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J Korean Med Assoc > Volume 50(5); 2007 > Article
Kim and Yoon: Treatment of Female Infertility

Abstract

Infertility is a disease that exists when a couple has tried to conceive for 12 months during which time they have had intercourse without the use of contraception. There are many factors suggested as being the causative factors for this problem, and various diagnostic and therapeutic approaches are under practice to alleviate infertility with a great advancement in the molecular biology, cryobiology, assisted reproductive technologies (ART), etc. Earlier evaluation and treatment are required in women with age over 35 years and those with certain medical conditions. The couple should be evaluated at the same time. Stress, which can be manifested as anxiety or depression, is increased in women experiencing infertility. Therefore clinicians need to provide comprehensive care services that are individualized based on the patient's situation, including psychological support and counseling.

References

1. ASRM practice committee and ethics committee. Fertil Steri 2004;82:S206.

2. Gysler M, March CM, Mishell DR Jr, Bailev EJ. A decade2s experience with individualized clomiphen treatment regimen including its effect on postcoital test. Fertil Steril 1982;37:161-167.

3. Hammond MG, Halme JK, Talbert LM. Factors affecting the pregnancy rate in clomiphen citrate induction of ovulation. Obstet Gynecol 1983;62:196-202.

4. Shoham Z, Zosmer A, Insler V. Early miscarriage and fetal malformation after induction of ovulation (by clomiphen citrate and/or human menotropins), in vitro fertilization, and gamate intrafallopian transfer. Fertil Steril 1991;55:1-11.

5. Fisch P, Casper RF, Brown SE, Wrixon W, Collins JA, Reid RL, Simpson C. Unexplained infertility: evaluation of treatment with clomiphene citrate and human chorionic gonadotropin. Fertil Steril 1989;51:828-833.

6. Deaton JL, Gibson M, Blackmer K, Nakajima ST, Badger GJ, Brumsted JR. A randomized, controlled trial of clomiphene citrate and intrauterine insemination in couples with unexplained infertility or surgically corrected endometriosis. Fertil Steril 1990;54:1083-1088.

7. Guzick DS, Sullivan MW, Adamson GD, Cedars MI, Falk RJ, Peterson EP, Steinkampf MP. Efficacy of treatment for unexplained infertility. Fertil Steril 1998;70:207-213.

8. Barbieri RL. The initial fertility consultation: recommendations concerning cigarette smoking, body mass index, and alcohol and caffeine consumption. Am J Obstet Gynecol 2001;185:1168-1173.

9. Grodstein F, Goldman MB, Cramer DW. Body mass index and ovulatory infertility. Epidem 1994;5:247-250.

10. Clark AM, Thornely B, Tomlinson L, et al. Weight loss in obes infertile women result in improvement in reproductive outcome for all forms of fertility treatment. Hum Reprod 1998;13:1502-1505.

11. Clark AM, Roberts B, Galletley C, Tomlinson L, Normnn RJ. Maximizing weight loss in the overweight infertile patient-a prospective randomized controlled trial. Hum Reprod 2000;15:65-66.

12. Costello MF, Eden JA. A systematic review of the reproductive system effects of metformin in patients with polycystic ovary syndrome. Fertil Steil 2003;79:1-13.

13. Kumari AS. Metformin monotherapy in lean women with polycystic ovary syndrome. RBM online 2005;10:100-104.

14. Kim LH, Taylor AE, Barbieri RL. Insulin sensitizers and polycystic ovary syndrome: can a diabetes medication treat infertility? Fertil Steril 2000;73:1097-1098.

15. Surrey ES, Schoolcraft WB. Laparoscopic management of Hyrosalpinges before in vitro fertilization embryo transfer: salpingectomy versus proximal tubal occlusion. Fertil Steril 2001;75:612-617.

16. Benadiva CA, Kligman I, Davis O, Rosenwaks Z. In vitro fertilization versus tubal surgery: is pelvic reconstructive surgery obsolete? Fertil Steril 1995;64:1051-1061.

17. Osuna C, Matorras R, Pijoan JI, Rodriquiz-Escudero FJ. One versus two inseminations per cycle in intrauterine insemination with sperm from patients' husband: a systemic review of the literature. Fertil Steril 2004;82:17-24.

18. Chafkin LM, Nulsen JC, Luciano AA, Metger DA. A comparative analysis of the cycle fecundity rates associated with combined human menopausal gonadotropin(hMG) and intrauterine insemination (IUI) versus either hMG or IUI alone. Fertil Steril 1991;55:252-257.

19. Aboulghar MA, Mansour RT, Serour GI, Rhodes CA, Amin YM. Reduction of human menopausal gonadotropin dose before coasting prevents severe ovarian hyperstimulation syndrome with minimal cycle cancellation. J Assist Reprod Genet 2000;17:298-301.

20. Goverde AJ, McDonnell J, Vermeiden JP, Schats R, Rutten FF, Schoemaker J. Intrauterine insemination or in-vitro fertilizationin idiopathic subfertility and male subfertility: a randomized trial and cost-effectiveness analysis. Lancet 2000;355:13-18.

21. Westrom L, Joesoef R, Reynolds G, Hagdu A, Thompson SE. Pelvic laparoscopically verified disease and 657 control women with normal laparoscopic results. Sex Transm Dis 1992;19:185-192.

22. Lundorff P, Hahlin M, Kallfelt B, Thorburn J, Lindblom B. Adhesion formation after laparoscpic surgery in tubal pregnancy: a randomized trial versus laparotomy. Fertil Steril 1991;55:911-915.

23. Strandell A, Lindhard A, Waldenstrom U, Thorburn J, Janson PO, Hamberqer L. Hyrosalpinx and IVF outcome: a prospective, randomized multicenter trial in Scandinavia on salpingectomy prior to IVF. Hum Reprod 1999;14:2762-2769.

24. Surrey ES, Schoolcraft WB. Laparoscopic management of Hyrosalpinges before in vitro fertilization embryo transfer: salpingectomy versus proximal tubal occlusion. Fertil Steril 2001;75:612-617.

25. Benadiva CA, Kligman I, Davis O, Rosenwaks Z. In vitro fertilization versus tubal surgery: is pelvic reconstructive surgery obsolete? Fertil Steril 1995;64:1051-1061.

26. Counsellor VS. Endometriosis. A clinical and surgical review. Am J Obstet Gynecol 1938;36:877.

27. TK Yoon, HR Sung, HG Kang, Cha SH, Lee CN, Cha KY. Laparoscopic tubal anastomosis: fertility outcome in 202 cases. Fertilty Steril 1999;72:1121-1126.

28. Falcone T, Goldberg JM, Margossian H, Stevens L. Robotic-assisted laparoscopic tubal anastomosis: a human pilot study. Fertilty Steril 2000;73:1040-1042.

29. Yoon TK, Lee DR, Cha SK, Chung HM, Lee WS, Cha KY. Surviaval rate of human oocytes and pregnancy outcome after vitrification using slush nitrogen in assisted reproductive technologies. Fertil Steril 2007;in press.

30. Lee WS. Current concept of infertility treatment. Korean Journal of Obstetrics and Gynecology 2005;48(5):1106-1129.

Figure 1
Diagnostic and Treatment Algorithm : Infertility.
Yao M. Clinical management of infertility. Washington DC: The Advisory Bord, 2000.
jkma-50-406-g001-l.jpg
Table 1
Clinical findings that suggest Insulin Resistance and Hyperinsulinemia
jkma-50-406-i001-l.jpg

Barbieri RL. Induction of ovulation in infertile women with hyperandrogenism and insulin resistance. Am J Obstet Gynecol 2000;183:1412-1418



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