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The dynamics of stress in fertile and infertile couples. In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. A history and physical examination can help direct the evaluation. In some cases, simply removing the polyp solves infertility. 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.

Laboratory testing – Depending on the results of the evaluation discussed above, your physician may request specific blood tests. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory. Laparotomy is indicated in patients with severe pelvic adhesions that compromise the bowel, ovaries, and tubes, with obliteration of the cul-de-sac. [129] The aim of the procedure is to correct what is necessary to allow the normal transport of the gametes; complete restoration of the anatomy is not intended. [130] Lysis of adhesions should be meticulous, using hydrodissection and fine instruments.

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GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. To examine the sperm motility in the cervical mucus, the postcoital test is made.

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Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. They are very common (approximately 40% of women have them them).

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10 Data Sources: A PubMed search was completed using the key terms infertility, subfertility, treatment, etiology, and diagnosis. 0 nmol per L]) and follicle-stimulating hormone (FSH; normal range = 1. Ovulation-inducing drugs and ovarian cancer risk: results from an extended follow-up of a large United States infertility cohort. Couples will have to consider the ethical and emotional aspects of this procedure. The relation between daily activities and scrotal temperature. Counseling Fertility clinics should address the psycho-social and emotional needs of infertile couples as well as their medical needs. The use of surgical humidification therapy, which is the use of heated and humidified CO2 for insufflation, has been shown to reduce this risk.[27] Many patients with existing pulmonary disorders may not tolerate pneumoperitoneum (gas in the abdominal cavity), resulting in a need for conversion to open surgery after the initial attempt at laparoscopic approach. At least one open tube is required for IUI, and the sperm abnormality cannot be severe otherwise the sperm will not be able to swim to and fertilize the egg. Additional tests to determine sterility include blood tests, an ultrasound of the ovaries, hysterosalpingography to check for physical problems of the uterus and fallopian tubes. Unexplained infertility is not the same thing as having no explanation, but rather reflects the fact that the tests performed have been normal. Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles.