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Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). Severe ovarian hyperstimulation syndrome is characterized by easily palpable ovaries, severe ascites, nausea, vomiting, diarrhea, shortness of breath, hydrothorax, peripheral edema, oliguria, hemoconcentration (eg, hematocrit level >48% and hemoglobin level >16 g), and creatinine level greater than 1. Judaism and Repoductive Technology. (PDF, 160 KB) 2003.

Infertility in Men Below you will find a list of some of the most common causes of infertility in men. Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. Individual tests evaluate only one aspect of a quality necessary for fertility and do not imply the ability or inability to achieve conception (see the Table in the Procedures section). The volume provides clear guidelines and a logical sequence of steps which will quickly lead the clinician or physician to an accurate diagnosis of the underlying cause of infertility.

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Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974. Abnormality in any of those regions may indicate abnormal sperm function and compromise the ability of sperm to fertilize the egg.

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Epidemiological definition of infertility (for monitoring and surveillance) Women of reproductive age (15–49 years) at risk of becoming pregnant (not pregnant, sexually active, not using contraception and not lactating) who report trying unsuccessfully for a pregnancy for two years or more. (Reproductive Health Indicators) Infertility as a disability Disability: Infertility generates disability (an impairment of function), and thus access to health care falls under the Convention on the Rights of Persons with Disability. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010.

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Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. Thankfully, there are several options available for treatment, and many useful tips to prepare for conceiving. Many of these treatment options may have harmful or unpleasant side effects such as nausea, headaches and weight gain. If you’ve been diagnosed with infertility, or fear you may have trouble conceiving in the future, you’re not alone. The main symptom of infertility is not getting pregnant. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. In order to perform ICSI, an egg is held via a small suction pipette, while one sperm is injected into that egg using a very fine glass needle. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). 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. Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility.