Treatment for Cervical infeility can be all except:
Ans. is d i.e. Clominphene citrate Cervical factor infeility can be due to abnormal or deficient mucus due to : Infection Prior cervical surgery Use of antiestrogens (eg clomiphene citrate) for ovulation induction (so clomiphene is a cause of cervical factor infeility rather than management) Sperm antibodies The treatment of cervical factor thus depends on the cause : If it is due to chronic cervicult / infection - Treatment of infection by antibiotics is the cure. If is due to decreased mucus vis volume - Treatment includes sho term supplementation with exogenous estrogen like ethinyl estradiol and use of mucolytic expectorant like guaifenesin. However, their value has not been confirmed. If it is due to antisperm antibodies. Treatment options include : Use of condom or diaphragm as a barrier method for 3 months. During this period, the antibodies will disappear and conception may occur then. - Coicosteroids given to female paner can also help in getting rid of these antibodies. - intrauterine insemination at the time of ovulation (most acceptable method for cervical factor infeility) or GIFT (Gamete intrafallopian transfer) are very useful techniques in such cases. IUI is the best method for treating cervical factor infeility and unexplained infeility. So many clinicians forgo cervical mucus testing and proceed directly to IUI treatment in absence of tubal disease.
Condom for 3 month
IUI
Gamete Intrafallopian transfer
Clomiphene citrate