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If the egg does not travel, it can be harder to conceive naturally. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. Trastuzumab Clomifen Donepezol Setralin Venlafaxin Do you want to learn even more?

Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. Basic Work-up for Infertility Detailed history and physical examination. Semen analysis. Evidence of ovulation. (Day 2-3 gonadotrophins, Day 21 progesterone) Susceptibility to rubella Cervical smear screening Screening for Chlamydia trachomatis Serum prolactin Thyroid function tests 12. Semen analysis: - semen volume: 1. Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur.

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The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. 48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. Further investigations may be requested according to the clinical presentation and the results of preliminary tests. The most commonly prescribed injections that stimulate the ovary are called gonadotropins.

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Factors affecting Fertility Low body weight - Women with BMI less than 19 and irregular menstruation should be counselled to gain weight. Smoking - Strong association between smoking and fertility in both partners. - Affects success rates of ARTs. A urine sample must be collected immediately after ejaculation. 6) Male factors affecting sperm function: Male factor infertility has been associated as a contributing factor causing infertility in 40-50% percent of cases, and as the sole cause for infertility in 15-20% percent of cases.

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Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. S. women, or 6% of the married population 15 to 44 years of age, reported infertility, and 6. Mannitol Induced Central Nervous System Toxicity in Renal Failure. (PDF, 4 MB) Investigative Urology, 1972. However, for women with moderate to severe endometriosis, surgical treatment then assisted reproductive therapy can be offered. Prolonged diestrus can result from luteal cysts in the ovary. Infertility is more likely in men who have had this condition. History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other.