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Infertility Treatments

After the initial assessment has been completed, a consultation between the couple and physician is the next step before deciding on a treatment plan. Individual considerations such as insurance coverage, time, age of the patient and underlying cause of infertility are than considered in order to decide on the best course of action. In general, the following treatment scheme(s) are followed.

  • If the uterine cavity is normal, at least one fallopian tube is open and the semen parameters are normal enough Clomid with or without intrauterine insemination is attempted over 3-4 cycles. Injectible fertility medications (Follistim, Gonal-F, Repronex, Menopur, Bravelle) can be considered with or without IUI if clomid fails. If both the initial treatments fail one can proceed with IVF. In some couples, either or both of the initial treatments may be eliminated before proceeding to IVF.
  • If both tubes are badly damaged or sterilized, then patients can consider reconstructive surgery or IVF.
  • Hysteroscopic surgery is performed in case there are any intracavitary defects such as endometrial polyps, submucosal fibroids, intrauterine adhesions or uterine septums.
  • Hyperprolactinemia and thyroid dysfunction are usually treated with hormonal treatment.
  • Laparoscopy is rarely required unless there is reason to believe there are conditions that need to be treated surgically, such as tubal disease or endometriosis.
  • Depending upon the exact circumstances, a combination of the above treatments may be necessary.