evidence besed infertility management.warda
TRANSCRIPT
EVIDENCE BASED
INFERTILITY MANAGEMENT
OSAMA M WARDA MD
Professor of Obstetrics & Gynecology
Mansoura University- Egypt
Conception rates for fertile couples
0 10 20 30 40 50 60 70 80 90
100
0 6 12 18 24
Perc
ent o
f Cou
ples
Con
ceiv
ing
Months of intercourse (cycles)
January 22, 16
4
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Basic infertility work-up
History taking
&
clinical examination
Semen analysis
Evaluation of ovulation
Tubal patency
evaluation
HSG
DL
January 22, 16
7
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IUI
- Its use is questionable (Reindollar et al, 2010)
- If done, offer up to 3 cycles
January 22, 16
21
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IVF/ ICSI
• Couples in which IVF is justified should be offered up to three stimulated cycles of in vitro fertilization treatment.
• ICSI in Moderate or Severe male factor; --Obstructive azoospermia--Non-obstructive azoospermia.
January 22, 16
23
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