Dilemmas in Providing Infertility Cre for High Risk Patients

Fertility in patients with systemic disorder is commonly notviolated. Women seeking infertility treatments if they are obeseor have a strong family history of type ۲ diabetes or are over theage of ۴۰ should be offered a glucose tolerance test. Patientswith systemic disorders, who are suffering infertility management,could be at risk of flare or thrombosis. SLE may alterfertility via an ovulation during episodes of active disease orchronic renal failure and using NSAIDs, high dose of corticosteroidsand cyclophosphamide. Despite the increase in cardiovascularrisk factors, morbidity and mortality from coronaryheart disease among women with infertility has not been shownto be as high as predicted. The rate of live birth is decreasedand maternal complications are increased in patients undergoingassisted reproductive techniques who suffer from systemicdiseases. Clinicians should continue to identify systemic condition(including blood pressure, cholesterol, triglycerides andhigh density lipoprotein cholesterol) in women with infertilityand treat these accordingly.