UNEXPLAINED INFERTILITY

  • It is where the cause remains unknown even after a complete infertility work up including semen analysis in the man and assessment of ovulation and tubal patency in the woman.
  • Prevalence :Accounts for about 10% of causes of infertility, globally.
  • Possible Causes : Abnormalities are likely to be present but are not currently detected by commonly performed investigations.
Unicornuate

These may include:

  • Poor egg quality
  • Increased DNA fragmentation in the sperm
  • Failure of sperm to fertilize the egg
  • Mild endometriosis etc

Management :

  • Lifestyle modification
  • Ovulation induction for 3 to 6 cycles
  • Ovulation induction with IUI for 3 to 6 cycles
  • IVF treatment
    • Unicornuate Unicornuate

    UTERINE MALFORMATION

    • Uterine malformations are congenital defects of a woman’s uterus occurring in about 5% of women

    Types of malformation

    Arcuate :

    • Uterus appears normal from the outside but has a very small indentation protruding from the inner wall of the cavity. This is generally unproblematic.

    Bicornuate :

    • The uterus appears heart shape with a deep indentation starting at the top of the uterus.

    Septate :

    • The uterus appears normal from outside but contains an internal wall or septum that divides the uterine cavity into two.

    Didelphys :

    • double uterus where the two halves of the uterus remain completely separate

    Unicornuate :

    • Only one half of the uterus is well developed.
    Unicornuate

    Diagnosis :

    • Mostly discovered during investigation for infertility as they are usually asymptomatic
    • 3D ultra sound
    • HSG
    • MRI
    • Diagnostic hysteroscopy
    Diagnosis

    Treatment:

    Medical Management:

    • Not Applicable

    Surgical Management:

    • Only septate uterus needs to be treated the usual procedure performed being hysteroscopic septal resection.
    Diagnosis