Female infertility may have different background, thus depending on the reason the way of infertility treatment for women varies. The most common conditions that cause problems with fertility are:
- Abnormalities in the formation of the female reproductive system (infantilism, pathology of the structure of the uterus, the presence of bends, etc.)
- Chronic inflammatory processes
- Sexually transmitted diseases
- Hormonal imbalance (predominance of male hormones and increased concentration of prolactin in the blood)
- Benign or malignant neoplasms in the uterus or endocrine organs
- Blocked or damaged fallopian tubes
- Anovulatory menstruation
- Advanced age
How to diagnose
Examination of a woman begins with the collection of complaints and information on medical history. Doctor may need information about the age of menarche and first sexual contact, how regular and painful the menstruations are, pregnancies, miscarriages, abortions in the past. After questioning the patient doctor performs gynecological examination. Gynecological ultrasound scan, hormonal screening and other additional screenings may be recommended to find out the reason of infertility.
Age and infertility treatment
Ovarian reserve in female body decreases with aging. Moreover, the risk of genetic anomalies rapidly grows after the age of 35, this leads to increased rate of conception failures and miscarriages. The older woman is the lower chances to conceive are. Woman body has limited number of eggs and they cannot be restored ones the ovarian reserve declines. But modern infertility treatment options offer women different solutions in this situation, it may either be a mild stimulation protocol or egg donation cycle.
Female infertility treatment
Conservative treatment of female infertility helps in the case when the violations are of endocrine origin.
Stimulation of ovulation with the help of drugs that increase the production of follicle-stimulating hormone by the pituitary gland. Clomid is more commonly prescribed for ovarian disease.
Improving the ovaries, increasing the number of eggs - used urinary gonadotropins, including in preparation for IVF. The combination of pituitary hormones (LH and FSH) acts on the ovaries. More effective means of promoting egg growth are recombinant gonadotropins obtained by genetic engineering and possessing high bioactivity.
Egg donation is indicated in case of declined ovarian reserve or presence of genetic abnormalities that may be inherited by future child.
Surrogacy is an option for women who cannot carry pregnancy for various reasons or in case if pregnancy is contraindicated due to somatic disease.