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Motherhood Calling: Infertility Treatment

Infertility affects one in every four couples in the developing country. The World Health Organization now recognises infertility as disease as it leads to high burden on the couples. trying to achieve and maintain a desired pregnancy. Infertility treatment Varies from patient to patient as some fertility problems are more easily treatable to as compare to others. They may be classified into three category:

FERTILITY DRUGS:
To boost the ovulation in females and sperm count/ function in males.

REPRODUCTIVE SURGERY
In case of blocked Fallopian tubes. fibroids, endometriosis. Etc.

ARTIFICIAL INSEMINATION/IUI
This Involves Placing the Male partners sperms inside the uterus of the female. Assisted Reproductive Technology (ART) In this, the process of sexual intercourse is bypassed and fertilization of the oocytes occurs in laboratory environment. ART treatment and their indications are as follows:

1. In vitro fertilization(IVF) /test tube baby:
Procedure followed when medication and IUI have failed, blocked Fallopian tubes, unexplained infertility.

2. Intracytoplasmic sperm injection (ICSI):
Used When the Sperms are immotile/extremely low in number unexplained infertility

3 Egg donation:
When Woman is of advanced age: has premature ovarian failure Poor egg quality: Career of Inheritable disease was expose to chemotherapy Sperm donation: Used if man does not produce viable sperms has inheritable disease Embryo donation: When both partners are infertile and still want to experience Pregnancy Surrogacy: If the woman uterus is damaged / removed recurrent miscarriage. Cryo-preservation (freezing) of embryos and/or gametes. Basic fertility tests and counseling by a fertility specialist can help a patient decide which treatment option is best for them. Around 15 – 30% couples may conceive with fertility drugs alone while others may need to more invasive and expensive procedures such as IUI, IVF and ICSI .