Diagnosis of subfertility does not mean childless forever


A diagnosis of subfertility does not mean childlessness forever. It can often mean that becoming pregnant is a challenge that can be aided significantly by medical treatment. Today’s treatments offer a good rate of success.


Ovulation induction

Is indicated in anovulatory cycles such as in polycystic ovarian syndrome .The patient may only need to take ovulation induction pills (letrozole or clomiphene) at the beginning of her menstrual period and on the 10th day of the cycle she starts to have ultrasound scan follicle tracking. This is to look for fluid filled sacs that contain eggs once the lead follicle reaches 18mm in diameter, the patient is given a trigger shot Human chorionic gonadotrophin (HCG) which facilitates timing of IUI.


Intra uterine insemination (IUI)

This procedure also known as artificial insemination involves placing washed sperm through the cervix into the uterus using a small catheter. It is often performed following failed attempts at intercourse. In our hands because of strict patient selection it offers 20% chance of pregnancy. IUI with washed semen is indicated in the following conditions

  • HIV discordant  couples
  • Endometriosis
  • Polycystic ovarian syndrome
  • Unexplained subfertility
  • Sperm donor insemination

In-Vitro Fertilisation and embryo transfer

This is the most commonly used Assisted Reproductive Technologies (ART). It is often called the test tube baby procedure and has now helped sub fertile couples to conceive and bear children for well over four decades. In order for pregnancy to occur, an egg must be released from the ovary and unite with the sperm. This union called fertilisation normally, occurs within the fallopian tubes. In the process of IVF, however, this union takes place in a laboratory after both eggs and sperm have been collected. More…