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The following problems are possible: Low sperm count: The man ejaculates a low number of sperm. A failure of GnRH neurons to migrate to the proper location in the hypothalamus has been implicated. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. 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.

Treatment options available for any particular infertile couple will depend also on the duration of their infertility, which partner is affected, the age of the female partner and if any has a previous children or not, the underlying pathological cause, and if the treatment will be covered by the National Health System (NHS) or funded by their own. The couple should make sure to have sex during the three days before ovulation. If the obstruction is caused by salpingitis isthmica nodosa or fibrosis, the best results are achieved through IVF. [142] Surgical preparation for IVF While the surgeon should be as conservative as possible, he or she should consider that the patient is better served with a single well-functioning fallopian tube than with 2 defective tubes, which elicits an increased risk for ectopic pregnancy or recurrence of pelvic adhesions.

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Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation.

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40. Luteal phase support: - Should be offer luteal phase support with progesterone till 8 weeks of gestation. - Different form of progesterone with different routes of administration are available, RCT are taking place comparing efficacy of different forms. Generally, success rates lie between 40% and 60% per cycle. In addition, if a man’s sperm do not move correctly, they may not be able to meet with and fertilize an egg.

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Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. In some cases, hormonal problems may be suspected if a man has abnormal hair growth, low libido, or other indications of sexual dysfunction. 8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying.