Fertility and Conception
Fertility is the natural ability to produce offspring. As a measure, fertility rate is the number of offspring born per mating pair, individual or population. Population growth is estimated by fertility, mortality and migration rates. Fertility is the main prime determinant of population growth, which is highly associated with family planning, literacy, urbanization, and expansion of health system. In many part its level is more than twice the replacement level. A significant decline in fertility mainly in the urban setting has been reported over the past decade. Total fertility rate was relatively low. However, there were a significant number of births among adolescent women. Improving and sustaining access for reproductive health care for young women is highly recommended. Before starting an invitro fertilisation cycle, some women need help to ovulate and the use of growth hormone therapy may help these women. This main aim to reduce the use of gonadotropin therapy to stimulate ovulation, a hormone which can cause multiple pregnancies. The review found no evidence that growth hormone helps improve birth rates in women who are undergoing ovulation induction prior to invitro fertilisation. However there is some evidence of increased pregnancy and birth rates in women who are considered poor responders to invitro fertilisation.