Agnieszka Drosdzol-Cop, Violetta Skrzypulec-Plinta
Niepłodność - postępowanie diagnostyczno-terapeutyczne
Infertility – the diagnostic and therapeutic management
Infertility has been defined by the World Health Organization as the inability to conceive despite regular sexual intercourse, sustained for a period exceeding 12 months without the use of any contraceptive methods. According to estimated data the problem concerns 10–18% of married couples: thus, every sixth couple in the world has difficulties in reproducing. The European Society of Human Reproduction and Embryology estimates the frequency of infertility occurrence in Poland as 10–15% of couples; infertility affects approximately 1 million Polish couples of the reproductive age. In female fertility evalation the primary procedures constitute: body temperature measures, hormonal tests, cevical smear, transvaginal ultrasonogrphy and postcoital test. The specialistic level includes: histerosalpingography, histeroscopy and laparoscopy. The primary procedure in male infertility diagnosis is sperm evaluation. The next diagnostic steps constitute: hormonal tests, kariotype evaluation and testis biopsy. In the infertility treatment pharmacological stimulation of ovulation, surgical procedures, intrauterine insemination and assisted reproductive technologies might be used.
Keywords: infertility, diagnostic standard, sperm evaluation, stimulation of ovulation.
© Farm Pol, 2011, 67(10): 690-697