Conventional medicine plays an important role in treating all kinds of
disease and most of the time is the first treatment for a couple who for
what ever reason cam not conceive after 1 year of unprotected sexual
intercourse or can not carry the pregnancy to full term when they go to
see their family doctor. With the advance of medical technology,
conventional medicine has proven record in treating infertility but with
some side effects. In this article, we will discuss types of non
surgical fertility method of conventional medication.
If
a couple can not get pregnant after 1 year of unprotected sex or carry
the fetus to full term, they are considered as infertile couple. Most
people under this circumstance, they will seek help from conventional
doctor. After lengthy examination and diagnosis, if non surgical problem
is found, then the followings are recommended by their specialist
depending to what has been diagnosed
I. Definition
Non surgical
infertility problem is considered as aproblem which can not be treated
by medication and surgery such as impotence and sexual dysfunction in
men and hyperproclatinemia. The fertility of a couple is assisted by
some types of assisting reproductive technologies.
II. Types of artificial inseminations
1. Intra cervical insemination
Artificial
insemination (AI) or intra cervical insemination is the process by
which sperm is placed into the reproductive tract of a female for the
purpose of impregnating the female by using means other than sexual
intercourse.
2. Intrauterine insemination
Intrauterine
insemination is defined as the selection of good quality sperm from a
infertile male sperm semen by injecting the good quality sperm fluid
into the uterus of his female partner, thereby increasing the chance of
sperm to reach the Fallopian tubes where fertilization of the egg
occurs.
3. Gamete intrafallopian tube transfer (DIFT)
Gamete
intrafallopian transfer (GIFT) is a technique which places one egg in
the Fallopian after removing from the ovaries along with the sperm semen
of her male partner.
4. Zygote intrafallopian tube transfer (ZIFT)
It
is a procedure which is often used to treat infertility, if diagnosis
found that there is blockage in the female partner Fallopian tubes that
prevents the sperm to fertilize the mature egg. Under zygote
intrafallopian tube transfer (ZIFT), after egg cells are removed from a
woman's ovaries, it is put in vitro fertilized and finally the zygote is
placed into the fallopian tube by laparoscopy.
5. Tubal embryo transfer (TET)
By
transferring the more advance embryos (cleaved embryos) into the female
partner Fallopian tubes, it increases the chance of fertility after
achieving fertilization in the laboratory. It is only suitable for women
who have at least one healthy Fallopian tube.
6. Intrasytoplastic sperm injection (ICSI)
By
injecting only one quality sperm into the egg for fertilization.
Intracytoplasmic sperm injection is commonly used only for male whose
sperm are diagnosis with egg penetrating problem as a method of in
vitro fertilization.
7. Testicle sperm extraction (TEST)
Testicular
Sperm Aspiration (TESA) is most commonly used for male who for what
ever reasons, has problem in ejaculating, or whose sperm contain little
or no living or motile sperm, but with good sperm in the testicles. By
collecting the sperm semen directly from the testicles, the
fertilization process can occur in vitro fertilization (IVF) by using
the intrasytoplastic sperm injection method.
8. Assisted Hatching
By
collecting egg from ovaries from the infertile woman and after the egg
is fertilized in vitro fertilization (IVF), the assisted hatching helps
the embryo hatch out of its protective layering and artificially
implants into the uterus.
9. Cryopreservation
For what ever
reason some couple decide to have children in the future, they may want
to use the cryoptresevation to freeze the eggs or sperm in the sub-zero
temperatures, such as between 77 K or −196 °C. Most comom
cryppreservation includes
a) Freezing sperm
b) Freezing embryo
c) Freezing eggs
d) Freezing ovaries
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