Considerations in Management of Infertility

Sometimes the factors affecting fertility are easy to detect and treat, but in many cases a specific reason for infertility may be difficult to identify. And even if identified it is difficult to treat to give final result in pregnancy. Many couples even after long and expensive treatments do not get success.
Patients should be treated as per their own constitution and requirements which varies from individual to individual. Each couple requires sympathy towards their problem and all their quarries should be solved with utmost satisfaction. Every individual and couple handles the emotions of infertility treatment differently. Individualized approach is of utmost importance. Sympathetic human and heartfelt approach is must. Each visit is psychological trauma to the couple so maximum information should be colleted during each visit and they should be subjected to less repeated visits.
It is helpful when beginning fertility treatment to develop a perfect plan, so that couple can have an idea of how long to pursue a particular treatment...
There are many systems of medicine is available besides modern conventional allopathic treatment. They are designated as Alternative medicine. Most of these treatments and health care practices are not taught widely in medical schools of modern medicine – allopathy. Or in all the countries - all alternative medicines are not even recognized by government.Alternative medicine in any form of practice is outside the realm of conventional modern medicine. But it covers a broad range of healing philosophies, approaches, and therapies. Examples of very common alternative medicine are homeopathy, ayurveda, naturopathy, reiki, acupuncture…etc. ( List of few alternative medical practices are given later). Each system has their own characteristics and benefits to give healing and cure in many ailments for human being. Each system of alternate medicine claim’s high for cure on its own way, it is easy to understand that combine approach can give best result as per one’s expectations.
If treatment of alternate medicine is done along with or in addition to conventional medicine, it is referred to as "Complementary Medicine" - as the two practices complement each other.
So why not to take advantage of the various systems? Advantages of various systems of medicine should be combined to offer best approach for the management of childless couple. This may give result faster, with less suffering and in economical way.
Which system will suite to individual patient is the judgment and experience of infertility specialist. If specialist is trained in one specialty he/she will practice more in that system. Combined approach of all system of medicine requires vast education – training and experience. The choice of which treatment to pursue is strictly a personal one. Side effects, Costs and Expected success rates are important factors to consider when choosing a treatment plan
Infertility is a very tragic and emotionally damaging and painful experience. I believe that it is crucial not to promise something that I can not deliver. Every woman whom I have started working has become far healthier soon with the start of treatment at and it is this which give me sign that how far is the final result.
I emphasize in the first consultation that how much time I will take - what will be my approach and what will be the cost of treatment. I do not string them along for a long time in the hope that it will work in the future. Consistently the time clock for women is ticking and if I am not successful with my approach treatment within few months, I will be discussing with them about advanced conventional medical treatment. I say this even though my statistical success rate is good because as health practitioners it is important to know when to admit you are not able to help someone. I have found that even after long treatment else where, these few patients have not conceived. There were three patients who have stop medication with me and not consulate any Practioner and within 3 to 6 months they have conceived on their own. Here I suppose that my management took some more time for their system to settle and to give desired result.
While no one can predict what the out-come of treatment is going to be for any infertile couple, we can only try, final result is in hand of GOD only. But at the end of it, they all should at least have the satisfaction of knowing their cause of childlessness and that couple tried everything that was possible. |