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Author disclosure: No relevant financial affiliations. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME). Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Is Congenital Bilateral Absence of Vas Deferens a Primary Form of Cystic Fibrosis?

Cervical mucus problems impairing conception may be treated with intrauterine insemination (IUI) or uterine instillation of specially prepared sperm. A review of records from other fertility doctors that you have seen is also important. 8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. A postoperative HSG should be performed 2 months later. Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995.

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The views expressed in this material are those of the authors, and do not reflect the official policy or position of the U. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Testosterone and estradiol function as feedback inhibitors of gonadotropin release. Fertility Evaluation: General and Sexual History A detailed history includes: General history  This includes occupation and background, use of tobacco, alcohol and drugs, earlier diseases, history of abdominal surgery and earlier infections. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex.

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Most typical are decreased libido, erectile dysfunction, orgasmic dysfunction, and ejaculatory dysfunction. Listen to Mr Brook talk about male infertility Find out more about ICSI. Blood test: The lab will test for levels of testosterone and other hormones.

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Cervical mucus problems  When you're ovulating, mucus in your cervix becomes thinner so sperm can swim through it more easily. Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. PPT Presentation Summary : Evaluation of Fertility: A Cornerstone to Improved Reproductive Health for Women Overview. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Perspectives on infertility consultations in primary care: a qualitative study. Erectile Disfunction (ED): Also known as impotence, this condition is common and affects 20 million American men.  ED is the result of a single, or more commonly a combination of multiple factors.  In the past, ED was thought to be the result of psychological problems, but new research indicates that 90 percent of cases are organic in nature.  However, most men who suffer from ED have a secondary psychological problem that can worsen the situation like performance anxiety, guilt, and low self-esteem.  Many of the common causes of impotence include:  diabetes, high blood pressure, heart and vascular disease, stress, hormone problems, pelvic surgery, trauma, venous leak, and the side effects of frequently prescribed medications (i.e. 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. To complete a basal temperature curve over 3 cycles can be helpful to identify anovulational cycles.