Treatment Strategies for Female Infertility

Female infertility rate worsens with age, and the younger the age, the easier and less costly the treatment is, so infertility should be treated as early as possible, and the pregnancy rate of women over 40 years old is extremely low. Before treatment, it must be clear whether the uterus, fallopian tube and ovary of the woman are problematic; whether the semen of the man is normal, etc., and clarify the cause of the disease, and take different measures for different causes of the disease, especially it should be pointed out that there is a large part of the patients can not be found out the cause of the disease, which is idiopathic (unexplained) infertility. For women, drug treatment is adapted to a part of patients, for polycystic ovary syndrome, anovulatory menstruation, follicular non-rupture and premature luteinization, etc. can be used to induce ovulation; for the luteal insufficiency and repeated miscarriages or infertility, the use of drugs for the luteal phase support; for the irregular menstruation affects the pregnancy, menstruation can be adjusted, ovulation; for the gonadotropins level increases in premature ovarian failure For patients with premature ovarian failure with increased gonadotropin levels, medication can also be tried. In addition to the above, there are some infertility drug treatment is ineffective, must be surgical treatment. Surgery is indicated for a small number of cases with organic diseases, such as fibroid removal, tubal anastomosis, laparoscopic release of pelvic and tubal adhesions, in which case surgery is the necessary treatment. In the case of ineffective drug treatment and surgical treatment, some infertile patients need to be pregnant through assisted reproductive technology, including the commonly used artificial insemination (artificial insemination by the husband’s semen, artificial insemination by the donor’s semen, etc.), a variety of in vitro fertilization techniques, and so on. The implementation of these assisted reproductive technologies must be approved by the Ministry of Health and provincial health administrative departments, and only after obtaining a certificate of approval can they be implemented. It should be noted that the pregnancy rate of assisted reproductive technology treatment generally exceeds the pregnancy rate of normal couples, and the conception rate of assisted reproductive technology pregnancy in one menstrual cycle generally does not exceed 40%. The most important thing about infertility treatment is that it requires the concerted efforts of both husband and wife to build up patience, confidence and determination. In life, couples with weak fertility are more prone to anxiety or even guilt, so during treatment couples should communicate fully, tolerate and be considerate of each other, do not just complain and boredom.