Citation

Stoddard FJ. Med. Clin. North Am. 1969; 53(5): 1019-1038.

Copyright

(Copyright © 1969, Elsevier Publishing)

DOI

unavailable

PMID

5810654

Abstract

The treatment of infertility is discussed and illustrated by a case study. A 24 year-old woman and her husband were classified as "normal-fertile" by the usual standard, yet she had failed to conceive. Treatment with estrogen at mid-cycle, tranquilizers, oxytocin, cortisone, hysterogram, and saline hydrotubation had no beneficial effect. However, the administration of 50 mg/day of clomiphene from Days 5-9 of the cycle, followed by frequent sexual intercourse, resulted in pregnancy. Of 170 "normal-fertile" infertile couples, hysterosalpingography was the most successful form of treatment (88 pregnancies). Various other treatments resulted in 40 pregnancies. Saline hydrotubation, clomiphene, cortisol, and sedation were the most effective methods for treating infertility. If other less effective treatments also fail, psychiatric evaluation, culdoscopy, laparoscopy, laparotomy, sperm agglutination studies, or endocrine assays may be in order. The importance of psychological considerations in treating infertile patients is discussed.

Language: en