Understanding Fertility Problems: Treatments for Women

There are several ways to treat problems that affect fertility. Some treatments help sperm or eggs pass through the reproductive tract. Others help an embryo to implant in the uterus. Your doctor will talk with you about your options. Read below to learn more.

Cross section front view of vagina, cervix, uterus, fallopian tubes, and ovaries. One ovary shows polycystic ovary. Blockage is in fallopian tube. Fibroid (myoma) is growing in wall of uterus. Endometriosis tissue is on ovary. Adhesions connect ovary to fallopian tube. Septum is wall of tissue inside uterus. Polyp is growing from wall of uterus. Infection is on cervix.

Treating the Cervix

Problems with the cervix may stop sperm from entering the uterus. The treatment depends on the cause. Causes include:

  • A lack of cervical mucus. This can slow or block the passage of sperm. This can be treated with estrogen. Or it can be treated with assisted reproductive techniques.

  • An infection. This can be treated with antibiotics.

Treating the Fallopian Tubes

There may be a problem in the fallopian tubes. This can stop sperm from reaching an egg. The treatment depends on the cause. Causes include:

  • A tubal blockage near the uterus. This can be treated by putting a thin tube (catheter) through the blocked tube. Or using assisted reproductive techniques.

  • Adhesions (scar tissue). These can be removed with surgery. Or assisted reproductive techniques may be used.

Improving Implantation

There are several reasons why a fertilized egg may not implant in the uterus. The treatment depends on the cause. Causes include:

  • Problems with the endometrium. These can be treated with hormone therapy.

  • Adhesions in the uterus. These are treated with surgery.

  • Small growths called fibroids. These are removed with surgery.

  • A uterine septum. This is tissue that divides the uterus into two parts inside. This is treated with surgery.

Treating Endometriosis

The endometrium is the lining of the uterus. In some cases, this tissue can grow in other parts of the reproductive tract. This can cause abnormal menstrual periods. It can lead to fertility problems. Laparoscopic surgery is done to remove the tissue.

Reversing Tubal Ligation

Tubal ligation is a surgery to prevent pregnancy. It does this by blocking the fallopian tubes. In some cases, it can be reversed with surgery to reconnect the tubes. But the chances of success are not certain. Talk with your doctor to learn more.