Infertility Treatment Current Scenario-
It involves an initial evaluation of the
-Hormone evaluation in 35% of patients
– Female Factor
One third of patients are thought to have disorders of Ovulation -this problem is treated by correcting body weight, and / therapy with Clomiphene citrate, bromocriptine, or prednisolone for 6 cycles .
No pregnancy results , 30% of the patients undergo Diagnostic and Operative Hysteroscopy and Laparoscopy
Half are thought to have a good prognosis. They attempt pregnancy for 6 months ; if no pregnancy results approximately 40% undergo 3 cycles of IVF.
If poor prognosis ( Tubal diseases ) they undergo 3 cycles of IVF.
If male factor is present out of total diagnosed 80% are oligospermic and varicocele- medicines and operated for varicocele , if no pregnancy occurs following surgery , 3 cycles of IVF are attempted.
The Azoospermic Pt undergoes 6 cycles of therapeutic donor insemination. If no pregnancy results, 2 cycles of IVF are attempted.
Dr Rupali Mahadik
Amrutwel Women’s Clinic