Dr. Manisha Ranjan

Which Infertility Treatment Is Right for You?

Infertility Treatments That Work, It’s untrue that simply waiting it out will put an end to infertility. Like other medical conditions, there are treatments available for those experiencing infertility. At least half of couples undergoing infertility treatments will conceive, and technologies such as in vitro fertilization have brought about many pregnancies. Over 3 million babies have been born worldwide due to this technique.

Symptoms of Infertility

The main symptom of infertility is failure to conceive after a year of unprotected sex. This is the point at which most doctors recommend seeking fertility care. For women over age 35 who did not conceive after 6 months of trying or who have irregular menstrual cycles, seeing a fertility doctor as soon as possible is recommended. Male infertility is just as common as female infertility, so it’s important that both partners be evaluated.

Male Infertility

Male factors are responsible in about 40% of infertile couples. Male factors can include low sperm count, abnormal sperm appearance, blocked sperm ducts, or poor motility of the sperm.

Female Infertility

An additional 40% of infertile couples have problems traced to the female partner. These can include irregular or absent ovulation, blockages in the Fallopian tubes, or abnormalities in the reproductive organs. In the remaining 20% of infertile couples, no specific cause can be found.

Tracking Ovulation

Bad timing can contribute to a failure to conceive. Over-the-counter ovulation tests can help you figure out the time of ovulation (egg release) and determine the best time for sex. The tests measure levels of a hormone that increases 12 to 36 hours before ovulation. If the test results are unclear or consistently negative, consult your doctor. About one-third of all cases of infertility are related to irregular ovulation.

Fertility Drugs

Medications are available to help women who do not ovulate regularly. Clomiphene citrate (Clomid or Serophene) is the most common of these medications. It is relatively effective and inexpensive, and about half of women who take it will conceive, usually within three cycles. Clomiphene causes the release of more than one egg at a time, so there is an increased risk of a multiple pregnancy (a pregnancy of two or more fetuses).

Injectable Hormones

After trying clomiphene for 6 months, women who have not conceived may be prescribed injections of hormones to stimulate ovulation. A number of different hormonal preparations are available. As with clomiphene, the chances of a multiple pregnancy are increased with hormone injections.

Side effects and drawbacks:

These fertility drugs increase your odds of having twins or more.

Clomiphene can cause hot flashes, mood swings, pelvic pain, breast tenderness, ovarian cysts, nausea, thick and dry cervical mucus, headaches, mild depression, and visual symptoms.Gonadotropins can cause rash or swelling at the injection site, mood swings, breast tenderness, abdominal bloating, and headaches. About 10 to 20 percent of women who take gonadotropins develop a mild form of OHSS (ovarian hyperstimulation syndrome), which causes enlarged ovaries and fluid build-up in the abdomen.

Success rates

About 80 percent of women who take clomiphene ovulate in the first three months of treatment. Of them, 30 to 40 percent conceive by their third treatment cycle. The pregnancy rate for gonadotropins with timed intercourse is 15 percent per cycle.


Surgery can help fix genetic defects, open blocked fallopian tubes, remove fibroids, remove the tissue of endometriosis, and treat PCOS (polycystic ovarian syndrome).Two surgical procedures commonly used to treat gynecological problems are laparoscopy and laparotomy. Laparoscopy uses thin instruments and a lighted camera inserted through several small incisions in the abdomen. Laparotomy is done through a larger abdominal incision.

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