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If a weight gain greater than 2 lb occurs, the patient should be evaluated to determine if hospitalization is required. An estimated 28% of all couples seeking reproductive assistance may have normal findings on their clinical evaluation, making the unexplained infertility a more common provisional diagnosis. These and many other questions will help your physician design a specific evaluation and potential treatment for you. Author disclosure: No relevant financial affiliations.

Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1). Infrequent and light menstruation occurs in about 40% of women with ovulatory dysfunction. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. These include: Reduced hemorrhaging, which reduces the chance of needing a blood transfusion.[11][12] Smaller incision, which reduces pain and shortens recovery time, as well as resulting in less post-operative scarring.[12][13][14] Less pain, leading to less pain medication needed.[15][14] Although procedure times are usually slightly longer, hospital stay is less, and often with a same day discharge which leads to a faster return to everyday living.[13][16] Reduced exposure of internal organs to possible external contaminants thereby reduced risk of acquiring infections.[6] There are more indications for laparoscopic surgery in gastrointestinal emergencies as the field develops.[17] Although laparoscopy in adult age group is widely accepted, its advantages in pediatric age group is questioned.[18][19] Benefits of laparoscopy appears to recede with younger age. Transvaginal ultrasound – Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries.

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Some causes are more common in some countries than others, such as pelvic inflammatory diseases (PID) and sexually transmitted infections (STI) in Africa [10]. Infertility caused by DNA defects on the Y chromosome is passed on from father to son. Thankfully, even when the cause of infertility is not known, various fertility treatments can overcome the unknown road block that was preventing pregnancy and eventually lead to delivery of a healthy baby. If the correction is not done, it may be harder for the sperm to get to the female's cervix.

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Patients with severe ovarian hyperstimulation syndrome are often hospitalized and confined to bed, with strict control of fluid intake and output. Close Testing for Women Women should track their ovulation by recording their basal body temperature for several months, checking their cervical mucus using a home ovulation test kit. A small incision is made in the abdomen, and a thin, flexible microscope with a light at the end, called a laparoscope, is inserted through it. Your physician will discuss these approaches to having a baby if appropriate to your particular case. Usually, you’ll still be able to maintain erections and have sex, and the quantity and appearance of your semen will also be normal.

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The patient must be treated with bromocriptine (eg, Parlodel) at an initial dose of 2. As soon as it reaches a specific size, the administration of beta-HCG takes place. 8,33,35,36 Lastly, in vitro fertilization, with or without intracytoplasmic sperm injection, is the mainstay of assisted reproductive technology for male factor infertility. In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries. Pelvic inflammatory disease or STIs like chlamydia and gonorrhea may cause these blockages in the fallopian tubes. S. women, or 6% of the married population 15 to 44 years of age, reported infertility, and 6. Gonadotropins are available in the form of human menopausal gonadotropin (HMG) derived from the urine of postmenopausal women.