Women with irregular menses due to an ovulation problem can opt for hormonal treatment. Clomiphene is one of the basic medication given. Women have different responses to clomiphene thus, it should not be taken without medical supervision. Ultrasound monitoring of the follicle growth is required first, to see if the dos given works; second, to properly time intercourse. Ultrasound monitoring increases the chances of conceiving. Taking clomiphene unmonitored in women who ovulate naturally may not provide any additional advantage over just using a calendar approach to predict ovulation. For every month that women ovulate, there is about a 20% chance of conceiving. Repeating ovulation induction and monitoring (repeating the cycle for around three times) increases the likelihood of pregnancy in nearly eight out of 10 couples who just needed assistance in ovulation and timing.
Many women with fallopian tube problems conceive naturally even with just one open fallopian tube. Investigation of other conditions that may affect tubes can be offered by infertility specialists using minimally invasive methods such as laparoscopy. Conditions that affect the tubes, such as endometriosis and pelvic inflammatory disease, can be diagnosed. Procedures can be done to help correct tubal problems, and would require just a one-or-two-day stay at the hospital.
For those without an open tube, laparoscopic surgery may correct a problem, but the specialist ma counsel the couple to go for IVF, depending on the condition of the tubes. The eggs of the woman are retrieved by the specialist, brought to the lab where they are incubated with the husband’s sperm, and the resulting embryos are transferred back into the woman’s uterus. With normal sperm, nearly one of every two IVF attempts results in a pregnancy.
Evaluating the male partner is also important, giving the specialist a complete picture of the conditions that have to be attended to. Procedures that can assist male factor problems can be offered: In IUI, naturally ejaculated sperm is processed in the lab and placed in the woman’s uterus via a small tube through the cervix. For the woman, it is just like having a pap smear. For extremely small sperm quantities or those with sperm abnormalities. ICSI may be offered: Singular sperm cells are injected directly into the egg during an IVF procedure. In males with blocked vas deferens (the part in the male organ that transports the sperm), testicular sperm may be obtained and utilized in an IVF procedure.
A specialist can attend to your needs and recommend general health measures such as a healthy diet and an active lifestyle, folic acid supplementation, immunization, discontinuation of tobacco use, moderation of alcohol and caffeine intake – all designed to optimize your body for pregnancy. The specialist will be in a better position to evaluate you and counsel you competently.
Some acronyms utilized in fertility treatment
ART – assisted reproductive technology
OI – ovulation induction
IUI – intrauterine insemination
IVF – in vitro fertilization
ICSI – intracytoplasmic sperm injection
TESE – testicular sperm extraction
All of these procedures are available locally ad can be accessed through a fertility specialist. To see a board-certified specialist of your choice, you may visit the website of the Philippine Society for Reproductive and Infertility at http:/www.psrei.org.