Treatments for Female Infertility

  • Counseling couples about fertility and lifestyle modifications
  • Support regarding nutrition and weight loss program
  • Psychosexual counseling
  • Treatment of other pathologies like endometriosis, fibroids etc.
  • Treatment of endocrinal problems like thyroid disorders, hyperprolactinemia , PCOS etc.
  • Ovulation induction and timed intercourse
  • Ovulation induction followed by IUI
  • Controlled Ovarian Hyperstimulation followed by IVF
  • Controlled Ovarian Hyperstimulation followed by IVF-ICSI
  • Invitro maturation (IVM) – Drug free IVM
  • Laser assisted hatching
  • Oocyte vitrification
  • Embryo vitrification

1) IUI

Prerequisites

  • Evaluation of both male and female
  • Patent tubes
  • FSH <10 mIU/ml
  • Good ovarian reserve

Indications

  • Ejaculatory dysfunction (including sexual dysfunction and impotence
  • Severe vaginismus
  • Cervical factor infertility
  • Male factor infertility
  • Unexplained infertility
  • Stage I or II endometriosis

Contraindications

  • an active cervical, intrauterine, or pelvic infection.

2) IVF

Prerequisites

  • Evaluation of both male and female

Indications

  • ” Advanced age
  • ” Increased duration of infertility

Tubal factor

Ovulatory dysfunction (after failing treatment with less invasive therapies)

Diminished ovarian reserve Endometriosis (after failing treatment with less invasive therapies)

Severe male factor infertility

Ovarian failure

Unexplained infertility (after failing treatment with less invasive therapies)

SUCCESS RATE DEPENDS ON AGE, OVARIAN RESERVE, QUALITY OF EGG AND SPERM

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