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Infertility

How Is Infertility In A Woman Treated?

Tuesday, April 10, 2012 - 17:00

Contributing Author: Guy Slowik FRCS

After the physician has determined possible causes of the infertility, a course of treatment can then be planned. Sometimes simple instructions, like knowing when having sex is most likely to produce a pregnancy, are all that is needed. In many cases, medications are indicated, while in other cases, the woman may require surgery or other forms of treatment.

If medications are unhelpful or surgery is not appropriate, other specialized techniques will be offered.

Medications can help solve hormonal problems and ease infections in women with fertility problems. Surgery to repair reproductive organs may also resolve a woman's infertility.

What Medicines Treat Female Infertility?

What Surgeries Treat Female Infertility?

What Medicines Treat Female Infertility?

If the woman isn't producing eggs, often she can be helped with fertility drugs. Fertility drugs are fairly safe, although some researchers have voiced concern that they may increase the risk for ovarian cancer. Several of the most recent studies, however, have found no increased risk of ovarian cancer and suggest that the drugs may even protect against cervical cancer. Fertility drugs include:

Clomiphene: This drug triggers the release of FSH and LH, boosting egg growth and helping the ovaries release a monthly egg. The drug is considered safe, is fairly inexpensive, and carries less risk of multiple births than other drugs. Women who have polycystic ovary syndrome or menstruate irregularly apparently benefit most from this drug. Sixty percent of women on clomiphene successfully ovulate, and about 30 percent of women become pregnant in the first three months of being on the drug. Side effects may include nausea, insomnia, breast tenderness and headaches.

Bromocriptine: This drug suppresses a hormone called prolactin, which, if released in excessive amounts, may cause a woman to stop ovulating. Ninety percent of women on bromocriptine release eggs while on the drug. It's considered fairly safe, but side effects may include nausea, dizziness, headaches and low blood pressure.

Human Menopausal Gonadotropins (HMG): If other drugs don't work, the doctor may prescribe HMG. This drug is comprised of hormones extracted from the urine of postmenopausal women and contains large amounts of LH or FSH. Women who have trouble ovulating, endometriosis, infertility caused by cervical problems or unexplained infertility are good candidates for this drug. To monitor the woman's progress, the doctor will order regular ultrasounds to check the quality and number of eggs being released.

Nice To Know:

Seventy five percent of women release eggs while on HMGs.

But the chance of pregnancy varies widely, ranging from 20-80 percent.

HMGs are also fairly expensive, and carry considerable risks- including an increased chance of spontaneous abortion and ovarian enlargement, which can lead to ovarian cysts.

A woman on this drug will face an increased chance of multiple and premature births. Possible side effects include weight gain and swelling in the stomach area.

Luteinizing Hormone-Releasing Hormones (LH-RH): LH-RH drugs are used when the pituitary or hypothalamus gland is not producing hormones. They are also used to treat endometriosis. Most women must administer these drugs themselves with a portable pump, and the equipment is unwieldy and expensive. Risks include an increased chance of infections and clotting, and multiple births.

Human Chorionic Gonadoptropin (hCG). Chorionic gonadoptropins are often prescribed with HMGs, and sometimes with clomipheme, to stimulate the release of the egg. They may also be used to treat endometriosis. One of these drugs, Humegon, has resulted in pregnancy in more than 26 percent of cases in clinical trials. Possible side effects are ovarian enlargement, ovarian cysts and multiple births.

Urofollitropin (FSH): This drug is made up of FSH taken from the urine of postmenopausal women. It can be used with hCG to bring on the release of an egg. It's an effective drug for women with polycystic ovary syndrome, for whom clomiphene has been ineffective.

Other medications that may cure fertility problems include:

Antibiotics - They may cure infections in the reproductive system, such as in the cervix or lining of the uterus, and some sexually transmitted diseases.

The hormone progesterone - This hormone develops the lining of the uterus and helps a fertilized egg implant.

Corticosteroids -These may be prescribed for the treatment of endometriosis.

Oral contraceptivesantiandrogensand drugs to reduce insulin levels - These drugs are used in women with polycystic ovary syndrome to restore regular periods and ovulation and to reduce symptoms stemming from an oversupply of male hormones.

Drugs to treat thyroid disease, benign tumors or to improve poor quality cervical mucous.

What Surgeries Treat Female Infertility?

If investigations suggest that surgery may cure infertility, then depending on the cause, surgery may be used to deal with:

  • Fibroids or defects in the woman's uterus.
  • Endometriosis in the woman. In these surgeries, the doctor removes the uterine tissue that has grown outside the uterus.
  • A scarred fallopian tube in the woman. In surgeries for this problem, the scarred tissue is removed or the entire scarred section of the tube may be cut out. The tube is then rejoined and reattached to the uterus.

Infertility