The Road to Fertility

So, you have been at it, been there, done that and to your utter frustration, "that" has not helped..What now! For the medical jargon junkies, it translates to having done the investigations, been through the ovulation induction, planned the act for the anticipated pregnancy, tried the laparoscopy and still its back to square one. the strip on the pregnancy card never tickled you pink! Your doctor has advised insemination..after the first reservations, it does seem simple enough and quicker perhaps? Hold your horses, for it may not be as simple as it seems. The essential criteria to undergo an insemination, more specifically  an intrauterine insemination is that the fallopian tubes should be patent, the sperm count should not be below a cutoff value and yes, the follicles should grow well and rupture.these are some things you have to make sure are in place before proceeding for an IUI. IUI if done without stimulating the ovaries minimally, usual...

Laparoscopy has come in the fertility management as a boon..or so I thought. It was once a simple minimally invasive way to have a look at the woman's reproductive organs, treat the disease if any and get out safely, without causing the mayhem of an open surgery. But as they say, too much of anything is not good. Along came the enthusiastic laparoscopic surgeons who took up a diagnostic laparoscopy as the first line management of any couple seeking help with their fertility issues. And the brunt was born by the poor ovaries! Drilling of ovaries, a term that you may see on the surgery summary of your papers has a lot of explaining to do. Drilling means making small points with some form of heat, cautery, laser etc. This is essentially done for women with PCOS who DO NOT , I repeat DO NOT ovulate with routine drugs in from of tablets and injections. Apart from the fact that drilling is a surgical intervention, it can cause long lasting irreversible effects if done in the wro...