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Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. Omitting unnecessary investigations, in particular couples, could reduce total cost of their infertility management without compromising their success rate. A relationship also exists between obesity and erectile dysfunction (ED). Then, generally one or two embryos, which have demonstrated appropriate development, are carefully and gently transferred into the uterine cavity. Especially in men, psychological explanations should be considered as they are frequently the cause of sexual dysfunctions.

To reach timely ovulations, ovulation triggers are combined with chorionic gonadotropin (beta-HCG). The Three-kidney Rat Model. (PDF, 2 MB) Investigative Urology, 1974. A mouse study has suggested that ingredients in some household detergents may reduce fertility.

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18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). 6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive.

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If the E2 and FSH levels are in the normal range, clomiphene citrate is the drug of choice, as previously described. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. 24 Other tests of ovarian reserve, such as the clomiphene (Clomid) challenge test, antral follicle count, and antimüllerian hormone level, are also generally performed to predict response to ovarian stimulation with exogenous gonadotropins and assisted reproductive technology. In 1978, the first baby was born as a result of IVF. Couples will have to consider the ethical and emotional aspects of this procedure.

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Patients with this type of uterus can have a normal term pregnancy. Endometriosis may be treated through laparoscopic surgery. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Hypospadias: The urethral opening is under the penis, instead of its tip. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. This can be related to hormone issues, or to polycystic ovarian syndrome (PCOS). New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. 6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology.