Wednesday, 24 August 2011

Surgery Of Infertility

Surgery

Depending on the cause, surgery may be a treatment option for infertility. Blockages in the fallopian tubes, or other problems can often be repaired surgically. Laparoscopic techniques allow sensitive operations fallopian tubes.

If you have endometriosis, your doctor may treat you with ovulation therapy, in which a drug is used to stimulate or regulate ovulation, or in vitro fertilization, the egg and sperm are combined in laboratory and transferred to the uterus.

Assisted reproductive technologies (ART)

Every year thousands of children are born in the United States as a result of art. ART health team includes physicians, psychologists, embryologists, laboratory technicians, nurses and health professionals who work together to help infertile couples achieve pregnancy.

The most common forms of art are the following:

In vitro fertilization (IVF). In vitro fertilization with a woman in search of mature eggs, the fertilizing sperm in a laboratory dish and implanting the embryos in the uterus three to five days after fertilization.

Vibration or electrical stimulation to achieve ejaculation. Vibration or electrical stimulation leads to ejaculation to obtain semen. This procedure can be used in men with spinal cord injury who can not otherwise achieve ejaculation.

Surgical sperm aspiration. This technique involves removing sperm from part of the male reproductive tract, the epididymis, vas deferens or testicle. This allows retrieval of sperm if the ejaculatory duct is blocked.

Intracytoplasmic sperm injection (ICSI). This procedure consists of a microscopic technique (micromanipulation) in which a single sperm is injected directly into an egg to achieve fertilization in conjunction with the standard IVF procedure.

Assisted hatching. This technique is designed to help embryo implantation in the wall of the uterus, open the outer shell of the embryo (hatching).

ART works best when the woman has a healthy uterus, responds well to fertility drugs and natural ovulation or use donor eggs. The man should have healthy sperm or donor sperm should be available. The success rate of antiretroviral therapy is less than 35 years.

Complications of therapy

Some of the existing complications in the treatment of infertility. These include:

Multiple pregnancy. The most common complication of ART is a multiple birth pregnancy. Generally, the higher the number of fetuses, the greater the risk of premature birth. Premature babies are at increased risk of health problems and development.

The number of quality embryos kept and matured to fetuses and birth ultimately is a decision made by the couple. If many are designed, eliminating one or more fetuses (multifetal pregnancy reduction) can improve the survival chances of the other fetuses.

Ovarian hyperstimulation syndrome (OHSS). If overstimulated, a woman's ovaries may enlarge and cause pain and swelling. Mild or moderate symptoms often resolve without treatment, but in severe cases - entered the abdominal swelling and shortness of breath - require urgent treatment. Younger women and those who have polycystic ovary syndrome have an increased risk of developing OHSS than other women.

Bleeding or infection. As with any invasive procedure is a risk of bleeding or infection in assisted reproduction techniques.

Low birth weight. The greatest risk factor for low birth weight is a multiple birth pregnancy. Single live births, there may be more likely to be low birth weight is associated with ART.

Congenital malformations. There is some concern about a possible link between art and congenital malformations. Further research is needed to confirm this possible link. To evaluate this factor if you are considering the use of this therapy. ART is the most successful fertility treatment with the increase.

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