What Are The Common Treatment Options?

Treatment of Infertility

What are the common treatment options?

There are three main types of fertility treatment: medical treatment (such as use of drugs for ovulation induction with follicular monitoring); surgical treatment (for example, laparoscopy for ablation of endometriosis); and assisted reproduction. Assisted reproduction relates to all treatments that deal with means of conception other than normal intercourse (intra-uterine insemination, IVF, ICSI, etc).

What medicines are used to treat infertility in women?

Some common medicines used to treat infertility in women include:

  • Clomiphene citrate :
    This medicine causes ovulation by acting on the pituitary gland. It is often used in women who have polycystic ovarian syndrome (PCOS) or other problems with ovulation. This medicine is taken by mouth.
  • Human menopausal gonadotropin or hMG :
    This medicine is often used for women who don’t ovulate due to problems with their pituitary gland. This injection – hMG, acts directly on the ovaries to stimulate ovulation.
  • Follicle-stimulating hormone or FSH :
    FSH injection also works like hMG, by boosting the ovaries to begin the process of ovulation.
  • Gonadotropin-releasing hormone (Gn-RH) analogues :
    These medicines are often used for women who don’t ovulate regularly each month. Women who ovulate before the egg is ready can also use these medicines. Gn-RH analogs act on the pituitary gland to change when the body ovulates. These medicines are usually injected or given with a nasal spray. These medicines are used in IVF / ICSI cycles.
  • Metformin :
    Doctors use this medicine for women who have insulin resistance and/or PCOS. This medicine sensitizes the body’s cells to the circulating insulin, which helps the body to ovulate.
  • Bromocriptine or Cabergoline:
    This medicine is used for women with ovulation problems due to high levels of prolactin. It lowers the level of prolactin and improves the hormonal patterns needed to effect ovulation.

Many fertility drugs increase a woman’s chance of having twins, triplets, or other multiples. Women who are pregnant with multiple fetuses have more problems during pregnancy. Preterm labour often ensues and results in the birth of premature babies.