Unexplained infertility affects about 15% of couples which is followed by assisted reproductive technology (ART). In medicine, we talk about idiopathic infertility more and unexplained infertility less. Indeed, the term idiopathic means that there is no cause initially found for your infertility. Unexplained infertility is therefore defined as the absence of causes found after the doctor's interrogation and after the completion of additional first-line examinations performed for couples consulting for infertility. These exams are: an ultrasound of the uterus and ovaries, a hysterosalpingography or hysterosonography to assess the permeability of the tubes, a hormonal assessment at the start of the cycle and a spermogram. If these tests return to normal, the doctor can conclude that there are no abnormalities of the uterus, that the functioning of your ovaries is normal, that the fallopian tubes are not "blocked", and that the sperms are in sufficient number with normal mobility and morphology. The doctor will therefore use the term "unexplained" to characterize your infertility. What is unexplained infertility-
Among all the couples we meet in ART, it is likely that a certain number of them have sexual problems of which they do not dare to tell us out of modesty or shame. We will then label infertility as unexplained when there may be a problem of vaginismus, ejaculation, erection or sexual desire within the couple which was not declared to the doctor during the initial consultations. There is also a role for psychosocial stress in the context of unexplained infertility. On the other hand, it is possible that, in a second step, a cause is found that can explain your difficulties in conceiving. Indeed, it is after a first attempt at in vitro fertilization (IVF) that your doctor can finally discover the problem causing you infertility. After the treatment cycle and thanks to the laboratory evaluation of your oocytes, fertilization process and the "quality" of the embryos, he/she will be able to tell you whether or not there is an explanation for your fertility problems. It will therefore be a second time that infertility called "unexplained" will finally find its explanation: problem of response to treatments, problem of oocyte or sperm "quality", fertilization problem, problem of embryonic "quality", problem of implantation etc. It was impossible for your doctor to look for this type of problem before initiating treatment since you cannot start IVF solely for diagnostic purposes. Unexplained infertility treatment- In the event of so-called unexplained infertility after carrying out the first-line examinations described above, your doctor may offer several types of treatment depending on your age and the duration of your infertility. Most often, it can start with hormonal stimulation in low doses using tablets or subcutaneous injections. After a few days of treatment, you will have an ultrasound to track the time of your ovulation. Your doctor will then be able to know when your ovulation should arrive and will recommend that you have regular sexual intercourse with your partner around this period or else you will schedule an intrauterine insemination. In vitro fertilization may be offered to you in the event of “unexplained” infertility, either immediately depending on your age or the duration of your infertility, or in a second phase after failure of hormonal stimulation associated with “scheduled” sexual intercourse and / or after failed intrauterine inseminations. To know more about different unexplained infertility treatment, visit the best IVF center in India.
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1/30/2021 03:10:32 am
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