Treatment of infertility

1. Big picture

Infertility treatment is not one treatment. It is a stepwise plan based on the cause:

Ovulation problem → induce ovulation Tubal blockage → surgery or in vitro fertilization Male factor → optimize semen / intrauterine insemination / IVF / intracytoplasmic sperm injection Uterine cavity lesion → hysteroscopic correction Unexplained infertility → expectant management, ovarian stimulation + IUI, or IVF depending on age and duration

The examiner wants to hear that infertility is treated as a couple problem, not only a female problem. Treatment should start only after basic evaluation of **ovulation, semen, tubal patency, uterine cavity, ovarian re