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Ovarian drilling and ovarian wedge resection are treatment options to reduce the amount of androgen producing tissue in women with polycystic ovarian syndrome (PCOS). [4] PCOS is the primary cause of anovulation, which results in female infertility. [5] The induction of mono-ovulatory cycles can restore fertility. [6]
For patients who do not respond to diet, lifestyle modification and ovulation induction, in vitro fertilisation can be performed. This usually includes controlled ovarian hyperstimulation with FSH injections, and oocyte release triggering with human chorionic gonadotropin (hCG) or a GnRH agonist .
Treatment for management of anovulation due to PCOS is multifaceted, including weight reduction, ovulation induction agents, insulin-sensitizing agents, gonadotrophins and ovarian drilling. In PCOS patients with overweight or obesity, weight loss is first line treatment.
Weight loss results in significant improvement in pregnancy and ovulation rates in such patients. [7] In vitro fertilization, including controlled ovarian hyperstimulation. In vitro maturation is letting ovarian follicles mature in vitro, and this technique can potentially be an alternative both to anovulation reversal and oocyte release ...
Poor ovarian reserve is a condition of low fertility characterized by 1): low numbers of remaining oocytes in the ovaries or 2) possibly impaired preantral oocyte development or recruitment. Recent research suggests that premature ovarian aging and premature ovarian failure (aka primary ovarian insufficiency) may represent a continuum of ...
Causes or factors of female infertility can basically be classified regarding whether they are acquired or genetic, or strictly by location.. Although factors of female infertility can be classified as either acquired or genetic, female infertility is usually more or less a combination of nature and nurture.
Cryopreservation of human ovarian tissue has been successfully carried out around the world to preserve fertility in female cancer patients and in other pathologies where the patient is at increased risk of primary ovarian insufficiency. Most notably, this technique can provide an option for fertility preservation in prepubertal girls.
This experiment shows that IVM of oocytes obtained ex vivo during the processing of ovarian cortex prior to cryopreservation is a promising solution for patients at risk for fertility loss. [ 43 ] The success of embryo production in vitro depends upon the use of an efficient oocyte retrieval technique and the best results have been obtained by ...
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