BACKGROUND Most studies address medical treatment of infertility and psychosocial outcomes caused by infertility-related stress, but few studies examine the infertility's impact on sexuality. AIM A literature review was conducted to answer the questions: 1) How is sexual self concept impacted in infertile individuals and their partners? 2) Does infertility have a negative impact on sexual rel...

Purpose The Cap-ScoreTMwas developed to assess the capacitation status of men, thereby enabling personalized management of unexplained infertility by choosing timed intrauterine insemination (IUI), versus immediate in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) in individuals with a low Cap-ScoreTM. The objective of this study was to estimate the differences in outcomes...

The Academy of Medicine (AMS) and Ministry of Health (MOH) have developed the clinical practice guidelines on Assessment and Management of Infertility at Primary Healthcare Level to provide doctors and patients in Singapore with evidence-based treatment for infertility. This article reproduces the introduction and executive summary (with recommendations from the guidelines) from the AMS-MOH cli...

About one in six couples are experiencing difficulties in conceiving a child. One in four couples may seek advice about infertility from their General Practitioner (GP) at some time in their life. The GP needs to make a decision about secondary care referral. The aim of the study is to understand the effective management of infertility in general practice. All GPs must do couple centered approa...

The objective of this study was to assess patient satisfaction with the investigation and initial management of infertility. A postal questionnaire survey was carried out of 1366 women attending outpatient clinics for the investigation and initial management of infertility at 12 hospitals throughout Scotland. The response rate to the questionnaire was 59% (806/1366). Overall, 87% of responders ...

BACKGROUND Anovulatory infertility due to polycystic ovarian syndrome (PCOS) remains the commonest cause among women of reproductive age group. Although clomiphene citrate (CC) remains the first choice treatment in addition to other medical therapies, laparoscopic ovarian drilling (LOD) is rapidly gaining acceptance as a second line management in patients who failed to respond to CC. This study...

This objective of this paper is to explore the public sector's role in infertility management in India. It focuses on services available in the public sector, problems faced by and critiques of public sector providers. A postal survey was conducted with a sample of 6000 gynaecologists and in-depth interviews were conducted with 39 gynaecologists in four cities. The role of the public sector in ...

This paper highlights the need for formal training in andrology amongst those clinicians who are today managing the problem of infertility in the male. As all infertility now appears to be treated mainly by gynaecologists who have often had no teaching in the subject of andrology, suggestions are made as to how this situation can be improved and rectified. Specific training is needed for those ...

The relationship between ovarian cysts and infertility is a subject of debate, mainly because it is difficult to determine the real impact of the cyst and its treatment on later fertility. For a long time it was hoped that surgical treatment could prevent potential complications (such as rupture or malignancy). For presumed benign ovarian tumors, fertility sparing should be the main concern. Th...

Endometriosis is common in women with infertility but its management is controversial and varied. This article summarises the consensus developed by a group of Australasian subspecialists in reproductive endocrinology and infertility (the Australasian CREI Consensus Expert Panel on Trial evidence group) on the evidence concerning the management of endometriosis in infertility. Endometriosis imp...