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Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended.

8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. The hypothalamus also produces thyrotropin-releasing hormone (TRH) and vasoactive intestinal peptide (VIP), both of which stimulate prolactin release from the anterior pituitary, and dopamine, which inhibits prolactin release. Understanding the normal reproductive process is essential in knowing when to seek help.

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Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. Gonadotropins can trigger ovulation when Clomid or Serophene don't work.

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Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. Radiation therapy: This can impair sperm production. Uterine synechiae development is a potential complication after the surgery; therefore, a postoperative HSG should be part of follow-up care. This procedure is performed in the doctor’s office without anesthesia.

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A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen. Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy). Stem cell therapy[edit] Nowadays, there are several treatments (still in experimentation) related with stem cell therapy. These may cause abortion, neonatal death, fetal resorption, and apparent infertility. It is further sub-divided into primary and secondary sterility. Varicocele: Surgically removing a varicose vein in the scrotum may help.