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Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Cervical factors are also thought to play a minor role, although they are rarely the sole cause.

Benign prostatic hyperplasia does not affect fertility. Drugs used for both women and men[67] include clomiphene citrate, human menopausal gonadotropin (hMG), follicle-stimulating hormone (FSH), human chorionic gonadotropin (hCG), gonadotropin-releasing hormone (GnRH) analogues, aromatase inhibitors, and metformin. Prolonged anestrus may be congenital or acquired.

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Some systems are lightweight constructions (18 kg) and can withstand a force of 20 N in any position and direction. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. Your physician will discuss these approaches to having a baby if appropriate to your particular case. On the contrary to women, in which is the issue can more commonly be detected, most male fertility issues, other than those caused by infections, are unexplained. Blocked tubes Sperm travel in tubes from the man’s testes to the penis.

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At least one open tube is required for IUI, and any sperm abnormality cannot be severe, otherwise the sperm will not be able to swim to and fertilize the egg. Vause TD, Cheung AP, Sierra S, et al.; Society of Obstetricians and Gynecologists of Canada. Other considerations include preconception screening and vaccination for preventable diseases such as rubella and varicella, sexually transmitted infections, and cervical cancer, based on appropriate guidelines and risk. Clomiphene citrate for unexplained subfertility in women. The male partner can be evaluated for infertility or subfertility using a variety of clinical interventions, and also from a laboratory evaluation of semen.” (Semen manual, 5th Edition3). Radiation therapy: This can impair sperm production.

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The results of these tests help determine the best fertility treatment. American Urological Association Education and Research, Inc. In some cases, laparoscopy for infertility will be indicated to look for pelvic scarring or endometriosis As in vitro fertilization success rates have improved dramatically over the past 20 years, laparoscopy for infertility is being done much less than before. A thorough physical exam can detect varicocele and give clues to hormone problems. The facilities available and the skills of personnel are the major determining factors for the success rate. A urine sample must be collected immediately after ejaculation. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance.