{"id":4035,"date":"2026-07-20T03:44:33","date_gmt":"2026-07-20T03:44:33","guid":{"rendered":"https:\/\/giftfertilitybangkok.com\/how-is-infertility-treated-and-where-should-you-start\/"},"modified":"2026-11-03T08:11:39","modified_gmt":"2026-11-03T08:11:39","slug":"how-is-infertility-treated-and-where-should-you-start","status":"publish","type":"post","link":"https:\/\/giftfertilitybangkok.com\/en\/how-is-infertility-treated-and-where-should-you-start\/","title":{"rendered":"How Is Infertility Treated, and Where Should You Start?"},"content":{"rendered":"\n

If you have made it to this article, it means you have already crossed one of the hardest steps. You already know that you are facing fertility challenges.<\/p>\n\n\n\n

The next question is not, “What is happening to me?” but rather, “How is it treated, and where should I start?”<\/p>\n\n\n\n

This is where most patients get confused. Most available information simply says, “There are many treatment methods, such as IUI, IVF, ICSI, medication, or surgery,” but no one tells you directly which method is suitable for your specific cause, or what the next step is if that method fails.<\/p>\n\n\n\n

This article does what every competitor fails to do: it creates a clear Decision Tree so you can visualize all treatment options based on your true root cause.<\/p>\n\n\n\n

\"couple<\/figure>
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Choosing treatment according to the cause<\/mark><\/strong><\/h2>\n\n\n\n

Blocked fallopian tubes (Tubal factor)<\/mark><\/strong><\/h3>\n\n\n\n

When both fallopian tubes are blocked, IVF is generally the most direct option because fertilisation takes place outside the body, without relying on the tubes. IUI is unlikely to be worthwhile when neither tube is open.<\/p>\n\n\n\n

However, if one fallopian tube is blocked but the other is open, IUI with ovarian stimulation may be considered in selected cases.<\/p>\n\n\n\n

What if there is a hydrosalpinx?<\/strong> (A fallopian tube filled with fluid)<\/strong> \u2014<\/mark> This is a common question. Do you need surgery to remove the fluid before doing IVF? The answer is generally yes, because the fluid inside a hydrosalpinx can contain substances harmful to embryos. If left untreated, IVF success rates drop significantly. Gift Fertility’s approach involves surgery or clipping the tube first before proceeding with embryo transfer.<\/p>\n<\/div><\/div>\n\n\n\n

<\/p>\n\n\n\n

Polycystic ovary syndrome (PCOS)<\/mark><\/strong><\/h2>\n\n\n\n

PCOS is a condition with the most treatment options, ranging from lifestyle and weight adjustments to medication and ART.<\/p>\n\n\n\n

Step-up PCOS treatment pathway:<\/mark><\/strong><\/p>\n\n\n\n

Step 1<\/strong>:<\/mark> Lifestyle changes + weight loss (if BMI is elevated): For PCOS patients with insulin resistance, losing just 5-10% of body weight can spontaneously restore ovulation in some cases.<\/p>\n\n\n\n

Step 2<\/strong>:<\/mark> Ovulation-inducing medication (Letrozole or Clomid): If lifestyle changes are not enough, a specialist will prescribe medication alongside ultrasound monitoring for follicle growth.<\/p>\n\n\n\n

Step 3<\/strong>:<\/mark> IUI combined with ovulation medication: Suitable if the fallopian tubes are open and sperm parameters are normal.<\/p>\n\n\n\n

Step 4<\/strong>:<\/mark> IVF: Considered after 3-4 unsuccessful IUI cycles, advancing age, or when other complicating factors are present.<\/p>\n\n\n\n

Note:<\/mark><\/strong> An important precaution for PCOS is a higher risk of ovarian hyperstimulation syndrome (OHSS). Gift Fertility specialists use a more conservative stimulation protocol and often recommend a “freeze-all” approach, followed by embryo transfer in a subsequent cycle.<\/p>\n\n\n\n

Endometriosis<\/mark><\/strong><\/h3>\n\n\n\n

Endometriosis requires the most careful decision-making and is usually a case where a doctor needs multiple details before providing an answer.<\/p>\n\n\n\n

Surgery first or straight to IVF?<\/mark><\/strong><\/p>\n\n\n\n

This is the question that the Gift Fertility medical team answers directly based on evidence:<\/p>\n\n\n\n