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The search included meta-analyses, randomized controlled trials, clinical trials, and systematic reviews. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor.

The 3 classes of surgical techniques are conventional laparotomy, operative laparoscopy, and operative hysteroscopy, as follows: Laparotomy: This technique is indicated for large myomas, for submucous myomas larger than 3 cm in diameter, or for myomas that, regardless of being submucous, have a portion of the myoma that compromises the myometrium so that a complete resection through the hysteroscopy is not feasible. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. Clomiphene citrate and/or Metformin. - folliculometry via TVUSS should be done to avoid multiple pregnancies and risk of OHSS. - Not for more than 6 months. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996.

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The Most Common Causes of Male Sterility There are several causes of male sterility, including: Abnormal sperm production Impaired delivery of sperm Testosterone deficiency Genetic defects Undescended testes Also, erectile dysfunction or low libido can make the process of procreation that much more difficult. In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977.

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Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. Chromosomal causes and, in particular, Klinefelter syndrome. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005.

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If a woman can get pregnant but keeps having miscarriages or stillbirths, that's also called infertility. The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. These medications may help to address male infertility caused by erectile dysfunction. 8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. It was usual practice to talk about infertility in those cases where three or more pregnancy losses had occurred. A small Steering Committee with six Expert Working Group Chairs, local Swiss experts, as well as Presidents, Chairpersons and representatives of ASRM1, ESHRE2, FIGO3, GFMER4, ICMART5 and IFFS6 came to the table to share experiences, to present their current (or in-process) guidelines and to recommend a collaborative process for moving forward to generate global guidelines. Other causes of infertility affecting both partners include immunological incompatibility between sperm and the cervical mucus, which may in some instances cause sperm agglutination. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. Physical examination reveals gynecomastia, small testis, and eunuchoid body habitus due to delayed puberty.