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1) Infertility
In Female
Infertility is defined as inability to conceive in a couple having
unprotected intercourse for over one year. Difficulty in conceiving
& inability to have child in female can be due to many of below
mentioned hormone diseases & other causes as discussed below.
Causes of Infertility
common causes for infertility are
- Male Factor infertility
- Female Factor infertility
- infertility due to minor defects in both couple
Causes of Female Factor infertility:
Hormone Disorder: thyroid hormone disorder, high prolactin,
Estradioal deficiency LH, FSH deficiency, Polycystic ovarian disease
(PCOD), defective egg formation, decrease in progesterone hormone,
Hypothalmic & pituitary disorder, excess of various male,
Hyperprolactinemia, Anavulation/oligoanovulation, Chronic
anovulation (polycystic ovary syndrome), Hypothalmic amenorrhea-anovulation,
Pituitary disease (including hyperprolactinemia), Adrenal disease,
Thyroid disease, Luteinized unruptured follicle syndrome, Ovarian
failure, Gonadal dysgenesis
hormone in female.
Vaginal Causes : Excessive acidity, chronic vaginitis
Cervical Causes : Hormonal, Inadequate estrogen, Infection :
Chalmydia trachomatis, Ureaplasma urealyticum, Anatomic :
Destruction by cone biopsy or cauterization, Immunologic.
Uterine causes : Leiomyomas, Polyps, Intracterine synechiaq (Asherman
syndrome), Chronic endometritis, Ureaplasms urealyticum,
tuberculosis.
Tubal Causes : Infectious, Chlamydia trachomatis, Neissaria
gonorrhoeae, Mycobacterium tuberculosis, streptococcus, anaerobes,
Inflammatory salpingitis isthmica nodosa.
Congenital Abnormalities : Diethylsitilbestrol exposure,
idiopathic.
Endometriosis: Mild, Moderate, Severe
Ovulatory Disorders : Luteal phase deficiency,
Hypoprogesteronemia, Pelvic Adhesions : After intrauterine device
use, Associated with pelvic inflammatory disease, Associated with
appendicitis, Associated with other bowel disease, Idiopathic
Immunological disorders - eg. SLE.
Infections eg TORCH infections.
Metabolic Diseases : Diabetes
Investigations & Diagnosis : We
need detailed history examination , blood tests as LH, FSH,
Prolactin, Thyroid test, testosterone, free testosterone,
androstenidione,17-hydroxyprogesterone, Dheas, SHBG, .
Antisperm antibodyn sometimes also required to know the cause of
infertility in females.
TORCH IgM for infection screening
USG for follicular/ Ovulation study, hysterosalpingography for
uterus & tube status & Laproscopy
Transvaginal follicular monitoring with color Doppler for egg
development
Hysteroscopy for diagnosos & treatment
of uterine cavity diseases.
Treatment: . After a diagnosis
of infertility, the best treatment plan based on the specific
requirement is selected. Many times a combination of fertility
treatments is necessary to achieve pregnancy. Commonly recommended
treatments include ovulation induction, injectable ovulation
induction, intrauterine insemination (IUI), in vitro fertilization (IVF)
and reproductive surgery. By correction of these disorders good egg
formation occurs & leads to conception in three to six months time.
1) Drugs For Infertility
a) Clomiphene
b) Gonadotropin Therapy
c) HCG Therapy
d) Hmg therapy
e) Metformin
f) Glitazones
g) Micronized progesterones
h) Laser Ovulation Induction
i) Tamoxifene
j) Letrozole
k) Diathermy of Ovaries
Ovulation Induction
Ovulation Induction is used for patients with ovulatory dysfunction.
The first line of treatment may include oral medications, such as
Metrformin or Clomiphene citrate. Other diagnoses may necessitate
the need for injectable medication called gonadotropins. These may
include Follicle Stimulating Hormone (FSH), Leutinising Hormone (LH),
human Chorionic Gonadotropin (hCG) or combination of all of these.
Both types of medications stimulated the ovaries to produce one or
more eggs. Frequent monitoring is usually necessary to manage the
effects of the medication. Monitoring includes ultrasound of the
ovaries to measure follicle growth/egg development and the thickness
of the uterine lining and Hormone Blood Tests.
Super ovulation
Super ovulation is frequently used for patients with unexplained
infertility; for those who had unsuccessful surgical treatment for
mild endometriosis or for patients with a mild male infertility
factor. In fact, super ovulation is recommended following the
patient's infertility workup but before in initial laparoscopy to
avoid the surgery completely. The objective of super ovulation is to
stimulate the production of 2-5 oocytes (eggs), giving the sperm
more 'targets' to fertile. Treatment includes Clomiphene citrate
tablets or the synthetic FSH. This egg stimulation process is
monitored with frequent vaginal ultrasounds and Hormone Blood
testing. When the follicles (which house the eggs) are large enough,
hCG is injected to trigger ovulation. Super ovulation is combined
with IUI for better results.
2) Intrauterine Insemination: it is done for any defect in
female vagino-cervical canal, or for a defect in male sperm count or
motility. For this semen wash done & healthy motile sperms are taken
& then they are injected directly in uterus leading to good
pregnancy rate. IUI allows the placement of millions of sperm
directly into the uterine cavity at the time of ovulation. The sperm
are 'washed' with special solutions to remove the semen and to
concentrate the sperm. There is a greater chance of pregnancy when
the sperm are closer to the eggs with the IUI.
Therapeutic Donor Insemination (TDI)
TDI involves timed insemination from an anonymous or a known donor.
It is recommended to use frozen semen to prevent sexually
transmitted disease by the Food Drug Administration (FDA), USA and
the Centers for
3) In Vitro Fertilization: Test
tube baby procedure is adopted for various male & female causes of
infertility.
4) ICSI - (Inracytoplasmic Sperm
Injection):
In this procedure single sperm is injected
into a single eggs with the help of microinjector so that one
achieves good fertilized egg & later normal baby even with single
egg. The single sperm are picked and injected into the eggs using
specially designed microscopes, micro needles and micromanipulation
equipment. The eggs are checked then for evidence of normal
fertilization. Fertilization rates for ICSI are very good. In
various IVF programs the success rate foe for pregnancy are about
60-85%.
5) Gamete/Zygote Intra-fallopian Transfer
Gamete intra-fallopian transfer (GIFT) and zygote intra-fallopian
transfer (ZIFT) are adaptations of IVF. GIFT and ZIFT are used in
unexplained female infertility and in mild male infertility.
6) Blastocyst Transfer
7) Assisted Hatching (AH)
8) Artificial Insemination of Sperm from semen bank .This facility
is not very costly with good success rate.
9) Reproductive Surgery
Surgery for fertility problems includes operative laparoscopy and/or
hysteroscopy. Laparpscopy is performed to diagnose and treat
endometriosis, adhesions and tubal problems. Hysteroscopic
procedures are used to diagnose and treat intrauterine problems such
as polyps, fibroids, adhesions and uterine septums. At times, both
these surgeries may be required.
High
Prolactin Induced Infertility
Infertility In
Female
Infertility is defined as inability to conceive in a couple having
unprotected intercourse for over one year. Difficulty in conceiving
& inability to have child in female can be due to many of below
mentioned hormone diseases & other causes as discussed below.
Causes of Infertility
common causes for infertility are
- Male Factor infertility
- Female Factor infertility
- infertility due to minor defects in both couple
Causes of Female Factor infertility:
Hormone Disorder: thyroid hormone disorder, high prolactin,
Estradioal deficiency LH, FSH deficiency, Polycystic ovarian disease
(PCOD), defective egg formation, decrease in progesterone hormone,
Hypothalmic & pituitary disorder, excess of various male,
Hyperprolactinemia, Anavulation/oligoanovulation, Chronic
anovulation (polycystic ovary syndrome), Hypothalmic amenorrhea-anovulation,
Pituitary disease (including hyperprolactinemia), Adrenal disease,
Thyroid disease, Luteinized unruptured follicle syndrome, Ovarian
failure, Gonadal dysgenesis
hormone in female.
Vaginal Causes : Excessive acidity, chronic vaginitis
Cervical Causes : Hormonal, Inadequate estrogen, Infection :
Chalmydia trachomatis, Ureaplasma urealyticum, Anatomic :
Destruction by cone biopsy or cauterization, Immunologic.
Uterine causes : Leiomyomas, Polyps, Intracterine synechiaq (Asherman
syndrome), Chronic endometritis, Ureaplasms urealyticum,
tuberculosis.
Tubal Causes : Infectious, Chlamydia trachomatis, Neissaria
gonorrhoeae, Mycobacterium tuberculosis, streptococcus, anaerobes,
Inflammatory salpingitis isthmica nodosa.
Congenital Abnormalities : Diethylsitilbestrol exposure,
idiopathic.
Endometriosis: Mild, Moderate, Severe
Ovulatory Disorders : Luteal phase deficiency,
Hypoprogesteronemia, Pelvic Adhesions : After intrauterine device
use, Associated with pelvic inflammatory disease, Associated with
appendicitis, Associated with other bowel disease, Idiopathic
Immunological disorders - eg. SLE.
Infections eg TORCH infections.
Metabolic Diseases : Diabetes
Investigations & Diagnosis : We
need detailed history examination , blood tests as LH, FSH,
Prolactin, Thyroid test, testosterone, free testosterone,
androstenidione,17-hydroxyprogesterone, Dheas, SHBG, .
Antisperm antibodyn sometimes also required to know the cause of
infertility in females.
TORCH IgM for infection screening
USG for follicular/ Ovulation study, hysterosalpingography for
uterus & tube status & Laproscopy
Transvaginal follicular monitoring with color Doppler for egg
development
Hysteroscopy for diagnosos & treatment
of uterine cavity diseases.
Treatment: After a diagnosis of
infertility, the best treatment plan based on the specific
requirement is selected. Many times a combination of fertility
treatments is necessary to achieve pregnancy. Commonly recommended
treatments include ovulation induction, injectable ovulation
induction, intrauterine insemination (IUI), in vitro fertilization (IVF)
and reproductive surgery. By correction of these disorders good egg
formation occurs & leads to conception in three to six months time.
1) Drugs For Infertility
a) Clomiphene
b) Gonadotropin Therapy
c) HCG Therapy
d) Hmg therapy
e) Metformin
f) Glitazones
g) Micronized progesterones
h) Laser Ovulation Induction
i) Tamoxifene
j) Letrozole
k) Diathermy of Ovaries
Ovulation Induction
Ovulation Induction is used for patients with ovulatory dysfunction.
The first line of treatment may include oral medications, such as
Metrformin or Clomiphene citrate. Other diagnoses may necessitate
the need for injectable medication called gonadotropins. These may
include Follicle Stimulating Hormone (FSH), Leutinising Hormone (LH),
human Chorionic Gonadotropin (hCG) or combination of all of these.
Both types of medications stimulated the ovaries to produce one or
more eggs. Frequent monitoring is usually necessary to manage the
effects of the medication. Monitoring includes ultrasound of the
ovaries to measure follicle growth/egg development and the thickness
of the uterine lining and Hormone Blood Tests.
Super ovulation
Super ovulation is frequently used for patients with unexplained
infertility; for those who had unsuccessful surgical treatment for
mild endometriosis or for patients with a mild male infertility
factor. In fact, super ovulation is recommended following the
patient's infertility workup but before in initial laparoscopy to
avoid the surgery completely. The objective of super ovulation is to
stimulate the production of 2-5 oocytes (eggs), giving the sperm
more 'targets' to fertile. Treatment includes Clomiphene citrate
tablets or the synthetic FSH. This egg stimulation process is
monitored with frequent vaginal ultrasounds and Hormone Blood
testing. When the follicles (which house the eggs) are large enough,
hCG is injected to trigger ovulation. Super ovulation is combined
with IUI for better results.
2) Intrauterine Insemination: it is done for any defect in
female vagino-cervical canal, or for a defect in male sperm count or
motility. For this semen wash done & healthy motile sperms are taken
& then they are injected directly in uterus leading to good
pregnancy rate. IUI allows the placement of millions of sperm
directly into the uterine cavity at the time of ovulation. The sperm
are 'washed' with special solutions to remove the semen and to
concentrate the sperm. There is a greater chance of pregnancy when
the sperm are closer to the eggs with the IUI.
Therapeutic Donor Insemination (TDI)
TDI involves timed insemination from an anonymous or a known donor.
It is recommended to use frozen semen to prevent sexually
transmitted disease by the Food Drug Administration (FDA), USA and
the Centers for
3) In Vitro Fertilization: Test
tube baby procedure is adopted for various male & female causes of
infertility.
4) ICSI - (Inracytoplasmic Sperm
Injection):
In this procedure single sperm is injected
into a single eggs with the help of microinjector so that one
achieves good fertilized egg & later normal baby even with single
egg. The single sperm are picked and injected into the eggs using
specially designed microscopes, micro needles and micromanipulation
equipment. The eggs are checked then for evidence of normal
fertilization. Fertilization rates for ICSI are very good. In
various IVF programs the success rate foe for pregnancy are about
60-85%.
5) Gamete/Zygote Intra-fallopian Transfer
Gamete intra-fallopian transfer (GIFT) and zygote intra-fallopian
transfer (ZIFT) are adaptations of IVF. GIFT and ZIFT are used in
unexplained female infertility and in mild male infertility.
6) Blastocyst Transfer
7) Assisted Hatching (AH)
8) Artificial Insemination of Sperm from semen bank .This facility
is not very costly with good success rate.
9) Reproductive Surgery
Surgery for fertility problems includes operative laparoscopy and/or
hysteroscopy. Laparpscopy is performed to diagnose and treat
endometriosis, adhesions and tubal problems. Hysteroscopic
procedures are used to diagnose and treat intrauterine problems such
as polyps, fibroids, adhesions and uterine septums. At times, both
these surgeries may be required.
Thyroid
Disorder Induced Infertility
Infertility In
Female
Infertility is defined as inability to conceive in a couple having
unprotected intercourse for over one year. Difficulty in conceiving
& inability to have child in female can be due to many of below
mentioned hormone diseases & other causes as discussed below.
Causes of Infertility
common causes for infertility are
- Male Factor infertility
- Female Factor infertility
- infertility due to minor defects in both couple
Causes of Female Factor infertility:
Hormone Disorder: thyroid hormone disorder, high prolactin,
Estradioal deficiency LH, FSH deficiency, Polycystic ovarian disease
(PCOD), defective egg formation, decrease in progesterone hormone,
Hypothalmic & pituitary disorder, excess of various male,
Hyperprolactinemia, Anavulation/oligoanovulation, Chronic
anovulation (polycystic ovary syndrome), Hypothalmic amenorrhea-anovulation,
Pituitary disease (including hyperprolactinemia), Adrenal disease,
Thyroid disease, Luteinized unruptured follicle syndrome, Ovarian
failure, Gonadal dysgenesis
hormone in female.
Vaginal Causes : Excessive acidity, chronic vaginitis
Cervical Causes : Hormonal, Inadequate estrogen, Infection :
Chalmydia trachomatis, Ureaplasma urealyticum, Anatomic :
Destruction by cone biopsy or cauterization, Immunologic.
Uterine causes : Leiomyomas, Polyps, Intracterine synechiaq (Asherman
syndrome), Chronic endometritis, Ureaplasms urealyticum,
tuberculosis.
Tubal Causes : Infectious, Chlamydia trachomatis, Neissaria
gonorrhoeae, Mycobacterium tuberculosis, streptococcus, anaerobes,
Inflammatory salpingitis isthmica nodosa.
Congenital Abnormalities : Diethylsitilbestrol exposure,
idiopathic.
Endometriosis: Mild, Moderate, Severe
Ovulatory Disorders : Luteal phase deficiency,
Hypoprogesteronemia, Pelvic Adhesions : After intrauterine device
use, Associated with pelvic inflammatory disease, Associated with
appendicitis, Associated with other bowel disease, Idiopathic
Immunological disorders - eg. SLE.
Infections eg TORCH infections.
Metabolic Diseases : Diabetes
Investigations & Diagnosis : We
need detailed history examination , blood tests as LH, FSH,
Prolactin, Thyroid test, testosterone, free testosterone,
androstenidione,17-hydroxyprogesterone, Dheas, SHBG, .
Antisperm antibodyn sometimes also required to know the cause of
infertility in females.
TORCH IgM for infection screening
USG for follicular/ Ovulation study, hysterosalpingography for
uterus & tube status & Laproscopy
Transvaginal follicular monitoring with color Doppler for egg
development
Hysteroscopy for diagnosos & treatment
of uterine cavity diseases.
Treatment: After a diagnosis of
infertility, the best treatment plan based on the specific
requirement is selected. Many times a combination of fertility
treatments is necessary to achieve pregnancy. Commonly recommended
treatments include ovulation induction, injectable ovulation
induction, intrauterine insemination (IUI), in vitro fertilization (IVF)
and reproductive surgery. By correction of these disorders good egg
formation occurs & leads to conception in three to six months time.
1) Drugs For Infertility
a) Clomiphene
b) Gonadotropin Therapy
c) HCG Therapy
d) Hmg therapy
e) Metformin
f) Glitazones
g) Micronized progesterones
h) Laser Ovulation Induction
i) Tamoxifene
j) Letrozole
k) Diathermy of Ovaries
Ovulation Induction
Ovulation Induction is used for patients with ovulatory dysfunction.
The first line of treatment may include oral medications, such as
Metrformin or Clomiphene citrate. Other diagnoses may necessitate
the need for injectable medication called gonadotropins. These may
include Follicle Stimulating Hormone (FSH), Leutinising Hormone (LH),
human Chorionic Gonadotropin (hCG) or combination of all of these.
Both types of medications stimulated the ovaries to produce one or
more eggs. Frequent monitoring is usually necessary to manage the
effects of the medication. Monitoring includes ultrasound of the
ovaries to measure follicle growth/egg development and the thickness
of the uterine lining and Hormone Blood Tests.
Super ovulation
Super ovulation is frequently used for patients with unexplained
infertility; for those who had unsuccessful surgical treatment for
mild endometriosis or for patients with a mild male infertility
factor. In fact, super ovulation is recommended following the
patient's infertility workup but before in initial laparoscopy to
avoid the surgery completely. The objective of super ovulation is to
stimulate the production of 2-5 oocytes (eggs), giving the sperm
more 'targets' to fertile. Treatment includes Clomiphene citrate
tablets or the synthetic FSH. This egg stimulation process is
monitored with frequent vaginal ultrasounds and Hormone Blood
testing. When the follicles (which house the eggs) are large enough,
hCG is injected to trigger ovulation. Super ovulation is combined
with IUI for better results.
2) Intrauterine Insemination: it is done for any defect in
female vagino-cervical canal, or for a defect in male sperm count or
motility. For this semen wash done & healthy motile sperms are taken
& then they are injected directly in uterus leading to good
pregnancy rate. IUI allows the placement of millions of sperm
directly into the uterine cavity at the time of ovulation. The sperm
are 'washed' with special solutions to remove the semen and to
concentrate the sperm. There is a greater chance of pregnancy when
the sperm are closer to the eggs with the IUI.
Therapeutic Donor Insemination (TDI)
TDI involves timed insemination from an anonymous or a known donor.
It is recommended to use frozen semen to prevent sexually
transmitted disease by the Food Drug Administration (FDA), USA and
the Centers for
3) In Vitro Fertilization: Test
tube baby procedure is adopted for various male & female causes of
infertility.
4) ICSI - (Inracytoplasmic Sperm
Injection):
In this procedure single sperm is injected
into a single eggs with the help of microinjector so that one
achieves good fertilized egg & later normal baby even with single
egg. The single sperm are picked and injected into the eggs using
specially designed microscopes, micro needles and micromanipulation
equipment. The eggs are checked then for evidence of normal
fertilization. Fertilization rates for ICSI are very good. In
various IVF programs the success rate foe for pregnancy are about
60-85%.
5) Gamete/Zygote Intra-fallopian Transfer
Gamete intra-fallopian transfer (GIFT) and zygote intra-fallopian
transfer (ZIFT) are adaptations of IVF. GIFT and ZIFT are used in
unexplained female infertility and in mild male infertility.
6) Blastocyst Transfer
7) Assisted Hatching (AH)
8) Artificial Insemination of Sperm from semen bank .This facility
is not very costly with good success rate.
9) Reproductive Surgery
Surgery for fertility problems includes operative laparoscopy and/or
hysteroscopy. Laparpscopy is performed to diagnose and treat
endometriosis, adhesions and tubal problems. Hysteroscopic
procedures are used to diagnose and treat intrauterine problems such
as polyps, fibroids, adhesions and uterine septums. At times, both
these surgeries may be required.
Absent
Ovulation (egg formation)
Infertility In
Female
Infertility is defined as inability to conceive in a couple having
unprotected intercourse for over one year. Difficulty in conceiving
& inability to have child in female can be due to many of below
mentioned hormone diseases & other causes as discussed below.
Causes of Infertility
common causes for infertility are
- Male Factor infertility
- Female Factor infertility
- infertility due to minor defects in both couple
Causes of Female Factor infertility:
Hormone Disorder: thyroid hormone disorder, high prolactin,
Estradioal deficiency LH, FSH deficiency, Polycystic ovarian disease
(PCOD), defective egg formation, decrease in progesterone hormone,
Hypothalmic & pituitary disorder, excess of various male,
Hyperprolactinemia, Anavulation/oligoanovulation, Chronic
anovulation (polycystic ovary syndrome), Hypothalmic amenorrhea-anovulation,
Pituitary disease (including hyperprolactinemia), Adrenal disease,
Thyroid disease, Luteinized unruptured follicle syndrome, Ovarian
failure, Gonadal dysgenesis
hormone in female.
Vaginal Causes : Excessive acidity, chronic vaginitis
Cervical Causes : Hormonal, Inadequate estrogen, Infection :
Chalmydia trachomatis, Ureaplasma urealyticum, Anatomic :
Destruction by cone biopsy or cauterization, Immunologic.
Uterine causes : Leiomyomas, Polyps, Intracterine synechiaq (Asherman
syndrome), Chronic endometritis, Ureaplasms urealyticum,
tuberculosis.
Tubal Causes : Infectious, Chlamydia trachomatis, Neissaria
gonorrhoeae, Mycobacterium tuberculosis, streptococcus, anaerobes,
Inflammatory salpingitis isthmica nodosa.
Congenital Abnormalities : Diethylsitilbestrol exposure,
idiopathic.
Endometriosis: Mild, Moderate, Severe
Ovulatory Disorders : Luteal phase deficiency,
Hypoprogesteronemia, Pelvic Adhesions : After intrauterine device
use, Associated with pelvic inflammatory disease, Associated with
appendicitis, Associated with other bowel disease, Idiopathic
Immunological disorders - eg. SLE.
Infections eg TORCH infections.
Metabolic Diseases : Diabetes
Investigations & Diagnosis : We
need detailed history examination , blood tests as LH, FSH,
Prolactin, Thyroid test, testosterone, free testosterone,
androstenidione,17-hydroxyprogesterone, Dheas, SHBG, .
Antisperm antibodyn sometimes also required to know the cause of
infertility in females.
TORCH IgM for infection screening
USG for follicular/ Ovulation study, hysterosalpingography for
uterus & tube status & Laproscopy
Transvaginal follicular monitoring with color Doppler for egg
development
Hysteroscopy for diagnosos & treatment
of uterine cavity diseases.
Treatment: . After a diagnosis
of infertility, the best treatment plan based on the specific
requirement is selected. Many times a combination of fertility
treatments is necessary to achieve pregnancy. Commonly recommended
treatments include ovulation induction, injectable ovulation
induction, intrauterine insemination (IUI), in vitro fertilization (IVF)
and reproductive surgery. By correction of these disorders good egg
formation occurs & leads to conception in three to six months time.
1) Drugs For Infertility
a) Clomiphene
b) Gonadotropin Therapy
c) HCG Therapy
d) Hmg therapy
e) Metformin
f) Glitazones
g) Micronized progesterones
h) Laser Ovulation Induction
i) Tamoxifene
j) Letrozole
k) Diathermy of Ovaries
Ovulation Induction
Ovulation Induction is used for patients with ovulatory dysfunction.
The first line of treatment may include oral medications, such as
Metrformin or Clomiphene citrate. Other diagnoses may necessitate
the need for injectable medication called gonadotropins. These may
include Follicle Stimulating Hormone (FSH), Leutinising Hormone (LH),
human Chorionic Gonadotropin (hCG) or combination of all of these.
Both types of medications stimulated the ovaries to produce one or
more eggs. Frequent monitoring is usually necessary to manage the
effects of the medication. Monitoring includes ultrasound of the
ovaries to measure follicle growth/egg development and the thickness
of the uterine lining and Hormone Blood Tests.
Super ovulation
Super ovulation is frequently used for patients with unexplained
infertility; for those who had unsuccessful surgical treatment for
mild endometriosis or for patients with a mild male infertility
factor. In fact, super ovulation is recommended following the
patient's infertility workup but before in initial laparoscopy to
avoid the surgery completely. The objective of super ovulation is to
stimulate the production of 2-5 oocytes (eggs), giving the sperm
more 'targets' to fertile. Treatment includes Clomiphene citrate
tablets or the synthetic FSH. This egg stimulation process is
monitored with frequent vaginal ultrasounds and Hormone Blood
testing. When the follicles (which house the eggs) are large enough,
hCG is injected to trigger ovulation. Super ovulation is combined
with IUI for better results.
2) Intrauterine Insemination: it is done for any defect in
female vagino-cervical canal, or for a defect in male sperm count or
motility. For this semen wash done & healthy motile sperms are taken
& then they are injected directly in uterus leading to good
pregnancy rate. IUI allows the placement of millions of sperm
directly into the uterine cavity at the time of ovulation. The sperm
are 'washed' with special solutions to remove the semen and to
concentrate the sperm. There is a greater chance of pregnancy when
the sperm are closer to the eggs with the IUI.
Therapeutic Donor Insemination (TDI)
TDI involves timed insemination from an anonymous or a known donor.
It is recommended to use frozen semen to prevent sexually
transmitted disease by the Food Drug Administration (FDA), USA and
the Centers for
3) In Vitro Fertilization: Test
tube baby procedure is adopted for various male & female causes of
infertility.
4) ICSI - (Inracytoplasmic Sperm
Injection):
In this procedure single sperm is injected
into a single eggs with the help of microinjector so that one
achieves good fertilized egg & later normal baby even with single
egg. The single sperm are picked and injected into the eggs using
specially designed microscopes, micro needles and micromanipulation
equipment. The eggs are checked then for evidence of normal
fertilization. Fertilization rates for ICSI are very good. In
various IVF programs the success rate foe for pregnancy are about
60-85%.
5) Gamete/Zygote Intra-fallopian Transfer
Gamete intra-fallopian transfer (GIFT) and zygote intra-fallopian
transfer (ZIFT) are adaptations of IVF. GIFT and ZIFT are used in
unexplained female infertility and in mild male infertility.
6) Blastocyst Transfer
7) Assisted Hatching (AH)
8) Artificial Insemination of Sperm from semen bank .This facility
is not very costly with good success rate.
9) Reproductive Surgery
Surgery for fertility problems includes operative laparoscopy and/or
hysteroscopy. Laparpscopy is performed to diagnose and treat
endometriosis, adhesions and tubal problems. Hysteroscopic
procedures are used to diagnose and treat intrauterine problems such
as polyps, fibroids, adhesions and uterine septums. At times, both
these surgeries may be required.
For consultation & treatment (by appointment / or online)
click
How
to Consult Us
|