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Navigating the world of infertility treatments can quickly become overwhelming, especially when deciding whether or not they are for you. To make empowered decisions for your infertility treatment, knowing as much as you can about your options is essential.
Get information here on infertility medications (like Clomid and Progesterone), assisted reproductive technologies (like IVF), male factor infertility treatments (like IUI and ICSIS), non-medical interventions, and more. |
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| Ovulatory Dysfunction |
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 This is the single most frequent cause of female infertility and denotes a problem with the monthly release of an egg (ovulation). There are varying causes for ovulatory dysfunction; the most frequent one is Polycystic Ovarian Syndrome (PCOS). CHR has extensive experience in treating women with all forms of ovulatory problems. |
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| Tubal Infertility |
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| This diagnosis denotes the presence of abnormal fallopian tubes. Most tubal disease is caused by an episode of tubal infections (pelvic inflammatory disease, PID) or a condition called endometriosis. CHR is known worldwide for having invented the treatment of tubal occlusions with trans-vaginal catheter techniques and has been a pioneer in treating tubal disease for many years. Reprints of a large number of published studies by Dr. Norbert Gleicher are available upon request in Scientific Publications. |
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| Endometriosis |
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 Some people believe that endometriosis, and not ovulatory dysfunction, is the single most frequent cause of infertility. Unfortunately, the diagnosis of endometriosis is not very reliable since it requires surgery (laparoscopy) and, even then, microscopic disease may be overlooked. Endometriosis can cause infertility by causing tubal disease. Endometriosis can affect the ovaries (and probably egg quality), can increase the risk of miscarriages and may cause infertility. Dr. Norbert Gleicher has been a pioneer in the research of immunological infertility and pregnancy loss and was the first to report on the significant autoimmune abnormalities associated with endometriosis. |
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| Surgical Infertility |
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| This term denotes anatomic causes of female infertility that lend themselves to surgical repair. With the ascent of IVF (in-vitro fertilization), fewer indications for surgical infertility exist today than a decade ago. Nevertheless, there are still many occasions where competent surgery can make a difference. Examples are myomectomies (the surgical removal of fibroid tumors from the uterus), ovarian cystectomies (the surgical resection of ovarian cysts), tuboplasticies (the surgical correction of abnormal fallopian tubes) and many other procedures. |
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| Immunological Infertility |
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 Whether abnormal female immune functions can cause infertility remains controversial. Based on research performed at CHR, primarily by Dr. Norbert Gleicher, and based on other recently published studies, we believe in the concept of immunological infertility and offer under experimental protocols, various treatment options. |
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| Hormonal Infertility |
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| Various hormonal abnormalities can lead to infertility. Examples are hypothyroidism (low thyroid function), hyperprolactinemia (high male hormone levels) and luteal phase defect (low progesterone levels). CHR physicians are experts in treating these and other endocrinological abnormalities. |
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| Tubal Ligation |
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 Many women who have had tubal ligations often opt to achieve pregnancy later in life. In-vitro fertilization (IVF) or tubal ligation reversal, are two options for these women. Tubal ligation reversals and IVF, after voluntary sterilization, are generally a non-covered service by most insurance companies. Therefore, CHR has developed the Shared Risk (Refund) Program in attempt to minimize the financial burden of infertility services. For those women who do choose tubal ligation reversals, CHR has accomplished laparoscopic surgeons to perform this procedure. |
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| Other Conditions |
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| Besides the above described major causes of female infertility, there are other, less frequent conditions that can lead to infertility. For example, premature ovarian failure (POF) can be caused by an autoimmune attack of the ovary or a genetic problem in the female. Genetic problems can cause infertility in a number of different ways. CHR has the expertise to treat infertility problems relating to genetics. |
