In this lecture you will find a brief explanations on ways and techniques that helps concieve conception. Copyright to Dr. Fateh-alrhman from Najran university

1. Management Of Female
Infertility
Mohammed Majeed Alwaily

2. Treatment
Treatment of Cervical Factors:
Chronic cervicitis may be treated with antibiotics.
The easiest and most successful treatment is intrauterine
insemination (IUI).
Treatment of Uterine Factors:
The treatment of uterine malformations depends on the
severity of the problem.
Chronic cervical factor of absence of mucus - Intrauterine
insemination
Cervical incompetence - Cerclage

3. Damage/absence of fallopian tubes (ectopic) - In vitro
fertilization
Uterine anomalies can be corrected through operative
hysteroscopy under general anesthesia or conscious
sedation
Endometrial polyps are removed through operative
hysteroscopy
Fibroids should be treated if they are associated with
abnormal uterine bleeding or if they are thought to be the
cause of infertility. Three modalities are used to treat
myomas: medical treatment, surgical treatment, and
embolization.
Treatment of Ovarian Factors:
Clomiphene citrate (Clomid)
Human menopausal gonadotropins

5. Ovulation Inducers
Drug Name Rate of Ovulation Pregnancy
Clomiphene 80% 40%
HMG 90% 70-80%
Bromocriptine 90% 70-80%
GnRH 80% 50-80%
Ovarian drilling 70-80% 45-60%

6. Assisted reproductive technology
Therapy
Requires
Controlled ovarian hyperstimulation
Retrieval of oocytes
In vitro fertilization and embryo transfer
Procedures
IVF-ET (In Vitro fertilization-embryo transfer)
GIFT (Gamete intra-fallopian transfer)
ZIFT (Zygote intra-fallopian transfer)
ICSI (Intracytoplasmic sperm injection)

8. In Vitro Fertilization(IVF)
 Fresh-non-donor eggs, frozen-nondonor,
frozen-donor
 Ovulation Induction & Monitoring
 Oocyte Retrieval
 Fertilization
 Embryo Transfer

10. Oocyte Retrieval

12. B. GIFT & ZIFT:
 Gamete intrafallopian transfer – use of a laparoscope to
guide the transfer of unfertilized eggs and sperm into
the fallopian tubes
 Zygote intrafallopian transfer – fertilizing the eggs in
the laboratory and using a laparoscope to guide the
transfer of the zygotes into the fallopian tubes
C. Intracytoplasmic sperm injection (ICSI)
D. Surrogacy : a woman, other than the genetic mother
agrees to become pregnant and carry the fetus to full
term

13. E. Artificial insemination:
use of sperm from a donor or partner to fertilize an egg,
sperm collected and placed in vagina or uterus
IUI: intrauterine insemination, use a catheter to directly
place sperm into the uterine cavity

15. Thank you