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Radiation therapy While Leydig cells are relatively radioresistant because of their low rate of cell division, the Sertoli and germ cells are extremely radiosensitive. Diagnosis of Sterility An important part of the diagnosis is a detailed anamnesis and the routine gynecologic examination. After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Causes of Infertility A problem in any one of a number of key processes can result in infertility. The patient should be prescribed high-dose estradiol (5 mg qd for 21 d) followed by medroxyprogesterone (10 mg for 10 d). The patients are classified as WHO1 (15%) - hypo-gonadotropic, hypo-estrogenic, WHO2 (80%) - normo-gonadotropic, normo-estrogenic, and WHO3 (5%) - hyper-gonadotropic, hypo-estrogenic. Laparoscopy with hydrotubation - if the clinical situation suggests this is required .

National Collaborating Centre for Women's and Children's Health. Testing for Men In the case of men, a general physical examination will be performed, with discussions concerning medical history, illnesses, disabilities, medications and sexual habits. PID is a major cause of tubal infertility and can lead to ectopic pregnancy, which may further damage the reproductive system. Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992.

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Men should undergo evaluation with a semen analysis. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001.

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A woman of reproductive age who is using artificial insemination to conceive (with either partner or donor sperm) after 6 failed trials. Consider earlier referral to infertility specialists where: - the woman is aged 36 years or over. - there is a known clinical cause of infertility or a history of predisposing factors for infertility. - treatment is planned that may result in infertility (such as treatment for cancer). - People who are concerned about their fertility and who are known to have chronic viral infections such as hepatitis B, hepatitis C or HIV. If the GI symptoms persist, the medication can be administered intravaginally.

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Heavy, long, or painful periods Heavy periods may indicate an underlying condition affecting fertility. However, a complete blockage of the ovaries is rarely a cause of infertility. After interviewing the couple together, the man and woman should be interviewed separately to obtain confidential information. Prolonged estrus may be caused by ovarian cysts that produce estrogen, functional ovarian tumors, or exogenous estrogens (including human transdermal hormone replacement therapy). Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. 4 IU per L]) can help differentiate between primary and secondary disorders. Helping our patients develop a deep understanding of their fertility options will make the process smoother. Medical management: - Ovarian suppression of minimal and mild endometriosis diagnosed as the cause of infertility in women does not enhance fertility and should not be offered. We can sometimes see evidence of pelvic scarring, such as when an ovary appears to be stuck to the uterus. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. Physical exam A directed physical exam that may include a pelvic ultrasound should be performed. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW. A postoperative HSG should be performed 2 months later. PPT Presentation Summary : Infertility is “a disease of the ... birth 75% will have cryptochidism that results in testes is fully descended then fertility is ...