An infertility procedure is an operation to correct a health problem that’s keeping a woman or man from having children. To diagnose infertility, doctors typically start with a medical history and a physical exam, including a pelvic examination. The doctor also checks to make sure that the ovaries are releasing eggs regularly and that the fallopian tubes aren’t blocked. Some people need a blood test to measure hormone levels, and others may have an ultrasound of the ovaries and uterus.난임시술
Other tests used in fertility testing include hysterosalpingography and laparoscopy, which allow the doctor to see inside the reproductive organs. Hysterosalpingography (hy-sto-ro-sal-ping-GOG-ruh-fa) involves injecting a dye into the uterus, then using X-rays to look for any blockages in the fallopian tubes. A surgeon may also use this test to check for a condition called endometriosis, which is scar tissue that grows in the uterus and around the fallopian tubes. In laparoscopy, the doctor inserts a thin surgical tube with a camera into a small incision in the abdomen. This can help diagnose uterine fibroids, tubal disease and other problems that can interfere with fertility.
Depending on the results of the infertility evaluation, the doctor can recommend treatment. This treatment can involve a combination of medications and surgical procedures. The patient can choose to have some or all of the treatment done on an outpatient basis, and some can even do it in their own home.
Women who can’t get pregnant with natural methods of conception can try intrauterine insemination, which involves placing sperm directly into the uterus while it is ovulating. This is usually done with a catheter, but can be done with a needle. Other infertility treatments include sperm retrieval and in vitro fertilization. In vitro fertilization is a more extensive process in which the eggs and sperm are mixed in a lab. The sperm can be fertilized with the woman’s egg or with another man’s. The fertilized egg is kept in the lab for 3 to 5 days before being implanted.
In some cases, the doctor can treat a woman’s polycystic ovary syndrome with a surgical procedure called laparoscopic ovarian drilling. This removes cysts and improves ovulation. It’s also possible to remove ovarian adhesions, which are bands of scar tissue that prevent an egg from reaching the fallopian tube after ovulation or an embryo from attaching to the uterus.
For men with a difficult time conceiving, the doctor will make sure that the penis is producing healthy sperm and that it’s able to move easily through the fallopian tubes. Other testing includes a blood test for testosterone and other hormones, a semen analysis and a procedure that tests how well the sperm swims.
Fertility treatment can be expensive and emotionally taxing for both patients and their partners. To reduce stress, the couple should set limits on how many fertility treatments they’re willing to undergo and what they will do if they can’t become pregnant after several attempts. They should also decide on other options — such as adoption or using a gestational carrier — early in the process.서울아이앤여성의원