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INFERTILITY: TREATMENT

INFERTILITY: TREATMENT

INFERTILITY: TREATMENT

http://infertilityhospital.blogspot.com/

Oncethecauseorcauses of infertility are determined, doctors devise a strategy for the couple to increase their fertility.

Structural problems, such as varicoceles or blocked ejaculatory ducts in men and fallopian tube obstruction in women, can be treated by surgery. When no structural problems are identified, infertility treatments usually begin with noninvasive measures.

Sometimes only small adjustments in the frequency and timing of sexual intercourse are required to bring about pregnancy. Couples are instructed in how to identify when a woman is ovulating so that they can plan sexual intercourse around her most fertile time. Practices that temporarily result in lowered sperm counts or damaged sperm can be curtailed, such as the use of certain medications, alcohol, marijuana, and hot tubs or saunas.

If these noninvasive measures are unsuccessful, a doctor may recommend fertility drugs or assisted reproductive technologies.

Fertility Drugs

Expertsestimatethat more than 75 percent of infertility cases due to hormonal problems can be treated with fertility drugs. One or more fertility drugs, such as clomiphene, human menopausal gonadotropin (HMG), and an injectable form of follicle-stimulating hormone, may be prescribed to women to treat ovulatory disorders, such as failure to ovulate or infrequent or erratic ovulation. Fertility drugs may also be used to treat male infertility. For example, men may use HMG to stimulate sperm production.

Althoughfertilitydrugs are commonly used in treating infertility, they can produce health problems in some women, such as ovarian hyperstimulation syndrome, a potentially dangerous disorder in which the ovaries enlarge and fluid accumulates in the abdomen.

In addition, fertility drugs can cause more than one egg to release during ovulation, increasing the risk of multiple pregnancies. Studies show that a combination of dietary counseling, exercise, and the drug metformin (commonly used to treat diabetes mellitus) is equally effective as fertility drugs in regulating ovulation, with less risk to health and fewer multiple births.

Assisted reproductive Techniques

Inadditiontotheconventional methods of fertility treatment, a number of techniques, collectively known as assisted reproductive technologies (ART), can assist couples in becoming pregnant.

The best known of these is in vitro fertilization (IVF). In IVF, a woman receives fertility drugs in order to produce multiple eggs. These eggs are removed from the female during an outpatient procedure, then taken to a laboratory and mixed with specially treated semen in a petri dish. If a sperm fertilizes an egg to form an embryo, a physician transfers the embryo to the woman's uterus, where it implants and develops during a normal pregnancy. In many cases, physicians will transfer more than one embryo to increase the chance that a pregnancy will occur. Often, multiple pregnancies result.

AvariationofIVFis gamete intrafallopian transfer (GIFT), in which an egg and sperm are placed in the woman's fallopian tube, permitting fertilization to occur naturally. In zygote intrafallopian transfer (ZIFT), eggs and sperm are mixed in a laboratory dish using the same process as IVF. A physician transfers a resulting embryo into the fallopian tubes. The embryo then follows the natural process and travels to the uterus for implantation. Both GIFT and ZIFT are more expensive than IVF and result in similar pregnancy rates as IVF, so these two methods are now rarely used.

Intracytoplasmic sperm injection (ICSI) is routinely performed in cases where the man has extremely low sperm counts. In this procedure a single sperm is extracted from a sperm sample and injected into an egg. The resulting embryo is then inserted into the uterus using IVF procedures.

AlthoughARTprocedures have been dramatically refined and improved in recent years, success rates range only from 11 to 37 percent, depending on the technique used, the age of the woman treated, and the severity of the couple's infertility problems. In cases where ART is successful, about one-third of cases result in multiple pregnancies. To improve the odds of success, and also to reduce the risk of multiple pregnancies, researchers are developing more effective ways to evaluate embryos created using ART. This will enable doctors to identify and transfer the one embryo that has the best chance of implanting and developing in the uterus.

Anothermethodthatmay improve the success rate of producing a healthy baby through ART is preimplantation genetic diagnosis (PGD). When genetic testing indicates that a couple is at increased risk for passing a specific genetic abnormality to a child, PGD enables doctors to take a single cell from a newly developing embryo and analyze its genetic makeup. This procedure may reduce the risk of miscarriage from an embryo with genetic abnormalities and lessen the chance that a child will be born with a genetic disorder.

Click Here To Discover How to Treat Infertility Naturally; Without Drugs or Surgery

http://www.articlesbase.com/diseases-and-conditions-articles/infertility-treatment-2773402.html
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