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Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. ZIFT is often called “tubal embryo transfer.” As with IVF, the actual fertilization of the eggs is observed and confirmed in the laboratory. Because of the risk of thrombosis, heparin (5000 U SC q12h) is recommended. [195] Some have had success treating severe ovarian hyperstimulation syndrome on an outpatient basis by performing aggressive transvaginal paracentesis with good outcomes. [199] hMG and its derivatives are indicated for ovulation induction in patients with primary amenorrhea due to hypopituitarism and in patients with secondary amenorrhea who did not respond to CC ovulation induction. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count.

Medications, treatments, and drugs Some drugs can affect fertility in a woman. 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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Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. They can be blocked due to numerous causes, including infections,  trauma or abnormal development, such as with cystic fibrosis or similar inherited conditions. WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple.

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Endometriosis can be treated with hormones that suppress the displaced endometrial tissue or the tissue can be removed by a surgical procedure. However, these tests have only poor to moderate predictive value despite widespread use. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum.

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6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003. Up to 2 percent of men are thought to have suboptimal sperm. Kidney Transplantation in Inbred Rats. (PDF, 6 MB) The American Journal of Surgery, 1973. After all, the necessity of reproduction is one of the few things on which both Darwin and the Bible agree. Learn what factors can influence your fertility and whether to consider seeking medical help. If left untreated, infections like chlamydia, gonorrhea, and mycoplasma can eventually lead to infertility.  The reproductive process In order to successfully conceive, certain reproductive steps must occur, and they are as follows: One of the ovaries releases a mature egg. Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count. The fertilized egg moves down the fallopian tube towards the uterus. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance.