Methods for treating endocrine infertility

A hormonal imbalance in the body can lead to reproductive disorders in both women and men. According to research, up to 40% of cases of female infertility and about 30% of cases of male infertility are associated with hormonal disorders. The causes of endocrine infertility can be somatic pathologies, heredity, overweight or underweight, changes in the hormone production process, etc. The diagnosis and therapy of these disorders are provided by an endocrinologist, a reproduction specialist, and an obstetrician-gynecologist.

Characteristics of the treatment of endocrine infertility

Therapeutic tactics are determined by the identified cause of the hormonal imbalance. In women, infertility can be caused by the following factors:

• Hyperandrogenism (increased synthesis and activity of male sex hormones);
• Deficiency of female sex hormones (estrogens, progesterone);
• Overweight or underweight;
• Thyroid disorders;
• Genetic pathologies affecting reproductive function;
• Hypothalamic-pituitary dysfunction (hyperprolactinemia with ovulation disorders);
• Early menopause, exhausted ovarian syndrome;
• Savage syndrome.

The following methods are used to treat endocrine infertility in women:

• Hormone replacement therapy (HRT) to compensate for deficient hormone levels or correct excessive hormone levels.
• Weight management, including dietary therapy and physical activity.
• Physiotherapy is an additional means to stabilize the hormonal context.
• Surgical treatment, including the removal of detected neoplasms or ovarian resection in the case of polycystic ovary syndrome (PCOS), in case conservative measures fail.

Treatment of endocrine infertility in men

In men, the treatment of endocrine infertility is determined by the results of the diagnosis. The main causes of hormonal disorders in men are as follows:

• Diseases and congenital pathologies of the testes;
• Trauma to the genital organs;
• Infectious diseases such as mumps.

Treatment methods may include: In the case of hormone replacement therapy, side effects such as mood changes, weight gain, or headaches may occur. Surgical methods may carry a risk of infection, scarring, or temporary loss of fertility.

• Hormone replacement therapy (HRT) to restore normal hormone levels.
• Surgical correction of reproductive system abnormalities to eliminate physical barriers to conception.

In vitro fertilization (IVF)

In vitro fertilization is an effective method to address female and male infertility. The success rate of IVF is on average 30% to 40% per cycle of the procedure, but can reach 50% to 60% in women under 35 years old. For men experiencing severe spermatogenesis disorders, the success of the procedure is significantly increased by the use of the ICSI method. This method is used in cases where no conservative or surgical therapy has succeeded in achieving the long-awaited pregnancy. IVF can include IVF with egg donation or IVF with sperm donation if serious genetic or physiological barriers have been identified.

Where to diagnose and treat

Endocrine infertility can be diagnosed and treated at the NatuVitro clinic. Highly qualified specialists with extensive experience in the field of reproductive medicine and endocrinology work there. The clinic is equipped with modern equipment that allows for accurate diagnosis and the use of the latest treatment methods.