The document discusses infertility and assisted reproductive technologies. It defines infertility as unprotected intercourse without pregnancy for two years. Female factors that can cause infertility include problems with ovulation, the fallopian tubes, uterus, or cervical issues. Male factors include abnormal sperm production or function. Treatments discussed include ovulation induction, surgery, assisted reproductive technologies (ART) like intrauterine insemination (IUI), in vitro fertilization (IVF), and gamete intrafallopian transfer (GIFT). Complications of ART like multiple gestations and ovarian hyperstimulation syndrome are also mentioned.
16. Examination and Diagnoses Initial evaluation History Physical exam Irregular menses No ovulation HSG or Hysteroscopy Abnormal of uterine Normal evaluation HSG Tubal blockage Abnormal Semen analysis anovulation Tubal factor unexplained Uterine factor Male factor Further Investigate and Treatment
![Contents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)