Infertility

Infertility

Infertility is the inability to conceive after a period of one year of regular intercourse.

Epidemiology: There is a rising incidence of infertility in recent decades. Upto 27% of the world population may be suffering from infertility or subfertility.

Symptoms and causation:

Polycystic ovarian diseaseis a symptom complex in which women present with infertility due to poor functioning of the ovaries.

Endometriosis is a disease process in which the reproductive tract is involved giving rise to infertility.

Ovarian cyst disturbs the anatomical relationship with each other and is a common reason for infertility.

Infectious diseases commonly responsible for infertility are Tuberculosis and sexually transmitted diseases.

Medical diseases like Diabetes, Thyroid hormone abnormality, Hormonal imbalance affect the ovarian function and are responsible for infertility.

Investigations

1.      Hormonal profile ; serum Luteinising hormone (LH) ,Follicular stimulating Hormone (FSH), Thyroid Hormone, Glycosylated hemoglobin (HBA1C) . All the above tests are further evaluated depending on the success of medications.

2.      Follicular study from day 9 is to be performed for evaluating the ovulation process.

Treatment

Diagnostic Laparoscopy and Hysteroscopy is not only a useful diagnostic tool but is also helpful for offering surgical treatment during the same procedure. It is therefore both a diagnostic and a therapeutic procedure.

Depending on the diagnosis reached the couple is offered following treatment options:

  • Ovulation induction protocol using medication
  • Intrauterine insemination
  • In Vitro Fertilization / Assisted reproduction technique.
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