Infertility can be described generally as unclear when the seed of the man is normal and the fallopian tubes of women are normal and ovulation regularly.

Some experts disagree with this definition and recommend further for other causes to look for when the man has normal sperm and the woman a normal ovulation and fallopian tubes and ovulating regularly. Other experts who accept the above definition, recommend empirical treatments.

Infertility can be described generally as unclear when the seed of the man is normal and the fallopian tubes of women are normal and ovulation regularly. Some experts disagree with this definition and recommend further for other causes to look for when the man has normal sperm and the woman a normal ovulation and fallopian tubes and ovulating regularly. Other experts who accept the above definition, recommend empirical treatments. Therapy Controlled ovarian hyperstimulation A controlled ovarian hyperstimulation may increase the chance of pregnancy and let it happen sooner. This process stimulates the development of multiple follicles; The objective is to induce ovulation of> 1 oocyte (superovulation) However may cause the controlled ovarian hyperstimulation multiple pregnancies with increased risk and morbidity. Controlled ovarian hyperstimulation includes: administering clomiphene with human chorionic gonadotropin (hCG) to induce ovulation via up to 3 menstrual cycles Intrauterine Insemination within 2 days after hCG administration If no pregnancy occurs, In Vitro Fertilization, or the use of gonadotropins (preparations purified or recombinant follicle stimulating hormone and variable amounts of luteinizing hormone included), followed by intrauterine insemination before application of assisted reproduction techniques using some doctors gonadotropins followed by hCG in ovarian dysfunction followed by intrauterine insemination within 2 days hCG administration. A progestin may be required during the luteal phase in order to maximize the chance of implantation. Depending on the age of the patient and the ovarian function Gonadotropindosis is determined. Prognosis The pregnancy rate is the same (about 65%), whether in vitro fertilization immediately after unsuccessful treatment is carried out with clomiphene plus hCG or whether gonadotropins be attempted with intrauterine insemination directly prior to in vitro fertilization. However, if the in-vitro fertilization is performed immediately after unsuccessful treatment with clomiphene plus hCG, the pregnancy occurs more quickly, and there is much less common to multiple pregnancies (? 3 fetus) than in previous gonadotropin administration. So if clomiphene is not successful with hCG, now recommend a more doctors in vitro fertilization as the next treatment step. Recent data 1 indicate that women> 38 pregnant faster with unexplained infertility, and costs are lower than when in vitro fertilization is performed before a controlled ovarian hyperstimulation is attempted. 1Goldman MB, Thornton KL, Ryley D, et al: A randomized clinical trial to deterministic mine optimal infertility treatment in older couples: the forty and overtreatment trial (FORT-T). Fertil Steril 101 (6): 1574-81, 2014.

Health Life Media Team

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