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8 Involvement in group counseling and exercise is more effective than weight loss advice alone. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. However, some have suggested that patients should avoid conception for 6 months to 2 years after completion of radiation therapy because of the possibility of chromosomal aberrations in their sperm caused by the mutagenic properties of radiation therapy.

It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. It is hoped that the standardized approach presented here will go some way towards countering this major problem.LINDSAY, MD, Saint Louis University Family Medicine Residency, Belleville, Illinois KIRSTEN R.

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The etiology is unknown but is probably multifactorial. Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy). Medical conditions Some medical conditions can affect fertility. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. For women, being underweight and having extremely low amounts of body fat are associated with ovarian dysfunction and infertility and they have a higher risk for preterm birth.

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Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978. Low weight: Obesity is not the only way in which weight can impact fertility. Drawbacks of ICSI include unknown risks to the egg or embryo and damage to the embryo. 8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. Diagnosis Male infertility is usually diagnosed by a semen analysis. Factors Affecting Fertility (Continued) Various toxic agents, smoking and alcohol may contribute to fertility problems.

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In this article, learn about signs of infertility in both men and women, as well as when to see a doctor. This results in normal or enhanced follicular recruitment without the risk of multiple ovulation and ovarian hyperstimulation syndrome. The physician or WHNP may also suggest using a conception cap cervical cap, which the patient uses at home by placing the sperm inside the cap and putting the conception device on the cervix, or intrauterine insemination (IUI), in which the doctor or WHNP introduces sperm into the uterus during ovulation, via a catheter. Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. Adverse effects of metformin include GI intolerance, nausea, vomiting, and abdominal cramps. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. To prevent further polyp development associated with anovulation, the patient should have withdrawal bleeding at least every 6 weeks. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. In order to accomplish this, the semen is washed with a solution safe to sperm and eggs, and then centrifuged to separate motile sperm from immotile sperm and other cells.


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