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शुक्रवार, 4 मार्च 2016

Infertility Treatment Current Scenario

Infertility Treatment Current Scenario-

It involves an initial evaluation of the

First step

-History ,
-Physical examination,
-Semen Analysis
-Hormone evaluation in 35% of patients

Second step

- 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.

-Male factor

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
MD Streerog
Amrutwel Women's Clinic

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