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Ovulation disorders About one quarter of infertility cases are due to ovulation disorders. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. Fertility treatments for women Fertility drugs might be prescribed to regulate or induce ovulation. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989.

Histologic endometrial dating is not considered reliable nor is it predictive of fertility. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist.

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Medications, treatments, and drugs Some drugs can affect fertility in a woman. Primary sterility is the complete inability to become pregnant, while secondary sterility refers to the failure to conceive after a previous successful pregnancy. Androgen receptor dysfunction Because the androgen receptor is essential for the process of spermatogenesis, dysfunctions in this receptor can cause infertility. Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility.

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On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. If the GI symptoms persist, the medication can be administered intravaginally. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH.

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Causes[edit] Hormonal imbalance[edit] This is the most common cause of anovulation and is thought to account for about 70% of all cases. Recent research carried out in Sweden covering stress markers in saliva demonstrated that patients who are stressed have a greater number of reproduction issues. Patients with less than of 14% normal forms had a substantially reduced success rate. Fertility Evaluation of the Male Partner: Other Tests Other tests for men include: Urine analysis to rule out an infection. Sperm counts can fluctuate, so that several samples may be necessary. The menopause is premature when it occurs before 40 years of age. If the cilial epithelium has been destroyed, the outcome of the procedure is poor, and it is better to perform a salpingectomy in preparation for future IVF.