TREATMENT FOR MEN AND WOMEN

• Medication/behavioral approaches

• Surgery, hormones/assisted reproductive technology

• Sperm retrieval

Treatment for men

Medication/behavioral approaches

Addressing impotence or premature ejaculation with one or both approaches may improve fertility

Surgery, hormones/assisted reproductive technology

If a lack of healthy sperm is suspected as the cause of a man's infertility

Sperm retrieval

1. obtain sperm when ejaculation is a problem:

   1. surgical sperm aspiration

   2. ejaculatory duct is blocked

   3. electric or vibratory stimulation to achieve ejaculation (men with spinal cord injury)

Percutaneous Epididymal Sperm Aspiration

efficient and simple method of retrieving sperm.

Fertility Drugs

1. Stimulating ovulation with ________

   1. ________ are the main treatment for women who are infertile due to ovulation disorders

   2. These medications regulate or induce ovulation

Intrauterine Insemination

1. A fertility treatment that involves placing sperm inside a woman's uterus to facilitate fertilization.

2. The goal is to increase the number of sperm that reach the fallopian tubes

   1. increase the chance of fertilization

3. healthy sperm that have been collected and concentrated are placed directly in the uterus around the time the woman's ovary releases one or more eggs to be fertilized

low sperm count

decreased sperm mobility

The most common reasons for IUI are a __________ However, IUI may be selected as a fertility treatment for any of

the following conditions as well:

1. Unexplained infertility

2. A hostile cervical condition, including cervical mucus problems

3. Cervical scar tissue from past procedures which may hinder the sperms’ ability to enter the uterus

4. Ejaculation dysfunction

• fallopian tubes

• pelvic infections

• endometriosis

INTRAUTERINE INSEMINATION

1. CONTRAINDICATIONS 

   1. Women who have severe disease of the _______

   2. Women with a history of _________

   3. Women with moderate to severe ________

PCO MOSIP

• Pre-treatment work-up

• Counselling

• Ovarian Stimulation

• Monitoring of response

• Ovulation trigger and timing of IUI

• Semen collection and sperm preparation

• Insemination

• Post-insemination follow-up

IUI PROCESS

endometrial polyps

hysteroscopic surgery

Uterine problems such as_________, a uterine septum or intrauterine scar tissue can be treated with ___________

Assisted Reproductive Technology

• leads to the highest chance of pregnancy for most couples

• It is any fertility treatment in which the egg and sperm are handled

• includes physicians, psychologists, embryologists, lab technicians, nurses and allied health professionals

In Vitro Fertilization

• the most common ART technique

• involves stimulating and retrieving multiple mature eggs from a woman, fertilizing them with a man's sperm in a dish in a lab, and implanting the embryos in the uterus three to five days after fertilization

Intracytoplasmic Sperm Injection

• a single healthy sperm is injected directly into a mature egg

• often used when semen quality is a problem, there are few sperm, or if fertilization attempts during prior IVF cycles failed

Assisted hatching

• This technique attempts to assist the implantation of the embryo into the lining of the uterus by opening the outer covering of the embryo

Donor eggs or sperm

• Uses the woman's own eggs and her partner's sperm

• if there are severe problems with either the eggs or sperm, couples may choose to use eggs, sperm or embryos from a known or anonymous donor

Gestational Carrier

• Women who don't have a functional uterus or for whom pregnancy poses a serious health risk might choose IVF using __________

• the couple's embryo is placed in the uterus of the carrier for pregnancy