The major infertility
examination
(For
women) general infertility treatment, laparoscopy, salpingoscopy,
hysteroscopy; (For men) semen examination, fertility examination.
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Laparoscopy
The
laparoscopy is the most important examination for finding the cause
of infertility. For example, it is difficult to observe adhesions and
the condition of an ovary with a hysterosalpingography or by other general
methods of examination. But for those cases, more than 90% of the cause(s)
of problems are found by using the laparoscopy, so the patient can receive
an appropriate treatment. During the examination, treatment can be administered
at the same time. For example, if an adhesion is observed, the adhesion
can be lysis during the observation. The laparoscopy is also used for
observing sperm transport in the tubes. On the patient's examination
day, artificial insemination is performed, and the laparoscopy can check
whether the spemium reaches the uterine tube or not. In other ways,
the salpingoscopy and the hysteroscopy are used at the same time for
thoroughly researching and examining the cause of infertility.
Fertility
Ability Examination of System
For accomplishing
the completion of fertility, sperm must achieve an acrosomal reaction
and should pass through the most difficult zone of the zona pellucida
by discharging resolution enzymes. Fertility ability is, so to speak,
the ability to pass through the zona pellucida. In other words, the
ability to induce an acrosomal reaction. Furthermore, it is necessary
for sperm to have kinetic ability. Because if it lacks kinetic ability,
the sperm can not pass through the zona pellucida even though the acrosomal
reaction is normal. Sperm needs both the power of achieving an acrosomal
reaction (biochemical fertility-ability of semen) and the power of passing
through the zona pellucida (mechanical fertility-ability of sperm).
Contents
of Treatment
- In vitro
fertilization and embryo transfer
- Intra
cytoplasmic sperm injection
- Gamete
in uterine tube transplantation
- in vitro
fertilization embryo tubal replacement
- Hysteroscopic
operation
- Laparoscopic
operation
- Artificial
insemination, (AI) (artificial insemination of husband, intrauterine,
in uterine tubes, intra peritoneum)
- Tuboplasty
salpingoplasty
- Others
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In
Vitro Fertilization Embryo Transfer
In
case of intractable infertility, IVF-ET is used for treatment. The procedures
are: retrieving a mature ovum from the ovary, and inducing it to fertilize
the semen by use of in vitro fertilization, then putting it into the
uterus. In principle, Me & Mummy Hospital prefers "more moderate
stimulation", to avoid excessive stimulation. For example, when
collecting eggs, the anesthesiologist is in charge of anesthesia for
avoiding pain during the egg collection from the patient. When using
this procedure, the patient does not need to be admitted in the hospital,
because the treatment takes no longer than a day.
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