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Progesterone deficiency can be corrected by the administration of progesterone during the luteal phase, starting 48 hours after ovulation. [204] Patients with hyperprolactinemia need a thorough evaluation to exclude a pituitary microadenoma. Afterward, the mucus specimen is phase-microscopically examined. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. This seems to result in a significant improvement in fertility, although some studies disagree. Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. Psychic causes are possible in women just like they are in men.

Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. If you suspect you are infertile, see your doctor.

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Issues with ejaculation Similarly, an inability to ejaculate is a sign that it might be time to visit a doctor. Although obesity is well known to be associated with insulin resistance, women with PCOS are even more resistant to insulin than other patients who are obese. Primary sterility is the complete inability to become pregnant, while secondary sterility refers to the failure to conceive after a previous successful pregnancy. PPT Presentation Summary : Evaluation of Fertility: A Cornerstone to Improved Reproductive Health for Women Overview. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. In GIFT, the sperm and eggs are mixed together before a doctor inserts them.

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Bromocriptine and cabergoline are dopamine agonists used to suppress prolactin levels. Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975.

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Some causes, such as hyperprolactinemia, are reversible with proper treatment. Homologous insemination refers to the use of sperm from the patient's partner. Optimizing natural fertility: a committee opinion. Hysterosalpingogram (HSG) – This test is essential for evaluating fallopian tubal patency, uterine filling defects such as fibroids and polyps, and scarring of the uterine cavity (Asherman syndrome). We now have 2 amazing children who are now 5 and 3 years old! Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. These may cause abortion, neonatal death, fetal resorption, and apparent infertility. Surgery for hydrosalpinges before in-vitro fertilization treatment: Laparoscopic salpingectomy or disconnection of both tubes improve IVF/ICSI success rates.