Dr Bikasih Thapa & Dr Maheswar Prasad (Nepal) - Hideo Wada MD PhD (japan) - Dr a Lavra Castrocatesana (Mexico) - Dr Mrs N.M. Hettiarachechui (Srilanka) - Dr Jorge Aldrete Velasco (Mexico) - Prof Hans Peter Kohler (Switzerland) - Dr Hermanus Suhartono S Sp.OG(K) PhD - Dr Isabel Pinheiro (Portugal) - Dr Suranga (Srilanka) - Jovia Dino Jansen Amsterdam,Holand - Hideo Wada MD PhD University Graduate School of Medicine Departement of Moleculer and Laboratory Medicine Japan - DR Bikash Thapa Internal Medicine Nepal University - DR Maheswar Prasad Internal Medicine Nepal University - Dr a Lavra Castro Castresana Colegio de Medicina interna de Mexico - Dr Suransa Manilgama University of Srilanka Internal Departement Medicine - Dr Mrs N.M. Hettiarachechui University of Medicine Srilanka - Dr Jorge Aldrete Velaso .Colegio de Medicina Interna de Mexico - Prof Hans Peter Kholer M.D FACD Profesor of Medicine University ot Switzerland - Dr Ramezan Ali Atace . Baqiyatallah University of Medical Sciences Departement of Micrology Tehran Iran - Ezekiel Wong Toh Yoon Dr. Gastroenterology of Japan - D Eric Beck,MD Bethesda Hospital Capitol Boelevard St Paul USA - Dr Emine Guderen Sahin Istambul University of Internal Medicine Turky - Dr Selmin Toplan Istambul University - Dr Nicholas New Australia - Dr Kughan Govinden. Tropical Infection of Internal Medicine Malaysia - Dr Godfrey M Rwegerera Princes Marina Hospital Bostwana -

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.

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