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Your infertility doctor ideally would have expertise in all facets
of clinical infertility. Available services could include:
* (1) ovulation inducing medication
- clomiphene citrate (Serophene or Clomid) is a pill taken by
mouth.
- human menopausal gonadotropins (Pergonal, Humegon, Medrodin,
Fertinex and the new recombinant forms) are injectable medications.
Careful blood and ultrasound monitoring is required.
* (2) treatment for male factor infertility
- a Urologist or Andrologist may need to become involved. The
ability to routinely perform intrauterine inseminations with washed
sperm should be available and may effectively treat some mild
to moderate male factor problems. Many men previously considered
to be untreatable successfully achieve pregnancy using treatment
options that have recently revolutionized male factor treatment,
including ICSI and MESA.
* (3) surgical treatment
- endometriosis, pelvic adhesions, tubal disease including tubal
occlusion, and abnormalities of the uterine cavity are often able
to be effectively treated surgically via laparoscopy and hysteroscopy
* (4) Advanced Reproductive Technologies
- In Vitro Fertilization (IVF) should be available when indicated.
Multiple mature eggs (oocytes) are developed and retrieved from
the ovaries and are fertilized with sperm in the laboratory. The
fertilized eggs (pre-implantation embryos) are replaced into the
uterine cavity.
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