Most successful treatment protocols are as follows (flowchart for treatment modality selection)
- If ovulation is a problem - problem of ovulation is a cause of infertility in approximately 20%-25% of patients visiting us.
Current ovulation inducing medicines clomiphene citrate (CC), human menopause gonadotrophin (hMG), purified follicle stimulating hormone(FSH) and the most recent recombinant FSH can be used judiciously. Using these drugs combined with advanced ultrasonographic assessment of ovulation can lead to successful ovulation in nearly 85%-90% cases.
With accurate dose on medicine, type of drug selection, the incidences of undesirable side effects are minimum. Out of those successful ovulation inductions, 60%-70% will conceive.
- A subset of these patients, who do not conceive unfortunately, might require IUI in addition. Dr. Sudarsan Ghosh Dastidar (pioneer in IVF research ref-world congress in Athens 1985) had introduced IUI as a successful treatment in case of ovulation disorder or unexplained infertility. We are able to offer world-class treatment in this area.
- After going through the previous protocols some patients will be diagnosed with suffering from tubal disorder which may be of various nature like tubal block; tube removed due to previous operation; some tubal disease like tuberculosis or pelvic inflammatory disease (PID) and a common problem known as endometriosis. All these are diagnosed by laparoscopic examination by means of direct vision of the female reproductive structures through a telescope, following which the detected pathology is corrected by: -
- Tubal surgery
- Removal of uterine tumors known as fibroids
- Surgical treatment of endometriosis - When this conventional treatment either fails or is not recommended for several reasons the treatment shall be by means of Assisted Reproductive Technology (ART) such as: -
- In-Vitro Fertilisation (IVF)- when the male partner’s sperm function tests are normal
- Intra-Cytoplasmic Sperm Injection (ICSI)- when infertility is due to abnormal sperm count/function, i.e. male factor infertility.