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Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973. Male fertility starts declining in their thirties, while women older than 35 years may experience problems conceiving.

In 10% of all cases, the cause is unknown: unexplained infertil Do you need help?  We can help you with a no-obligation Causes of infertility and sterility in women Diseases of the ovary and the uterus: Endometriosis is the reason behind many sterility issues. The male phenotype proves that androgen was present in utero. Testosterone and estradiol function as feedback inhibitors of gonadotropin release. 44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy. As the major causes of infertility are sperm abnormalities, ovulation dysfunction, and fallopian tube obstruction, the preliminary adviced investigations for the infertile couple should be focused on semen analysis (to be compared with the WHO reference values [27]), detection of ovarian function by hormonal assay (early follicular FSH and LH levels, and mid-luteal progesterone), and evaluation of tubal patency by hysterosalpingography (HSG) [17-32], (Appendix 3).

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Infertility Baseline Ultrasound

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6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. Intrauterine insemination 50% of women will conceive after 6 cycles. Half of the unsuccessful ones, will conceive with further 6 cycles. It is artificial introduction of semen inside the female’s uterus. Success rate varies, lie between 15% to 20% per cycle.

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Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Symptoms depend on what is causing the infertility.

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Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. The quality and quantity of eggs begin to decline by the early 30s and drop even further as a woman approaches the age of 40. The use of surgical humidification therapy, which is the use of heated and humidified CO2 for insufflation, has been shown to reduce this risk.[27] Many patients with existing pulmonary disorders may not tolerate pneumoperitoneum (gas in the abdominal cavity), resulting in a need for conversion to open surgery after the initial attempt at laparoscopic approach. Causes of infertility include genetic abnormalities, certain acute and chronic diseases, exposure to certain environmental toxins, smoking, and excessive alcohol use (2). Some uterine and tubal abnormalities, such as adhesions, uterine septum, or fibromyoma, may be corrected by surgical procedures. Absence of the main sperm pipeline known as the vas deferens. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001.


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