Infertility natural history, complications and prognosis: Difference between revisions
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===Natural History=== | ===Natural History=== | ||
===Complications=== | ===Complications=== | ||
*Infertility can have a big emotional impact on both of the involved partners.<ref name="pmid17241818">{{cite journal| author=Cousineau TM, Domar AD| title=Psychological impact of infertility. | journal=Best Pract Res Clin Obstet Gynaecol | year= 2007 | volume= 21 | issue= 2 | pages= 293-308 | pmid=17241818 | doi=10.1016/j.bpobgyn.2006.12.003 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17241818 }} </ref> | *Infertility can have a big emotional impact on both of the involved partners.<ref name="pmid17241818">{{cite journal| author=Cousineau TM, Domar AD| title=Psychological impact of infertility. | journal=Best Pract Res Clin Obstet Gynaecol | year= 2007 | volume= 21 | issue= 2 | pages= 293-308 | pmid=17241818 | doi=10.1016/j.bpobgyn.2006.12.003 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17241818 }} </ref> | ||
*[[Clinical depression (patient information)|Depression]], [[anxiety]], and marriage problems may occur. | *[[Clinical depression (patient information)|Depression]], [[anxiety]], and marriage problems may occur. | ||
* Fertility induction using drugs such as [[clomiphene]] or [[assisted reproductive technology]] may cause multiple gestations and [[premature labor]].<ref name="pmid26398071">{{cite journal| author=Diamond MP, Legro RS, Coutifaris C, Alvero R, Robinson RD, Casson P | display-authors=etal| title=Letrozole, Gonadotropin, or Clomiphene for Unexplained Infertility. | journal=N Engl J Med | year= 2015 | volume= 373 | issue= 13 | pages= 1230-40 | pmid=26398071 | doi=10.1056/NEJMoa1414827 | pmc=4739644 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26398071 }} </ref> | *Fertility induction using drugs such as [[clomiphene]] or [[assisted reproductive technology]] may cause multiple gestations and [[premature labor]].<ref name="pmid26398071">{{cite journal| author=Diamond MP, Legro RS, Coutifaris C, Alvero R, Robinson RD, Casson P | display-authors=etal| title=Letrozole, Gonadotropin, or Clomiphene for Unexplained Infertility. | journal=N Engl J Med | year= 2015 | volume= 373 | issue= 13 | pages= 1230-40 | pmid=26398071 | doi=10.1056/NEJMoa1414827 | pmc=4739644 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26398071 }} </ref> | ||
* Therapies such as [[IVF]] and [[Assisted reproductive technology]] are expensive and are a financial strain on couples who wish to conceive. | *Therapies such as [[IVF]] and [[Assisted reproductive technology]] are expensive and are a financial strain on couples who wish to conceive. | ||
===Prognosis=== | ===Prognosis=== | ||
*As many as 1 in 5 couples diagnosed with infertility eventually become pregnant without treatment. | *As many as 1 in 5 couples diagnosed with infertility eventually become pregnant without treatment. | ||
*More than half of the couples with infertility become pregnant after treatment, not including advanced techniques such as in vitro fertilization ([[IVF]]). | *More than half of the couples with infertility become pregnant after treatment, not including advanced techniques such as [[in vitro fertilization]] ([[IVF]]). | ||
==References== | ==References== | ||
Latest revision as of 03:55, 19 January 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2] Associate Editor(s)-in-Chief: Sanjana Nethagani, M.B.B.S.[3]
Overview
Common complications of infertility treatment include multiple gestations, gestational diabetes, etc. If left untreated, infertility may cause marital discord and psychological issues in the couple.
Natuaral History, Complications and Prognosis
Natural History
Complications
- Infertility can have a big emotional impact on both of the involved partners.[1]
- Depression, anxiety, and marriage problems may occur.
- Fertility induction using drugs such as clomiphene or assisted reproductive technology may cause multiple gestations and premature labor.[2]
- Therapies such as IVF and Assisted reproductive technology are expensive and are a financial strain on couples who wish to conceive.
Prognosis
- As many as 1 in 5 couples diagnosed with infertility eventually become pregnant without treatment.
- More than half of the couples with infertility become pregnant after treatment, not including advanced techniques such as in vitro fertilization (IVF).
References
- ↑ Cousineau TM, Domar AD (2007). "Psychological impact of infertility". Best Pract Res Clin Obstet Gynaecol. 21 (2): 293–308. doi:10.1016/j.bpobgyn.2006.12.003. PMID 17241818.
- ↑ Diamond MP, Legro RS, Coutifaris C, Alvero R, Robinson RD, Casson P; et al. (2015). "Letrozole, Gonadotropin, or Clomiphene for Unexplained Infertility". N Engl J Med. 373 (13): 1230–40. doi:10.1056/NEJMoa1414827. PMC 4739644. PMID 26398071.