Treatment Options

*The good news is that for many causes of infertility, it is possible that a couple may be able to conceive without assistance or with a less aggressive approach such as intrauterine insemination in a matter of three years if the wife’s age is less than 30 years.
*In developing a treatment plan, the difficulty often lies in estimating the odds of conceiving with any one treatment method, considering the wife's age and diagnosis. We do know that IVF/ICSI is probably one of the most efficient forms of fertility treatment, in that it usually provides for the highest rates of successful conception for any one treatment cycle. But for some people with less severe causes for their infertility, non-IVF approaches may prove successful and for others, IVF/ICSI is realistically the best way to achieve pregnancy within a reasonable period of time.
* If the female partner is young (for instance, less than 34 years of age), and if the infertility has not been too significantly long standing, we may propose a treatment plan that consists of using fertility medications along with intercourse or intrauterine insemination in order to improve the chances of conception over the chances with natural conception without medical intervention. Whether or not to move directly to in vitro fertilization or to consider other approaches first will depend on the wife’s age, diagnosis, and how long she has been trying to conceive.
*If a treatment plan is devised including non-IVF treatments, it is usually a good idea to decide at the outset how many cycles of intrauterine insemination with clomiphene and injectable medications will be undertaken and what to do if the treatments do not work.

*In general, as the age of the female partner increases, less aggressive approaches should probably be eliminated and/or the amount of time spent on non-IVF attempts should be limited. Many women will conceive with these non-IVF methods and they should at least be considere.

* This is to ensure that a full history is taken,
*review all the previous investigations and treatments,
* performing 3D transvaginal ultrasound scanning,
*doing complete endocrine profile and results reviewed within less than 2 hours from taking the blood sample
*doing all other related tests that are entitled by the patient history and examination
* setting up planning therapeutic programme.
*Also the view of the couple on their problem is also pivotal for success, and enough time is given for the couple to express their views and worries that has to be respected.