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Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment. Cantanucci and all of the nurses (especially Ashley). In GIFT, the sperm and eggs are mixed together before a doctor inserts them. In women whose ovulation is suppressed by hyperprolactinemia (high blood levels of the pituitary hormone prolactin), ovulation may be induced with prolactin-suppressing drugs. Constant irrigation with Ringer lactate solution and heparin prevents fibrin formation.

For hysterosalpingography, water-soluble contrast material is supplied into the cavum uteri. Options for treatment may include: Treatment with antibiotics, in cases of infection Surgical correction, in order to remove a varicocele, reverse a vasectomy, or repair a duct obstruction Medications or fertility drugs to improve sperm production In cases where the above treatments are unsuccessful, or when the cause of male infertility is unknown or untreatable, IUI treatment or IVF treatment may be suggested. Additional tests to determine sterility include blood tests, an ultrasound of the ovaries, hysterosalpingography to check for physical problems of the uterus and fallopian tubes. But a woman whose cycles vary so greatly that she can’t even begin to estimate when her period might arrive is experiencing irregular periods. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000.

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Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. Premature Ejaculation: Is defined as an inability to control the ejaculatory response for at least thirty seconds following penetration.  Premature ejaculation becomes a fertility problem when ejaculation occurs before a man is able to fully insert his penis into his partner�s vagina.  Premature ejaculation can be overcome by artificial insemination or by using a behavioral modification technique called the �squeeze technique� which desensitizes the penis.

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A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. Linthicum, Md.: American Urological Association, Inc.; 2010.

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Obstructions in the sperm transport plumbing can sometimes be surgically corrected. Testing for tubal patency and normalcy of the uterine cavity with a hysterosalpingogram The hysterosalpingogram, or HSG is done in order to assess the anatomy of the endometrial cavity of the uterus and the fallopian tubes. Small or firm testicles could indicate potential issues that should be explored by a medical practitioner. In some patients, secondary sex characteristics develop normally, but they are usually completed late. About 10% of reproductive age women are affected by endometriosis. Whether interventions before conception or early in pregnancy, such as resection of the rudimentary horn and prophylactic cervical cerclage, decidedly improve obstetrical outcomes is uncertain; however, current practice suggests that such interventions may be helpful. Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995. The acrosome should be 40-70% of the size of the head, and no mid piece or tail abnormalities should be present.