Center Information

Zion Women셲 Hospital, Serving with Love

궃엫씠

The actual chance of becoming pregnant (i.e. fecundabilty) during one menstrual cycle is normally about 20~25%. 80% become pregnant within a year, while less than 5% are unable to conceive after 2 years. The pregnancy rate decreases as the woman gets older so it would be wise to get tested if you cannot conceive after a year of no contraception. In particular, couples who are over 35 years old and have been unable to conceive within a year should visit the hospital and take active measures to become pregnant.
Since the effect of infertility treatment decreases as the woman셲 age increases, an infertility specialist should be consulted without any hesitation.
It should also be stressed that infertility treatment starts by overcoming oneself and that consulting an infertility specialist is crucial.

젙긽쟻씤 닔젙, 李⑹긽, 엫떊怨쇱젙

01. Ovulation is the release of the egg from the ovaries, normally one egg is released once a month without medication.
02. The fimbria moves to the ovaries, draws out the egg that was attached to the ovaries and makes the egg enter the ampullary region of the fallopian tubes.
03. During ovulation, clear cervical mucus is secreted from the cervix and when sexual intercourse takes place, a portion of the millions of ejaculated spermatozoa ride the mucus through the cervix and into the uterus. These spermatozoa go through the uterus and reach the ampullary region of the fallopian tubes to meet the egg.
04. Fertilization refers to the combination of the egg and sperm and the resulting new life is the fertilized egg. The fertilized egg then goes through cell division, from 2-cell division and so on, and moves to the uterus.
05. Implantation is when the fertilized egg is entering the uterus after 4~5 days of fertilization. having taking place in the endometrium. The implanted egg continues to grow and finally becomes a healthy fetus.

궃엫쓽 썝씤

Infertility can be categorized into a primary and secondary infertility.
Primary Infertility: A person who was unable to normally conceive even once
Secondary Infertility: A person with the experience of a normal pregnancy but has become currently infertile

The causes of infertility is [10% unknown, 10% combined infertility, 40% male infertility, and 40% female infertility].

뿬꽦痢 썝씤

Hormone abnormalities
Ovulation abnormalities :no menstruation or an irregular menstruation
Tubal abnormalities : blocked fallopian tubes (fallopian tube obstruction) or tubal adhesion
Uterine abnormalities : uterine adhesion, uterine malformations
Abnormalities of the cervical mucus : cervical mucus of a poor quality or containing antibodies against the spermatozoa of the partner
Abnormalities of the abdominal cavity : endometriosis, adhesions of the abdominal cavity caused by pelvic inflammation

궓꽦痢 썝씤

Obstruction of the Vans Deferens
Congenital obstruction of the vans deferens
Obstruction of the vans deferens caused by severe conditions such as tuberculosis
Unsuccessful restoration of fertility after sterilization

Abnormalities of Spermatogenesis in the Testis
Although intracytoplasmic sperm injection (ICSI) to treat male infertility has been developed, this still requires a minimum production of sperm. Therefore, treatment for male infertility becomes extremely difficult if sperm is not produced, there are currently many researches in progress to discover the fundamental cause of spermatogenesis abnormality.

If the underlying cause is discovered, it will be a groundbreaking turning point for the male infertility treatment.

뿬꽦 궃엫 寃궗

The main purpose of infertility tests is
to understand the actual cause of infertility, plan the treatment, and discover the future possibility of pregnancy.

01. Basic Tests
Tests for anemia, tuberculosis, syphilis, rubella and uterine cancer are performed to determine if there is any disease that may hinder pregnancy, proper vaccination and treatment is carried out accordingly.

02. Hormone Tests
Hormones tests include the follicle stimulating hormone (FHS) test, which is performed 2~3 days into menstruation, this is to determine the state of the hormones that affect the function of the ovaries and ovulation, the luteinizing hormone test, which is performed one week after ovulation to examine the luteal function. Other available hormone tests are the prolactin test and the thyroid hormone test.

03. Follicle Ultrasound
The follicle ultrasound tests the process and the growth of the ovarian follicle, which holds the egg, this takes place from the early stage of menstruation to ovulation through an ultrasound. This also helps increase the chance of pregnancy by allowing the couple to have intercourse or performing intrauterine insemination within the uterus on the exact date of ovulation, and the maturity of the egg can be determined along with the hormone tests, which helps decide when the egg should be retrieved for an in vitro fertilization.

04. Postcoital Test (PCT)
The PCT is performed during ovulation. The patient must have sexual intercourse 6~8 hours before visiting the hospital, the mucus is then collected from the cervix for microscopic examination.

05. Hysterosalpingography
The test, which is performed by inserting a contrast medium into the cervical canal and examining the uterus and fallopian tubes through x-ray penetration, is used to detect uterine adhesions, uterine malformations, intrauterine tumors, and fallopian tube obstruction.

06. Laparoscopy
A laparoscopy allows a visual examination of the abdominal cavity by using a laparoscope, this can determine the expected pregnancy rate in the case of tubal surgery for any fallopian tube obstruction or adhesion, while also being able to detect the cause of infertility, of which the general cause was unknown, by detecting endometriosis or adhesions in the pelvic cavity. This test is most effective when there is suspicion of an obstruction of the fallopian tubes or adhesions of the tubal region after a hysterosalpingography, abnormalities were found in the abdominal cavity after an ultrasound, there is a suspicion of endometriosis according to the medical history, or the patient is unable to conceive for unknown reasons.
After the administration of anesthetics, the procedure is performed by making a 0.5cm incision below the naval, inserting the laparoscope after inflating the abdomen by inserting carbon dioxide, and determining if surgery is necessary after examining the organs of the abdominal cavity while also checking for abnormalities.

07. Hysteroscopy
The test involves inserting an endoscopic tube into the uterus in order to examine the interior of the uterus, it also has a significant role in diagnosing and treating endometrial polyp, myoma uteri, intrauterine adhesions or congenital intrauterine malformations.

궓꽦 궃엫 寃궗

Male Infertility Tests
The cause of male infertility can generally be discovered through a simple semen analysis.

01. Normal Semen Analysis (WHO standards)

Total ejaculate of 2.0~5.0 ml
Over 20 million/ml
Over 50% of motile sperm
Over 20% of motile sperm with a forward progression
Over 60% of sperm cells showing normal morphology
Over 14% of normal sperm morphology according to a strict criteria

02. Abnormal Semen Analysis
Intracytoplasmic sperm injection (ICSI) is performed when the form of the sperm makes it impossible for normal fertilization.

03. Microscope Observation of Various Semen Morphologies

04. Testicular Sperm Extraction (TESE)
When spermatozoa cannot be found in the semen, TESE is performed to determine that sperm is produced in the testis.

뿬꽦 궃엫 寃궗

01. Infertility Caused by Hormone Abnormalities
Medication to lower high prolactin, which interferes with pregnancy, is administered to increase the actual chance of pregnancy.

02. Infertility Caused by Ovulation Problems
Ovulation inducing agents are used when ovulation is irregular or nonexistent and clomiphene is administered at the beginning for 5 days, after which an ultrasound is performed to find out if ovulation is taking place. If the attempt was unsuccessful, the dosage is increased, however if it is still unsuccessful, hormones (HMG, FSH etc.) are injected to induce ovulation and eventually pregnancy.

03. Abnormalities in the Postcoital Test
Even if the sperm is normal, the results of the postcoital test will turn out to be bad if the quality of the cervical mucus is low or the mucus contains antibodies against the partner셲 sperm, the possibility of conceiving decreases since the sperm will be unable to enter the uterus. Although hormones can be administered to increase the quality of the mucus, the general option is to try intrauterine insemination since the hormone method takes time and is less effective.

04. Infertility Caused by Abnormalities in the Fallopian Tubes
Pregnancy is difficult to achieve when the fallopian tubes are obstructed or tubal adhesion is severe since the egg and sperm cannot meet, the following treatments are performed for such conditions. .

01) Laparoscopic Surgery
When there is a suspicion of a lesion in an oviduct shooting, a laparoscopy is performed to examine the condition of the fallopian tubes in greater detail, the lesion is treated immediately using a laser if there are adhesions of the fallopian tubes or if only the end parts are blocked. Despite the advantage of being able to avoid a laparotomy, it cannot be performed if the lesion is severe.

02) Tuboplasty
A surgical microscope is used to perform microscopy when the laparoscopy has revealed that the lesions were severe, however the chance of a successful pregnancy through surgery was high.

03) In Vitro Fertilization Embryo Transfer (IVF-ET)
IVF treatment is performed when the lesions are too severe and so it is determined that the possibility of a successful surgery is low.

05. Infertility Caused by Uterine Abnormalities

01) Uterine Adhesion
Adhesions are removed using a hysteroscope, and hormone therapy is performed for 2~3 months after installing a device to prevent any recurrence of adhesions in the uterus.

02) Uterine Malformation
A hysteroscopy is performed or sometimes a laparotomy is conducted to correct the malformation, which is more the cause of a recurrent miscarriage than a direct cause of infertility.

06. Infertility Caused by Endometriosis
Endometriosis refers to the condition where endometrial tissue has spread to locations other than the endometrium. A laparoscopy needs to be performed to accurately know the existence of lesions and their extent. In many cases, treatment is possible during the laparoscopy by using a laser or hormone medication which can be administered, it is also possible to incorporate both the surgical method and the drug method if necessary. IVF may be started right away if the lesions are more severe.

뿬꽦 궃엫 寃궗

01. Infertility Caused by Weak Sperm Function
Intrauterine insemination (IUI) is attempted if the weakness is not too severe, while IVF treatment is started immediately if it is severe. IVF treatment is performed if several attempts at IUI are unsuccessful. IUI is a method that selects only the healthy sperm that is then inserted into the uterus.

02. Infertility Caused by Vas Deferens Problems
In cases where the vas deferens is blocked or a sterilization procedure was administered in the past, a surgical microscope can be used to restore the vas deferens. If a recent surgery was not a success or the vas deferens was not generated through nature, sperm can be extracted from the epididymis through a microscopy using a thin needle, after which IVF treatment can then be received.

沅곴툑븯떊 궡슜쓣 寃깋빐二쇱꽭슂!