The Vital Role of Hysteroscopy in IVF: A Comprehensive Guide

Infertility diagnosis and treatment involve a structured process that helps couples or individuals who are unable to conceive after a year (or six months for women over 35) of regular, unprotected intercourse. Here's a comprehensive overview:

I. INFERTILITY DIAGNOSIS

A. When to See a Doctor

  • After 12 months of trying (under 35 years)
  • After 6 months (over 35 years)
  • Immediately if there's a known medical issue (e.g., PCOS, irregular periods, prior surgeries)

B. Common Causes of Infertility

  • Ovulation disorders (e.g., PCOS, hypothalamic dysfunction)
  • Fallopian tube damage/blockage (e.g., from infections or endometriosis)
  • Uterine or cervical abnormalities
  • Endometriosis
  • Age-related decline in egg quantity/quality

II. INFERTILITY TREATMENT

Treatment depends on the cause, age, duration of infertility, and personal preferences.

A. Lifestyle & Natural Approaches (for mild cases)

  • Weight loss or gain (if BMI is off-balance)
  • Smoking/alcohol cessation
  • Nutrition & supplements (e.g., folic acid, CoQ10)
  • Stress reduction

B. Medical Treatments

Ovulation Induction:

  • Clomiphene Citrate (Clomid) or Letrozole (Femara) : Oral medications to stimulate ovulation
  • Gonadotropins (FSH/LH injections) : Stronger ovulation inducers
  • Requires monitoring via bloodwork and ultrasound

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