Welcome Today 09 23 2018

Non-surgical Treatments Of infertility

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a) Medical treatment

Hyperprolactinemia, hypothyroidism, testosterone excess and deficiency, alpha-hydroxylase enzyme deficiency are compensated by medical treatment.

b) Empirical treatment

At least 25% of infertile men have no cause (idiopathic). A second male patient group does not have any specific treatment, although infertility is diagnosed. Both of these groups are offered empirical treatment.

Drugs used in empirical therapy:
a. Clomiphene citrate
b. Tamoxifen
c. kallikreins
D. Antioxidant treatment
to. Growth hormone therapy

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Empirical treatment should be continued for at least 3 months and controlled by spermiograms.

c) Assisted reproductive technologies

Assisted reproductive techniques such as IUI, IVF and ICSI can be used to perform gestation if surgery or medical treatment is not appropriate for male infertility treatment.

IUI: Intrauterine insemination

The sperm from the ejaculate includes washing a contaminating pellet through the cervix and placing it in the uterus.

IVF: In vitro fertilization

Most of the spermatic hurdles in the female reproductive system are removed from the center. Hundreds of thousands of semen are needed in IVF. It involves the accumulation of eggs in the transvaginal way from the ovaries at the time of the ultrasound guidance before normal ovulation. Eggs are fertilized in 500 thousand – 5 million sperm petri dishes. It can be used in moderate to severe infertile men with low number of moving sperm.

ICSI: Sperm micromanipulation

A live sperm is sufficient in ICSI. This technique can be performed with vas deferens, epididymis and sperm taken from the test.

Since IVF and ICSI can be removed from many obstructive processes during natural fertilization, genetic defects that cause infertility are expected to migrate to the baby.

Ethical complications arise in diseases related to X chromosome such as Klinefelter syndrome. Pre-implantation genetic testing should be performed before embryo transfer. It is necessary to prevent the transfer of fatal diseases to the new nature.


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