Author : Hermanus Suhartono
Conversely, fecundability is the ability to conceive, and data from large population studies show that a monthly probability of conceiving is 20 to 25 percent. In those attempting con- ception, approximately 50 percent of women will be pregnant at 3 months, 75 percent will be pregnant at 6 months, and more than 85 percent will be pregnant by 1 year. Infertility affecting 10 to 15 percent of reproductive-aged couples. Even without treatment, approximately half of women will conceive in the second year of attempting. Most couples are more correctly considered to be subfertile, rather than infertile. However, there are obvious exceptions, such as the woman with bilaterally obstructed fallopian tubes or the azoospermic male. Infertility evaluation should be considered in any couple that has failed to conceive in 1 year. Furthermore, fecundability is highly age related, thus evaluation at 6 months should be performed in women older than 40 years who desire conception, and according to some experts, in women older than 35. Infertility treatment is a complex process influenced by numerous factors. Important considerations include duration of infertility, a couple’s age (especially the female’s), and diagnosed cause. The first step involves identification of a primary cause and contributing factors, and treatment is aimed at their direct correction. Most couples are treated with conventional therapies such as medication or surgery. Lastly, infertility treatment can be a financial burden, a significant source of emotional stress, or both. Key words: Assisted Reproductive, Infertility Treatment.
Dr. Arend L Mapanawang, Sp.PD, FINASIM, PhD