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This is Part I in a series of available Infertility Treatments in recognition of National Infertility Awareness Week. Other medications used to treat infertility include thyroid medications (for thyroid dysfunction), parlodel (for elevated prolactin levels) and  antibiotics. When sperm production is low or sperm motility is a problem, urologists or fertility specialists use medication to increase sperm produced. Medical therapy in men can also include the identification of sexual problems such as the need for behavioral therapy or medicines to improve premature ejaculation or impotence. After all the excitement, stress, and relief of finding out how many eggs were fertilized we were now waiting for the next pivotal step…knowing the # of frozen embryos.
Since the change in plans with the embryo transfer, we were hopeful that there would be a sufficient # of embryos for freezing.
I’m not sure how many embryos will be transfered, nor do I know how many of the embryos will survive thawing. Two days later, I was informed (by an IVF coordinator) that my thyroid was low and I needed to take a blood test. Around this same time, there was a story in the news about ICSI (Intracytoplasmic Sperm Injection).
The article was definitely not something I expected to hear about while I was preparing for my egg retrieval.
So the day after my egg retrieval, I called the doctor to find out the # of eggs fertilized.
Also, both my husband and I were instructed to take Doxycycline, an antibiotic the night before (the egg retrieval). If I were doing the embryo transfer 2-6 days later, I would have been taking addition medicines to prepare my body for that, such as Estrace, Medrol, and the Crinone gel.


A few minutes later, my IVF coordinator asked if I needed to use the bathroom before we go into the room.
It involves the use of the same medications used for induction of ovulation in women that have anovulation.
Ovarian stimulation with insemination should not be used with very low sperm concentration or very poor sperm motility, blocked fallopian tubes, or if the age of the female partner is over 41. Controlled ovarian hyperstimulation is also used to develop multiple mature follicles for in vitro fertilization cycles.
The ovarian stimulating drug (Clomid or Femara or injectable FSH) is given early in the menstrual cycle in the same manner as described for induction of ovulation. The way the medications are given are described on the pages that discuss subcutaneous FSH injections and intramuscular FSH injections. Success rates for controlled ovarian hyperstimulation with intrauterine insemination vary considerably and depend on the age of the woman, the total motile sperm count, the quality of the sperm, how long the couple has been trying to get pregnant, what the infertility factors are in the couple, etc. Ovarian stimulation with gonadotropins (injectable FSH products like Pergonal or Follistim) plus intrauterine insemination gives pregnancy rates of about 5-15% per cycle (women 36 and younger) for unexplained infertility, as demonstrated in several published studies.
Success rates are lower if the woman is over age 36 or if there is a sperm problem - male factor infertility. For women 40 and older, success rates with this form of infertility treatment are very low, and IVF should be considered relatively soon. In general, this type of treatment is considered reasonable for about 3 cycles (in women under about 38), after which IVF is usually considered as the next step. The costs associated with controlled ovarian hyperstimulation depend on the type and dose of medication required and the number of ultrasound and blood tests needed to adequately monitor the cycle.
Medical TherapyApril 22, 2013 by Rocky Mountain Fertility CenterPart I: What Treatments are Available for Infertility?


Sometimes men have low hormone levels that need to be adjusted with medication and hormone therapy is required to help produce sperm.  Sometimes Clomiphene can improve sperm production in males, but HCG injections have also been utilized.
These drugs are used to stimulate development of multiple mature follicles and eggs in order to increase pregnancy rates with various infertility treatments.
It is usually done in conjunction with intrauterine insemination, which increases success rates. Instead it is a "shotgun" approach to get multiple eggs and sperm together at the time of ovulation. It is used most often in couples with unexplained infertility and in those with slight reductions in sperm counts ("mild" male factor). Doing intrauterine insemination with the cycle increases the success rate, as well as increasing costs.
Medical Therapy0 CommentThere are a variety of treatment options available for infertility.  Medical therapy is among the most common treatments for infertility and is used to correct various infertility problems such as ovulatory dysfunction or unexplained infertility. This type of treatment has been shown to increase the monthly chances for a pregnancy as compared to timed intercourse alone in patients with unexplained infertility. When oral medication fails to provide favorable results, or when conception does not occur within three cycles of ovulation, other treatment options should be considered.



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