Simple Fertility Treatments
After the infertility "work-up" or evaluation process is complete, it is time to move on to treatment. Most of our patients will elect to try simpler less involved fertility treatments first before moving on to IVF, and many will get pregnant with these treatments. Click on the pictures or titles to learn more about some of the options that may be open to you.
Oral Fertility Drugs: Letrozole and Clomiphene
Clomiphene (Clomid) and Femara (letrozole) are fertility pills used to induce ovulation in women who have irregular cycles and to stimulate egg development in conjunction with intrauterine insemination (IUI). These drugs are easier to take and less likely to cause multiple births than other fertility drugs, but are less effective.
Oral Drugs to Correct Underlying Problems: Metformin, thyroxine and Cabergoline
In some cases fixing underlying hormone imbalances can help restore fertility. Metformin is a diabetes drug used to help women with Polycystic Ovarian Syndrome (PCOS). Levothyroxine (Synthroid, Levoxyl) can correct underlying thyroid problems. Cabergoline (Dostinex) or Bromocriptine (Parlodel) can be used to lower levels of the hormone Prolactin.
Some of the most effective fertility drugs cannot be given orally and must be given by injection. Drugs such as Follistim, Gonal-F, Bravelle and Menopur are used to help couples who do not respond to oral medications and often in conjunction with IUI. While they are more likely to work, they are also likely result in multiple births.
While surgery is not basic, surgical treatment is one of the more traditional options available to treat some couples suffering from infertility. Procedures such as laparoscopy, hysteroscopy and myomectomy can be used to correct underlying problems such as fibroids, endometrioisis, tubal blockage and scar tissue.