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Introduction (general)

When is the term "involuntary childlessness" used?

Involuntary childlessness, or involuntary infertility, is used in cases when pregnancy fails to result within one or two years after discontinuing the use of contraception.

Are both partners affected?

Yes. The unfulfilled desire to have a child is always a problem for both partners; it affects them both equally and can only be solved together. For this reason it is a matter of course that both partners are equally involved in the search for possible causes and in treatment. The main burden still lies with the woman, who needs an understanding partner to rely on - but a problem shared is a problem halved.

What is the concept "Physical - Personal - Partnership and Family"?

In addition to a purely scientific and medical point of view, we should not neglect the unified concept of "Physical - Personal - Partnership and Family". Thanks to in-depth medical research in recent years there are many new methods of treating in-fertility, and yet there are still boundaries and limitations we are unable to over-come. We do not abandon you at those points, but offer an extensive range of options in supporting, and complementary forms of treatment.

What is our message to you?

In the following information we explain the background to involuntary childlessness, drawing on our long-standing experience. We have tried to inform you of all your treatment options, opportunities and risks. The Frequently Asked Questions and descriptions of the organization and the procedure involved in treatment are designed to support you in your choice, and make your treatment as smooth and straightforward as possible.

Is there a guarantee of success?

Kinderwunsch Centrum München has held DIN EN ISO 9001 quality certification since 1999. It serves to show our patients how much importance we place on working at the highest medical level. However, there is no firm guarantee of the success of this treatment. We report all treatment cycles to the German IVF Register (DIR), enabling us to assure you of the maximum transparency in your treatment.

What are the reasons behind the increase in unwanted childlessness?

The increase in involuntary childlessness is, at least to some extent, probably caused by changes in society. For many couples today, it is a matter of course to postpone starting a family until after their studies or training or until they have reached a certain point in their career. In 1970 only 10% of first-time mothers were aged over 30, but by 2005 this figure had grown to over 30%. However, women's fertility decreases with increasing age. Career and environmental influences also play a role. A key idea here is the "child-friendly society". We may well ask whether this actually exists when we hear that between 1990 and 2001 alone, the number of births in Germany fell by around 12%.

What are the causes of lack of pregnancy?

There may be many reasons when pregnancy fails to occur, and there is rarely a single cause. In general, the man and woman are equally affected in around 30-40% of cases. The search for causes is the key precondition for targeted treatment, but shifting the problem to "Which partner is the primary cause?" often misses the key issue in the problem of involuntary childlessness. After all, apportioning blame is definitely not the aim. Instead, it must be remembered that pregnancy, the creation of new life, is always dependent on an enormous range of factors, and each cause or each identified result (laboratory tests) can represent only a single piece of the puzzle.

Why me, why us?

We estimate that around 15% of all couples in Germany are affected by involuntary childlessness - in other words, around 2 million couples. It is hard to tell whether this figure is increasing. The fact that more and more couples are deciding on a course of treatment also calls upon our society to stop approaching childlessness and its treatment as a taboo subject !

Are the treatment methods used gentle and non-invasive?

No. Unfortunately, pregnancy seldom results from non-invasive treatment. But our aim is to work with you to find a treatment that addresses your personal needs and situation. This means, for example, that less may well be more in hormone therapy. Our "Münchner Protokoll" is a possible example.

When IVF exists, is it still necessary to operate?

This question, actually intended as ironic, is asked quite frequently. As so often happens, there is rarely a simple answer. We can only answer that we endeavour to find the easiest, most straightforward, most appealing and gentlest way for you to have your own child. To give one example, after early tubal sterilisation or other tubal occlusion, microsurgery or endoscopy may prove to be a more sensible course than IVF. To adapt the proverb, many roads lead to the destination, and we work with you on finding the right way.