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Unicornuate uterus is associated with renal abnormalities including absence of a kidney or presence of a pelvic kidney; this occurs in 15% of cases. The procedure is performed 30-34 hours after the spontaneous LH surge or 36 hours after the administration of 10,000 U of hCG (human chorionic gonadotropin). [110] The sperm is delivered into the endometrial cavity using an intrauterine insemination catheter.

Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). Author disclosure: No relevant financial affiliations. Additional information regarding infertility is available at . They are usually young patients with a history of polycystic ovarian syndrome or oligo-ovulation who responded with elevated E2 levels (3000 pc/mL) and multiple follicles (>15) and patients in whom the ovulation has been triggered by the administration of exogenous hCG. [196, 197] Ovarian hyperstimulation syndrome usually has 2 phases.

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Production of the First Offspring from Oocytes Derived from Fresh and Cryopreserved Pre-antral Follicles of Adult Mice. (PDF, 2 MB) Reproductive BioMedicine Online, 2007. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974. Fertility Evaluation: Obstetric and Gynecological History The obstetric and gynecological history should include: Reproductive history (children, mode of delivery, prematurity, stillbirth, extrauterine pregnancy, spontaneous and induced abortion, fertility and infertility in earlier relationships). Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998.

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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. Although tubal disease was the original indication for IVF, many more indications have developed over the years. It must be kept in mind that a woman is no longer fertile around six years prior to the menopause. 18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20).

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On the seventh day, E2 measurement and ultrasonography are performed. The effect of age upon men's fertility is less clear.[citation needed] In people going forward for IVF in the UK, roughly half of fertility problems with a diagnosed cause are due to problems with the man, and about half due to problems with the woman. One type of ovulation problem, polycystic ovarian syndrome, is effectively treated with medications. 2. serum progesterone in the mid-luteal phase of their cycle (day 21 of a 28-day cycle) even if they have regular menstrual cycles. 75 mg intramuscularly every 4 weeks for a period of up to 6 months. [117, 120, 121, 122] Disadvantages of this treatment include symptoms of menopause, osteoporosis, and recurrence of the myomas after discontinuation of the treatment. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. Uterine fibroids Fibroids are noncancerous growths in the uterus. Afterwards, fertilized eggs are placed directly into a fallopian tube (as with GIFT) and not into the uterine cavity. An ultrasound scan can detect an ectopic pregnancy. Ovulation should be documented by serum progesterone level measurement at cycle day 21. Male fertility starts declining in their thirties, while women older than 35 years may experience problems conceiving.