What is the exact definition of these term?

Infertility: not conceiving after 12 months of regular unprotected intercourse (or 6 months if ≥35).

Evaluation

Ovarian reserve (AMH, antral follicle count), ovulation, tubal patency (e.g., HSG), uterine cavity, semen
analysis, and relevant hormones and infections screen.

Treatments

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Ovulation induction (OI): tablets (letrozole is often first-line for PCOS; clomiphene is another option); sometimes low-dose gonadotropin injections with ultrasound monitoring.

Intrauterine insemination (IUI): placing prepared sperm directly in the uterus around ovulation; may combine with OI.

In Vitro Fertilization (IVF): ovarian stimulation → egg retrieval → fertilization in the lab (IVF or ICSI if low sperm count/function) → embryo culture → transfer to the uterus. Preimplantation genetic testing is an option in selected cases.

Risks & safety

Multiple pregnancy (minimized with careful dosing and single-embryo transfer where appropriate), ovarian hyperstimulation syndrome (OHSS) in high responders, procedure-related risks (infection, bleeding).

Success depends on

Age, ovarian reserve, diagnosis, sperm quality, uterine/tubal factors, and clinic/lab factors. We provide
individualized statistics and counseling.

Living with adenomyosis

Keep a symptom/period diary, treat anemia, and consider pelvic floor and core-strengthening for pelvic pressure. We tailor therapy to minimize side effects and preserve fertility when possible.

Deep Dive

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Letrozole tends to produce single ovulation with lower multiple rates than clomiphene in PCOS.

Clomiphene may thin the uterine lining; ultrasound monitoring helps optimize timing.

IUI logistics: semen is washed and concentrated; the catheter placement is usually painless and takes minutes.

IVF steps: stimulation (8–12 days), egg retrieval under light sedation, fertilization (IVF or ICSI), embryo culture to day 3–5, single-embryo transfer when possible to reduce multiples, and luteal support with progesterone.

Safety: careful monitoring reduces OHSS; “freeze-all” strategies and GnRH agonist triggers may be used in high responders.

Support: counseling and stress-management resources improve the treatment experience.

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