General Surgery in Tunisia
Sterility and Reproductive Medecine

Head of the Department of Gynaecology - Obstetrics, Dr. Bashir Fourti

Reproductive Medicine in Tunisia or Medically Assisted Procreation deals with design issues as much in women than in men c to involuntary infertility of the couple. In addition, the unit takes care of the hormonal problems of women not only menstrual disorders but also disorders of puberty and menopause.

Reproductive Medicine in Tunisia is a young medical discipline which each advance raises the wonder, that affects humans is essential and more intimate. The medicine man gives the illusion of having won control of reproduction and thus the continuation of its own species. Far from it!

 

Surgical treatment of disorders of female infertility

According to the anomaly in the various examinations, several surgical techniques are being considered to unblock the fallopian tubes or to remove a fibroid, an ovary or an ovarian cyst or take off an adhesion level of the uterus to prevent implantation of the egg.

The intervention on the tubes can be made:

  • During a hysterography allowing the wrong lead obstructed
  • During a laparoscopy

The intervention in the uterus: The removal of the fibroids or occurs during surgery, a laparoscopy or during a hysteroscopy

Assisted reproductive technology

ARTIFICIAL INSEMINATION

Artificial insemination in Tunisia is the oldest technique of medically assisted procreation, AMP. It is indicated when sperm can not reach the egg and fertilize it. It is performed by inserting sperm into the uterus of a woman with a small tube.

  • The chances of getting pregnant after artificial insemination reach a maximum of 15% per cycle
  • Insemination doubles the chances of success in subfertile couples
  • The success rate of artificial insemination decreases with age: it is under 15% to 38% and to peine5 to 42 years
  • Insemination can be performed 36 hours after ovulation induction
  • If no pregnancy occurs after 5-6 trials, IVF (in vitro fertilization) may be considered

IN VITRO FERTILIZATION: IVF

In vitro fertilization in Tunisia, also known as IVF results from the fertilization of an egg by a sperm to form an embryo. In vitro fertilization, IVF, is to reproduce in the laboratory what happens naturally in the fallopian tubes.

In vitro fertilization takes place outside the woman's body, in vitro, using a test tube, hence the nickname given to these babies' test-tube babies. "

It is performed in test tubes plastic disposable as well as in culture media whose composition is close to the natural environment of the fallopian tubes and controls that are produced and by the pharmaceutical industry. The chances of success are variable and are on average around 22% per cycle.

THE INJECTION OF SPERM INTO AN EGG: ISIE

ISIE, assisted fertilization technique, also known as IVF with micromanipulation, in vitro involves injecting a single sperm inside an egg. ISIE is performed after treatment of ovarian stimulation, practiced the same way as for standard IVF.

The following steps are identical to those of standard IVF. In Tunisia, about 500 children every year through ISIE with success rates of around 45%.

  • ISIE est is considered first-line situations in severe male infertility
    • If the sperm are few or no sperm for IVF can be effective
    • If a significant number of abnormal sperm
  • ISIE is reserved for couples in whom IVF is impossible or has a low chance of success
  • ISIE is also considering when one or more traditional IVF attempts have failed.

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