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The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. Without an erection, it is difficult for a man to release sperm inside the vagina—and, therefore, difficult to get a woman pregnant. Temperature charting is a useful way of providing early clues about anovulation, and can help gynaecologists in their diagnosis. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977.

Common causes of infertility of females include: ovulation problems (e.g. polycystic ovarian syndrome, PCOS, the leading reason why women present to fertility clinics due to anovulatory infertility.[58]) tubal blockage pelvic inflammatory disease caused by infections like tuberculosis age-related factors uterine problems previous tubal ligation endometriosis advanced maternal age immune infertility Males[edit] The main cause of male infertility is low semen quality. In the past, if the above methods didn’t work, it often meant lifelong male infertility. The eggs may never be released or they may only be released in some cycles. Your doctor will carry out a series of tests to diagnose what’s causing your fertility difficulties.  There are many reasons why you may have problems conceiving, including:  Your sperm does not have the concentration, motility or shape required to conceive Existing medical conditions that affect your fertility, such as issues with sperm production or duct obstructions  Your sperm may not be strong or healthy enough to fertilise your partner’s egg  As your partner gets older, her fertility quickly declines3 Depending on the cause, your doctor will recommend a treatment path for you.

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Consequently, the patient with PCOS becomes responsive to CC ovulation induction. The patient should be prescribed high-dose estradiol (5 mg qd for 21 d) followed by medroxyprogesterone (10 mg for 10 d). A history and physical examination can help direct the evaluation.

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The fertilized eggs, now embryos, are allowed to grow and develop in culture media for typically 3 to 5 days. Luteal phase support. (and cryopreservation choice offered if good quality embryos are available) IVF/ICSI 37. Down-regulation: - to avoid premature LH surge and spontenous ovulation. - either GnRH agonist protocol or GnRH antagonist protocol. - always use GnRH antagonist protocol in women with high risk of OHSS. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. By the end of this step, most of healthcare professionals will be able to sketch out their provisional diagnosis. Source : (1).pptx Evaluation of Fertility: A Cornerstone to Improved ...

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Intracytoplasmic sperm injection is a process by which semen is washed and prepared for direct injection of one sperm into each egg collected during the IVF process. But for other men, advances in male infertility treatment offer real help. This applies to the ability to conceive with her eggs, but not with donor eggs. Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization. Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975. Your physician will examine you carefully to determine if you have fibroids and if removal is necessary. Infertility tests for women A woman will undergo a general physical examination, and the doctor will ask about her medical history, medications, menstruation cycle, and sexual habits. It was broken down into male and female categories. While it may be difficult to detect infertility symptoms outright, here are some signs that may point to fertility issues: Irregular periods: The average woman’s cycle is about 28 days long. Ovulation should be documented by serum progesterone level measurement at cycle day 21. Approximately 10% of cases are unexplained, where no definitive cause can be identified. Endometriosis is usually more common in women in their mid-twenties and older, especially when postponed childbirth has taken place.[55] Another major cause of infertility in women may be the inability to ovulate. The embryo is then placed in the uterus to begin a pregnancy. Genetic tests can identify specific obstacles to fertility and problems with sperm. Abdominal myomectomy is a surgical procedure performed through a very low horizontal abdominal incision allowing access to the uterus for removal of fibroids. While orchitis develops a few days after the onset of parotid gland inflammation, it may also precede it.