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ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995.

8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year. If the response is exaggerated, with more than 5 sizable follicles (18 mm in diameter), and the E2 level is greater than 2500 pc/mL, cancelling the ovulation is better to avoid the risk of ovarian hyperstimulation syndrome and a high order of multiple pregnancy. To ascertain a more precise assessment, a hysteroscopy of the uterus is run. Frequency of intercourse The couple may be advised to have sexual intercourse more often around the time of ovulation. Unfortunately, clinical examinations, ultrasounds and analyses rarely indicate the reason for the problem and, as such, medical or surgical treatment is infrequent. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women.

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Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. With the fast progression in reproductive medicine and the experiences gained through infertility management, a wider range of treatment options have become available to infertile couples [17-19,21-26,31,36], (Appendix 4).

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A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. Some large breeds of dogs may not have their first estrus until they are ≥2 yr old, and some individuals and some breeds typically have only one estrous cycle each year.

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Is Congenital Bilateral Absence of Vas Deferens a Primary Form of Cystic Fibrosis? Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems. Uterine fibroid embolization (UFE) consists of catheterization of the uterine artery and the injection of microbeads of polyvinyl alcohol to selectively occlude the circulation of the fibroid. It is specially oriented for cancer patients, whose sperm is destroyed due to the gonadotoxic treatment they are submitted to.[70] Ovaric stem cells: it is thought that women have a finite number of follicles from the very beginning. Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. It is specially oriented for cancer patients, whose sperm is destroyed due to the gonadotoxic treatment they are submitted to.[70] Ovaric stem cells: it is thought that women have a finite number of follicles from the very beginning. It can also help if a man has severe erectile dysfunction. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971.