Study: Infertility Treatments No Help
Drug Treatment and Intrauterine Insemination May Not Work When Used Separately
Infertility Treatments: Second Opinion continued...
But the less aggressive, less expensive fertility treatments are worth a try
in some women, says Mousa Shamonki, MD, director of in vitro fertilization and
assisted reproduction at the University of California Los Angeles Medical
Center. For unexplained infertility, the lower-tech options include those
evaluated in the U.K. study and also injections of hormones combined with
intrauterine insemination, he says.
For other types of fertility
problems -- other than unexplained infertility -- Clomid alone may work,
Shamonki says. "Clomid works well for women who aren't ovulating
[regularly]," he says, such as women with polycystic ovary syndrome.
PCOS is a leading cause of female infertility. Insemination alone may work
for couples who have mild male-factor infertility or who have a history of
cervical surgery, he says.
If none work, IVF techniques can be tried, he says; if couples are running
out of time, they may opt to get more aggressive more quickly.
Psychologically, couples can find waiting frustrating, says Michael Diamond,
MD, professor of obstetrics and gynecology at Wayne State University, Detroit.
"Usually after a year of trying and not succeeding, the last thing a couple
wants to hear is 'Go home and try again.'"