Interventions for Infertility

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Public Health Function
Level of Care
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Age Cohort: 25 - 59 years
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • Community awareness on infertility, causes, prevention, treatment options
  • Education on avoiding stigma to infertility
  • Life style measures (avoiding excess alcohol, avoiding initiation of cigarette smoking in adolescents, smoking cessation, physical activity and a healthy diet)
  • Prevention of sexually transmitted infections by following safe sexual practice

Early identification and referral to next level

Primary Care
  • Community awareness on infertility, causes, prevention, treatment options
  • Education on avoiding stigma to infertility
  • Early detection and treatment of sexually transmitted infections
  • Preventing complications of unsafe abortion, postpartum sepsis and abdominal/pelvic surgery

Early identification and referral to next level

Referral Facility: General
  • Early detection and treatment of sexually transmitted infections
  • Preventing complications of unsafe abortion, postpartum sepsis and abdominal/pelvic surgery
  • History and physical examination for infertility
  • Basic laboratory tests including sperm analysis
  • Advanced laboratory tests including fertility markers
  • Basic imaging: contrast x-ray, ultrasound
  • Advanced imaging
  • Counselling and testing for infertility matters
  • Medical treatment with fertility drugs
  • Surgical procedures e.g., Fallopian tube surgery, vasectomy reversal
Referral Facility: Specialist
  • Early detection and treatment of sexually transmitted infections
  • Preventing complications of unsafe abortion, postpartum sepsis and abdominal/pelvic surgery
  • History and physical examination for infertility
  • Basic laboratory tests including sperm analysis
  • Advanced laboratory tests including fertility markers
  • Basic imaging: contrast x-ray, ultrasound
  • Advanced imaging
  • Counselling and testing for infertility matters
  • Medical treatment with fertility drugs
  • Surgical procedures e.g., Fallopian tube surgery
  • Assisted conceptions –intrauterine insemination (IUI) and in vitro fertilisation (IVF)