Female Infertility Treatment Options

About one-third of all infertility cases are a result of female infertility, one third of male infertility and one third can either be attributed to both or is unexplained.1 Depending on the reasons behind the female’s infertility a different infertility treatment may be recommended. Infertility can be treated through medications, surgery, or fertility procedures.

Many women who have been diagnosed with infertility may be prescribed medication. One such medication is clomiphene (or clomiphene citrate). It is taken orally on days three to five of the menstrual cycle.2 Clomiphene is designed to help the body release hormones that help eggs mature inside the ovaries. In about 80% these medications are successful in causing ovulation. Of those women, about half are able to achieve pregnancy without having to take any further steps. Generally, an RE will wait for a time frame of about six menstrual cycles; if pregnancy does not occur during that time, further treatment may be advised.3Hormone injections are an additional option that an RE may prescribe to women who are experiencing infertility issues. Usually, a doctor will prescribe these if a woman has not been responsive to oral medications. To monitor results, REs typically use ultrasounds, ensuring that eggs are developing properly. A doctor may also regularly draw blood to monitor estrogen levels.4

If a woman has an anatomical reproductive issue that is causing infertility, a doctor may recommend a surgical procedure to rectify the problem. Hysteroscopy (through a tube that is inserted in the vagina) or laparoscopic (through a very small incision elsewhere in the body) surgeries are used in some instances to correct abnormalities and improving your chances of achieving pregnancy. Tubal litigation reversal surgery might used if the woman had her tubes tied as contraception and other tubal surgeries are also possible, but are used more rarely since in-vitro fertilization (IVF) might be a better choice in some cases.5

 

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  1. American Pregnancy Association. (2015 September). Preconception Health for Men. Retrieved October 20, 2015 from http://americanpregnancy.org/getting-pregnant/mens-preconception-health/
  2. National Institutes of Health. (2013 July 2). “Fertility Treatments for Females.” Retrieved November 16, 2015 from https://www.nichd.nih.gov/health/topics/infertility/conditioninfo/Pages/treatments-women.aspx
  3. National Institutes of Health; see above.
  4. National Institutes of Health; see above.
  5. Mayo Clinic Staff. (2013 July 16). “Female Infertility: Drugs and Treatment.” Retrieved November 16, 2015 from http://www.mayoclinic.org/diseases-conditions/female-infertility/basics/treatment/con-20033618

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