How to treat cases of infertility without apparent cause?

How to treat cases of infertility without apparent cause?


The complexity of each case of infertility can vary, but several cases are reversible

The infertility without apparent cause (bait) is diagnosed when a couple has normal ovulation exams, ovarian reserve, tubal permeability and seminal parameters, but cannot yet be pregnant after a year of attempts (or six months if the woman is more than 35 years old).




According to dr. Marcelo Marinho, a doctor specialized in the human reproduction of the Fertiprassi clinic, the treatment depends on some factors such as the age of women and the time of infertility, for example.

Some care about considering

According to the expert, if the woman is under 35 years old and the infertility time is short, you can consider a few months of natural attempts, optimizing habits as:

  • Weight control
  • Balanced diet (rich in antioxidants, poor in ultra elaborate)
  • Regular exercises (but without excess)
  • Stress reduction
  • Avoid alcohol, tobacco and drugs
  • Coitus scheduled with induction of ovulation
  • Use of ovulation inductors (liteozolo or clomiphene citrate) to increase the
  • Possibility of ovulation and synchronization
  • The coitus with the fertile period.
  • Monitoring of ultrasound to identify the best women’s fertility time and reduce multiple pregnancy possibilities.

If she is over 35, a low complexity assisted reproduction can already be taken into consideration, such as intrauterine insemination or high complexity, such as in vitro fertilization.

How to treat cases of infertility without apparent cause?

Ovulation with drugs is encouraged, spermatozoa are prepared and inserted directly in the uterus on a specific day, identified with the help of ultrasound.

In vitro fertilization (IVF)

  • Indication for persistent cases of bait, more advanced maternal age or bankruptcy in previous treatments.
  • It implies ovarian stimulation with gonadotropins with larger doses, collection of eggs, laboratory fertilization and embryonic transfer.
  • Allows the selection of embryos, genetic evaluation and implementation optimization.
  • Best successful rates.

According to Dr. Marcelo, the treatment of the bait can be progressive, starting from less invasive approaches and evolves into more advanced techniques on the basis of age and time of infertility. “The choice should be individualized, also considering the couple’s desire and the cost-benefit of each option,” he concludes.

Source: Terra

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