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Once these tests have been done or the clinic has seen your
previous records, you would be diagnosed to be having one of
the following:
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Male factor infertility: Low sperm counts, poor sperm motility, too many abnormal sperms, zero sperm count (obstructive or non-obstructive azoospermia).
Likely treatment recommendations: IUI followed by ICSI or therapeutic insemination with donor sperm
-
Polycystic ovarian disease: ( Inadequate production of eggs).
Likely treatment recommendations:
Ovulation induction with clomiphene / Letrozole followed
by injections of FSH / HMG, with planned intercourse,
IUI or finally IVF / ICSI.
-
Endometriosis:
Likely treatment recommendations:
Operative laparoscopy followed by administration of
GnRHa depot for 2 - 3 months followed by IUI and finally IVF / ICSI
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Tubal factor infertility: unilateral or bilateral
tubal block
Likely treatment recommendations: Laparoscopic tubal
cannulation / IVF. Here, doctor would recommend removal of
hydrosalpinges (blocked and swollen fallopian tubes filled
with infected water) by laparoscopy prior to IVF. This
delinking is mandatory to enhance your success rate with IVF
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Unexplained infertility: where all
investigations reveal normal results. This is the category
which is likely to have gamete (egg and sperm) problems.
Also, they have a 3- % incidence of fertilization
failure at IVF, thus making ICSI the treatment of
choice if 2 - 3 IUI attempts should fail.
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