I.V.F. (In Vitro Fertilization)
It was an enormous breakthrough when the first (I.V.F) test tube
baby was born in 1978, after pioneering research that had lasted for
more than a decade.
IVF was being used at the time for patients with tubal blockage, but now
it has become the routine treatment not only for cases of female tubal
disease, but also for cases of poor semen and other refractory fertility problems.
And the chances of successful pregnancy are 30 – 35% per cycle of
treatment, rising
to over 60% with aneuploidy screening, a new technique that checks
the chromosomes of the IVF embryos before they are returned to the
mother's womb.
The management of infertility depends on establishing the
right diagnosis. This is done by fully investigating the husband and
wife to find the exact cause of infertility, and therefore the
alternatives for management. These investigations include blood tests,
pelvic ultrasound scanning, hysterosalpingography
and semen analysis.
Usually, the problem lies with the husband in 40% of cases, the wife in
40% of cases also, and in the remaining 20% of cases, the cause of
infertility is unknown.
|