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In current practice, an alternative for patients with more than 5 sizable follicles is to convert the treatment to IVF. Klinefelter�s Syndrome: Is a genetic condition in which each cell in the human body has an additional X chromosome--men with Klinefelter�s Syndrome have one Y and two X chromosomes.  Physical symptoms include peanut-sized testicles and enlarged breasts.  A chromosome analysis is used to confirm this analysis.  If this condition is treated in its early stages (with the drug hCG), sperm production may commence and/or improve.  However, Klinefelter�s Syndrome eventually causes all active testicular structures to atrophy.  Once testicular failure has occurred, improving fertility is impossible.

Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. As the duration of treatment prolonged, psychological suffering is likely to increase [6]. A review of systems and physical examination of the endocrine and gynecologic systems should be performed. However, a woman who does not ovulate at each menstrual cycle is not necessarily going through menopause. The sperm is washed in a fluid and the best specimens are selected. Other conditions Various other lesions and diseases, such as CNS tumors, temporal lobe seizures, and many drugs (eg, dopamine antagonists) may interrupt the hypothalamic-pituitary axis at the hypothalamus.

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A postoperative HSG should be performed 2 months later. CI or intrauterine insemination is the treatment of choice if more than 2 million sperm are recovered after the sperm wash. (See Treatment of Cervical Factors). [106, 109] Patients whose reproductive tract, FSH, LH, and testosterone levels are determined to be normal or those who have low testosterone in the absence of any other hormonal abnormalities can be treated empirically with cycles of CC (25 mg PO qd for at least 6-12 mo). That is why a continuous sonographic control and also lab-medical controls are made. Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment. Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014.

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Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. 21,22 Evaluation of Women Jump to section + The etiology of female infertility can be broken down into ovulation disorders, uterine abnormalities, tubal obstruction, and peritoneal factors. 2012;27(8):2396–2404.   Want to use this article elsewhere?

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A doctor injects sperm directly into the egg in a dish and then places it into your uterus. The administration on GnRH should be extended throughout the luteal phase, or this should be supplemented with the administration of exogenous hCG. [202] Monitoring folliculogenesis is simpler than using hMG. Today, it is feasible by using a gestational carrier. Histological dating of timed endometrial biopsy tissue is not related to fertility status. Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996. Your doctor may ask you many of the following questions: How long have you been trying to get pregnant? Most often, the problem lies in the process of either making or moving thesperm.