Monday, March 23, 2009


Picture: Good feeling to have children. Say it with flower!

Ovulation occurs approximately 14 days before the onset of the next menstrual period regardless of the length of time between period; when the cycle is regular, the time of ovulation and the fertile period can be anticipated.
The ovum lives for approximately 72 hours after it is extruded from the follicle and the sperms survive in female genital tract no more 120 hours [5 days].Consequently, the fertile period during in 28 day cycle [period of menses]is actually 120 hours [5 days] and the most fertile period is 24 hours [one day] at the day of ovulation .
The couple intercourse on the day of ovulation is most likely to result in pregnancy.
What does it mean?
The couple intercourse in the 5 days fertile period or in 10-14th day of menses may result fertilization, and in 14th day of menses is the most fertile period result of fertilization or pregnancy. The writer advice the couples to do a few intercourses on the day of ovulation if the couple fit to do , the more ejaculated hundreds million sperms on ovulation day will result of pregnancy.
If the menses cycle is 30 days, the fertile period is in the 12-16th days, and the most fertile period is on the 16th day, please do a few intercourse as you always fit to do, hopeful result pregnancy.

If oligosperm is present, the artificial insemination usually results in pregnancy, assuming female reproductive system is normal.
If medication treatment to the couples have not responded, the next step is to consult the patient to the Gynecologist for assisted reproductive technologies [ART] treatment. What are the ART ? The ART are techniques involving the direct retrieval of eggs from the ovary. Most of these procedures require ovarian stimulation with timed retrieval of oocytes [ova].
What is in vitro fertilization [IVF] ? the IVF is extraction of oocytes or ova [through the vaginal wall under ultrasound guidance], fertilization in vitro in the laboratory, and trans-cervical transfer of the embryo into the uterus 2 days later. Usually requires 100 000 to 200 000 sperm per egg.
What are the indication of the IVF ? Previously damaged tubes, immunologic infertility [anti-sperm antibodies], extreme male factor infertility and unexplained infertility.
What is intracytoplasmic sperm injection [ICSI]?
Retrieval of oocytes followed by the injection of a single spermatozoon into the egg with a micropipette: embryos are then transferred to the uterus 2 days later.
What is indication for ICSI ? Oligospermia, sperm motility disorders.
The information of couples preference male or female, it seems not yet available in ART, IVF and ICSI.

Source: F. John Bourgeois et al. Obstetrics and Gynecology Recall, Virginia, 2008, p 509.
If treatment is not successful within 3 years, the physician must consider whether he should recommend adoption.


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