Management of infertility

摘要

Natural human fertility is low, and most couples have falsely high hopes of fertility treatments The major causes of subfertility are sperm dysfunction, ovulation disorder, and fallopian tube damage. Most investigations to establish a cause of subfertility are simple to undertake. For most couples, history and examination will not indicate a cause, and full subfertility investigations will be needed. Couples with sperm dysfunction or likely tubal damage should be referred early for specialist opinion. Ovulation disorders often respond to simple treatments that can be safely initiated in primary care.