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Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment.

Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ. Some problems stop an egg being released at all, while others prevent an egg being released during some cycles but not others.

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Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. If a blockage is present, surgery may be necessary.

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This may reflect an unknown immunological incompatibility or other unknown problem with fertilization or implantation. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. 37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone.

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You have never had a period, or periods suddenly stop. To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010. If sperm appears, these men should be offered cryopreservation. A low testosterone level with a low FSH level signals a secondary cause. As a woman gets older, the number of her eggs decreases rapidly. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection.