Infertility is a global problem now afflicting around 1.5 million couples all around the world. The magnanimity of this problem defiantly requires solutions to improve the fertility conditions in both partners. There are definitely large numbers of solutions for fertility treatment which are innovative and efficient established in this millionaire
In the bygone era, infertility was not wellknown & less understood and hence the solutions to the problems were very few. The investigations also bear minimum, which includes, in the males clinical examination and semen analysis. In the females, the investigations include clinical examination, Basal body temperature, HSG, D & C (dilation and curettage). In this modern era, some of the above investigations are obsolete. For the investigation of male factor we have now apart from clinical examination and array of hormonal testing some more specific criteria suited for today’s sample of semen analysis, Doppler and sonographical study for scrotal, medicinal treatments, surgeries and Assisted Reproductive Techniques (ART) in some cases.
In the females, clinical examination, array of hormonal studies, transvaginal sonography- 2D & 3D, Sonosalphingography, Laparoscopy and Hysteroscopy procedure and ART are new trends in infertility treatment.
The management of male infertility has taken a rocket bound leap. The ART which includes In vitro fertilization (IVF) and Intra Cytoplasmic Sperm Injection (ICSI) are now available for the cases of male infertility, where there are hardly few sperms or no sperm in some cases. Such couples can have a baby by aspirating sperm directly from testis to fertilize oocyte. This was not possible earlier and so ART has now emerged as a boon to the childless couples especially in the cases of male factor infertility.
The treatment of female infertility with IVF was initially brought in to for treating blockage of the tubes. The first IVF baby of the world Lewis Brown was the indication for bilateral tube blocks in her mother. Once this treatment came to the world, it soon caught the fervor and many clinicians all over the world sense the beauty of this treatment. Many clinicians start getting the training for ART and practicing ART. This practicing of ART gives the innovation of Intra Uterine Insemination (IUI). IUI is one of the easiest and affordable treatments which can be offered to the patients with unexplained infertility and male factors.
IVF is also an indication for female infertility, male infertility, endometriosis, PCOS, tubal blockage and unexplained infertility. The advances in ART like ICSI, has revisualized the treatment of male infertility and unexplained infertility .ICSI is the procedure used with very few sperm, for the couple to have a baby. Advances in ART also include IMSI- Intracytoplasmic Morphologically selected Sperm Injection in which the best sperm is selected for fertilization by observing the morphology. PGD- Pre Implantation Genetic Diagnosis is used for diagnosis of aneuploidy, polyploidy and chromosomal abnormalities, which can be treated, to have a healthy baby. Embryoscope from which pictures of developing embryos can be obtained and hence the best embryo can be selected for transfer.
To conclude, I must say that we have the best and innovative treatments with ART that are available for infertile couples. Let us try this treatment and give large number of success to patients seeking treatment for infertility. With the advent of new technologies we can now help patients in a big way and increase the success rate of “Take home Baby”.