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Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. Immotility of the sperm can be caused by antibodies against the sperm. The most common technique of artificial insemination in human beings is intrauterine insemination. 8–16 One retrospective case-control study of 650 men with infertility and 698 control participants questioned the role of environmental risk; no association could be determined after assessing for multiple factors including shift work, stress, and pesticides. PDF Articles by Decade: 1970s | 1980s | 1990s | 2000s | 2010s ARTICLES FROM THE 1970s Active Lupus Glomerulitis and Hematoxylin Bodies with Normal Urinalysis. (PDF, 5 MB) The Journal of Urology, 1971.

A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. 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). Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Practice Committee of American Society for Reproductive Medicine in collaboration with Society for Reproductive Endocrinology and Infertility. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods.

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A doctor injects sperm directly into the egg in a dish and then places it into your uterus. KU School of Medicine Source : Are Twins An Adverse Outcome After Infertility Treatments?

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5) Endometrial polyps: Endometrial polyps are finger-like growths in the uterine cavity arising from the lining of the uterus, called the endometrium, These abnormalities are rarely associated with cancer (<1% in a woman before menopause), but polyps are can decrease fertility by up to 50% according to some studies. However, it is widely acknowledged by doctors that it is usually very difficult for PCOS patients to lose weight. These are both treatment options for microprolactinoma. In-vitro fertilization and donor insemination are major procedures involved. Advantages[edit] There are a number of advantages to the patient with laparoscopic surgery versus an open procedure.

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BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. It plays a central role in the multiple imbalances and dysfunctions of polycystic ovary syndrome. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. In 1978, the first baby was born as a result of IVF. Ovulation should be documented by serum progesterone level measurement at cycle day 21. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. Seventy-five percent of patients have testicular atrophy and primary testicular failure due to degeneration of the seminiferous tubules. Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. Start CC at the initial dose of 50 mg/day for 5 days. These time intervals would seem to be reversed; this is an area where public policy trumps science.