donation and surrogacy.

Fertility treatments are considered after a year of regular, unprotected intercourse without conception for women under 35, or after six months for women over 35. A fertility specialist can conduct tests to diagnose specific issues in both partners.

IVF involves stimulating the ovaries to produce multiple eggs, retrieving these eggs, fertilizing them with sperm in a lab, and then transferring the resulting embryos to the uterus. This process also includes pre-treatment evaluations and follow-up care.

Donor treatment involves using sperm or eggs from a donor when a couple or individual cannot use their own. This can be due to a variety of reasons like genetic concerns or age-related infertility. Donors are thoroughly screened, and legal agreements are typically involved.

Success rates vary based on the type of treatment, the clinic, and the individual's age and health. IVF generally has a success rate of around 20-35% per cycle, but this decreases with age. IUI has lower success rates, generally under 20%.

PGT is used in conjunction with IVF to test embryos for genetic disorders or chromosomal abnormalities before implantation. This is particularly useful for couples with a history of genetic diseases or for older women, where the risk of chromosomal abnormalities is higher.

Risks include multiple pregnancies, ovarian hyperstimulation syndrome, and stress. There's also a slightly increased risk of birth defects, although this is primarily associated with underlying fertility issues rather than the treatments themselves.

While technically possible, using fertility treatments for gender selection is ethically controversial and legally restricted in many countries. It's generally only considered acceptable for preventing gender-linked genetic disorders.

Preparation includes maintaining a healthy lifestyle, managing stress, understanding the financial costs, and discussing the emotional impact with a counselor or support group. It’s also crucial to have a thorough medical evaluation and discuss all options and risks with a fertility specialist.

Many clinics offer counseling services, and there are numerous support groups and online forums. Resources like Resolve: The National Infertility Association in the U.S. provide support and advocacy for those facing infertility.

IVF with the patient’s own eggs and sperm is a process that starts from fertilizing a woman’s egg from the ovaries with the sperm from her male partner in a laboratory. After fertilization, the fertilized embryo is then placed into the uterus of the woman.

Possible side effects are ovarian hyperstimulation syndrome (OHSS), multiple pregnancies, ectopic pregnancy, and emotional stress. Adverse reactions of the medications used for ovarian stimulation can also appear.

If the first IVF attempt fails, the couple may opt for more IVF cycles, consider other fertility treatments or discuss alternatives including donor eggs or sperm and adoption.

IVF with Donation means that the eggs, sperm, or both, are donated to be used in the IVF process to help couples or individuals achieve pregnancy when one or both partners have fertility challenges.

In-vitro fertilization with donor egg involves fertilizing donated eggs with the partner’s or donor’s sperm in a laboratory. The embryos produced are then implanted into the uterus of the recipient.

Donors usually go through extensive screening processes, including medical, genetic, and psychological assessments. This ensures the quality and compatibility of the donated gametes.

PGT can identify chromosomal abnormalities like aneuploidy (abnormal number of chromosomes), single gene disorders (e.g., cystic fibrosis, sickle cell disease), and structural chromosomal rearrangements.

Embryos are retrieved through IVF, usually at the blastocyst stage (about five or six days after fertilization). The cells from each of the embryos are taken out and their genetic abnormalities are determined by the use of techniques such as Polymerase Chain Reaction or Next-Generation Sequencing.

PGT-A (Aneuploidy screening) screens embryos for aneuploidy. PGT-M (Monogenic disorders) detects monogenic disorders. PGT-SR identifies structural abnormalities in chromosomes.

The procedure starts with the synchronization of the menstrual cycles of the woman and the donor by means of hormonal drugs. Both partners then receive ovarian stimulation, egg retrieval, and fertilization. Embryos of both groups of eggs are cultured and transferred to the uterus of the woman.

Rates of success are affected by many factors like woman’s age, ovarian reserve, and quality of embryos from both the woman’s eggs and those of the donor. Tandem Cycles success rates are at par with the success rates of traditional IVF or Egg Donation cycles.

The dynamics of Tandem Cycles may be very complex with regard to emotionally, among other things that refer to the struggle to get pregnant with own eggs as opposed to the need for donor eggs. Counseling and support services provide assistance in dealing with these emotional dimensions.