Below is a very simplified chart of treatment options. Please note that this is a guide only and every patient/couple requires complete assessment and a diagnosis made, before treatment is offered. This Web Page is not designed as a gynaecology textbook but only to reinforce the availability of treatment options, many of which are quite simple. The remainder of the web pages focuses on the complex options because they require more detailed explanation.

CAUSE

INVESTIGATION

TREATMENT OPTIONS

Failure of Ovulation

Hormone Assessments

Fertility drugs (tablets or injections)
Rarely ovum donation

Blocked or damaged Fallopian tubes

Laparoscopy
Hysterosalpingogram (HSG)

Tubal microsurgery
IVF

Endometriosis

Laparoscopy

Surgical/laser treatment
Drug therapy
IVF

Fibroids

Laparoscopy
Hysteroscopy
Ultrasound Scan

May not need treatment but if necessary, can be removed surgically, often laparoscopically.

Hostile cervical mucus

Post-coital test (PCT)
Confirm ovulation
Antisperm antibody test

IUI*
IVF

Failure of sperm production

Initial semen analysis
Hormone assessments
Testicular biopsy

Surgical sperm collection (SSC)
Donor sperm

Blocked/absent vas deferens

Scrotal examination
Screen for cystic fibrosis

Unblock microsurgically
SSC with IVF/ICSI

Low sperm numbers and / or poor sperm movement

Semen analysis
("sperm count")

IUI, IVF or ICSI

High numbers of abnormal forms

Semen analysis

IVF or ICSI

Antisperm antibodies

Antisperm antibody screen

Steroids now rarely used.
Sperm preparation for IUI, IVF or ICSI

  Benefit of Therapy

IVF is an elective medical treatment. IVF may provide a couple who has been otherwise unable to conceive with a chance to establish a pregnancy.

Please contact your doctor if any of the following occur:

   Fever greater than 100.4°F that lasts     for  more than two hours
   Excessive vaginal bleeding
  Unusual and increasing pelvic area     discomfort
  Difficulty with urination or change in     bowel activity
   Nausea, vomiting or diarrhea
    Sharp or shooting pains
  Pain or burning during urination
   Abdominal swelling
  Unusual back pain

 
 
 
 
 

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