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EVALUATION OF DUAL (FEMALE)
Fallopian Tube Problems
In order for the pregnancy to occur,the sperm needs to travel through,vagina ,ervix and via fallopian tubes to the mature egg. Therefore, the tubes need to be openfor the task. 35 % of the cause of infertility disorders comprise the tubes . HSG examinationmay help spot the damage that may have occurred. If you have a disorder in the film HSG, your doctor may recommend laparoscopy for diagnosis. Tubes closed, damaged or attached can be corrected by surgery. However, the results of operations can not be taken as a complete help method, (IVF) treatment is the best alternative.
Ovulation Problems
Irregular or abnormal ovulation comprises 5-25 % of infertility. Under normal circumstances, each month the immature eggs from the ovaries developed, crack and ovulation occurs. Anovulation is the lack of ovulation. The most important reason for irregular periods and infertility is anovulation. Having mensturation doesnt mean one is ovulating.Various test help diognise anovulation.
- Biopsy and pathology
- USG and tracking ovulation
- Examining hormone levels in serum progesterone, 19, 21 and 23 days
- Examining the basal body temperature
- Cervical Pap-smear
- Cervical mucus test
Medication may help ovulation. there is a 80% chance a woman ovulates after the treatment.
Cervical Problems
The cervix alone rarely creates an important cause of infertility. The antibodies secreted in the cervical mucus may kill or immobilize sperm, the surface of sperm, seminal fluid, or all three can be found . Cervical mucus obtained from woman, sperm obtained from the sperm and blood samples taken from these antibodies are reviewed with the aim to determine. However, this test seems to have lost its former importance today. Your doctor will recommend the most simple treatment obtained by special preparation techniques, fast moving sperm was injected into the uterine insemination (vaccination) is a process. If after Three or more application pregnancy does not occur IVF insemination or more advanced treatment methods such as microinjection could be a solution.
Uterus Problems
Hysterosalpingography (medicated uterine immaging) shows the status of uterine cavity and tubes. In the first week after the menstural cylce and before ovulation the immaging is done. Drug is given by the cervix and uterus by filling the tube and is poured into the abdominal cavity. Adhesions in the uterus, uterine myoma are studied. The pressure through the tube can sometimes unclog the possible mucus plug. Therefore, sometime pregnancy can naturally occur after HSG .HSG detected anomalies become clear if hysteroscopy is done.
Abdominal membrane factors
Peritoneal (abdominal membrane) factors, reproductive organs or the abdominal cavity of the inner surfaces of the membranes is related to anomalies. laparoscopy helps in the diagnosis of this anomaly. Laparoscopy, if possible, treatment of internal organs and allows on surgery is an operation. Defined by laparoscopy, endometriosis causes 35% of infertility in women.
Undefined Infertility
Approximately 5-10% of infertile couples have normal test results. Most couples with infertility are subject to intensive testing. In spite of all known research, however,cause of infertility fails to be defined then "failed to explain infertility" is mentioned. In the treatment of unexplained infertility, ovulation induction and microinjection is being implemented with limited success. Microinjection has 10-15% chance to help infertility. The success rate significantly drops after the 3rd to 4th treatment. Therefore, except for special considerations more microinjection treatments (even the couples require , the woman being young ,short duration of infertility) usually are not preferred.
Age Factor
The success of treatment relies on many factors, especially the status of women varies according to age. Under normal conditions, unprotected intercourse result in 80% pregnancy in the first year of marriage, 10% in the second year , 1.2% in the third and 0.6% in the fourth year. The probability of pregnancy in women at the age 40 is highly reduced. In patients 40 years and over normal pregnancy rate falls below 10%. Eventhough development and ovulation occur fertilization can be quite difficult. Advanced maternal age and increase risk of chromosomal abnormality in the baby .
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