Why cannot couple conceive second time?

  • Age: An age & fertility in females decreases as number and quality of egg in ovary decreases.
  • Weight gain: Hormonal imbalance
  • Previous USG: Scar tissue.
  • Male: Testicular infection, cancer surgery, erectile dysfunction.
  • History of D&C, pelvic infection.
  • Medical problem: uncontrolled diabetes & hypertension.
  • Tubal factor: History of infection, history of D&C, tubal blockage, post LSCS.

When to visit fertility expert?

After trying to conceive for 6 months if you are older than 35 years or nearly one year if you are younger. It is recommended to visit fertility expert.

What next?

Couple need to be evaluated:

  • History
  • Physical examination of both partners
  • Female: Evidence of ovulation, uterus imaging, check fallopian tube patency & hormonal assay.
  • Male: Semen Analysis, hormonal assay.

Treatment:

For Female:

  • Ovulation induction with oral ovulogenes or injectable gonadotropin.
  • Surgery if confirmation for fibroid, adhesion, blockage of tubes. Adv: Laparoscopy

For Male:

  • Medical treatment if sexual disorder.
  • Surgery in confirmation of varicocele or ejaculatory dysfunction

Treatment available:

  • IUI: Intra Uterine Insemination.
  • IVF: In- Vitro Fertilization.
  • ICSI: Intra Cytoplasmic Sperm Injection..
  • Donor egg, donor sperm..
  • Laser Assisted Hatching.
  • Sperm retrieval technique.
  • Pre-implantation genetic testing’.

Conclusion:

Fertility treatments help couple to achieve a healthy and happy family. So visit fertility expert for medical support.

udaipur Center

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