Evaluation and treatment
An infertility evaluation includes exams and tests to try to find the reason why you and your partner have not gotten pregnant. If a cause is found, treatment may be possible. In many cases, infertility can be successfully treated even if no cause is found.
common causes of infertility include:
- In women: Irregular menstruation, failure to ovulate, structural problems with the reproductive system and conditions such as endometriosis, uterine fibroids and polycystic ovarian syndrome
- In men: Conditions affecting sperm formation or transport
- In either: Age, weight, substance use, previous radiation or chemotherapy and possibly exposure to certain chemicals
Ovulation induction uses hormonal therapy to stimulate egg development and release, or ovulation. Historically, these drugs were designed to induce ovulation in women who did not ovulate on their own — typically women with irregular menstrual cycles. The goal was to produce a single, healthy egg.
In ovulatory women, ovulation induction is always combined with intrauterine insemination. Ovulation induction should progress only after a complete and thorough evaluation. All underlying hormonal disorders, such as thyroid dysfunction, should be treated before resorting to ovulation induction with fertility drugs.
IUI( intrauterine insemination)
Intrauterine insemination (IUI) is a simple procedure that puts sperm directly inside your uterus, which helps healthy sperm get closer to your egg.
It’s also sometimes called donor insemination, alternative insemination, or artificial insemination. IUI works by putting sperm cells directly into your uterus around the time you’re ovulating, helping the sperm get closer to your egg. This cuts down on the time and distance sperm has to travel, making it easier to fertilize your egg.
Laparoscopy is a surgical procedure that allows a doctor to see inside the body. When the procedure is part of fertility testing, the doctor is evaluating the structures of the reproductive system, including the ovaries, fallopian tubes, and uterus.