Ovulation dysfunction is treated in staged fashion. At least three months of ovulation induction is allowed before moving to more advanced therapy. Low sperm counts, depending on severity, are treated first by correcting infection. In severe cases, the husband is referred for additional treatment by a urologist. Endometriosis or pelvic scar tissue due to infection or previous surgery, are treated first by laparoscopic laser surgery.
Medical treatment is prescribed for some endometriosis.
If fallopian tubes are open, we allow patients time to conceive before considering major surgery. We believe that individualizing treatment for each couple is needed, rather than using one treatment for all.