Dr. Manasi Thakur | Gynaecologist In Nagpur | Pregnancy, Delivery | Abortion | Cosmetic Gynecology
Infertility
Infertility treatment involves medical procedures, medications, or lifestyle changes aimed at helping individuals or couples achieve pregnancy. The right treatment depends on the underlying cause of infertility, which can affect either or both partners.
1. 🩺 Lifestyle and Natural Interventions
These are often the first step:
- Maintaining a healthy weight
- Reducing alcohol, caffeine, and tobacco use
- Stress management
- Timing intercourse based on ovulation
2. 💊 Medication-Based Treatments
Used to stimulate ovulation or correct hormonal imbalances.
For Women:
- Clomiphene Citrate (Clomid) – encourages ovulation
- Letrozole (Femara) – often used for PCOS
- Gonadotropins (FSH, LH) – injectable hormones to stimulate ovaries
- Metformin – for insulin resistance or PCOS
- Bromocriptine or Cabergoline – for high prolactin levels
For Men:
- Hormonal therapy (if low testosterone or other imbalances)
- Medications to improve sperm production or function
3. 🧪 Assisted Reproductive Technology (ART)
These are more advanced options:
🔹 Intrauterine Insemination (IUI)
Washed sperm is placed directly in the uterus during ovulation.
🔹 In Vitro Fertilization (IVF)
Eggs are retrieved, fertilized outside the body, then transferred into the uterus.
🔹 Intracytoplasmic Sperm Injection (ICSI)
A single sperm is injected into an egg, typically used when there are male factor issues.
🔹 Other ART Options:
- Egg or sperm donation
- Surrogacy
- Frozen embryo transfer (FET)
- Preimplantation Genetic Testing (PGT) for genetic conditions
4. 🛠️ Surgical Treatments
Used to correct anatomical issues.
- Laparoscopy – for endometriosis, fibroids, or ovarian cysts
- Hysteroscopy – to remove polyps or scar tissue from the uterus
- Surgical sperm retrieval – for men with blockages or no sperm in semen
🧾 Success Rates & Considerations
Treatment success depends on age, diagnosis, and duration of infertility
- IVF success decreases with maternal age but can be boosted with donor eggs
- Multiple cycles are often needed
- Psychological and financial stress is common—support is important
💡 When to See a Fertility Specialist:
- After 12 months of trying (under 35)
- After 6 months of trying (over 35)
- Irregular periods or known reproductive issues
- History of miscarriage or known male factor infertility