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Endometriosis is usually more common in women in their mid-twenties and older, especially when postponed childbirth has taken place.[55] Another major cause of infertility in women may be the inability to ovulate. Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. Ideally, patients respond to replacement with exogenous GnRH or HCG, an LH analogue, although this does not always occur. FSH stimulates the Sertoli cells to facilitate sperm production, while LH stimulates testosterone release from the Leydig cells. Factors affecting Fertility Frequency/Timing of sexual intercourse: - Every 2 to 3 days optimises the chance of pregnancy Obesity: - Women who have BMI of over 30 should be informed that they are likely to take longer to conceive and will affect treatment success rates. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection.

Start now with 1,000+ free video lectures given by award-winning educators!Global infertility guidelines: Strategy for development and dissemination Generating practice guidelines The revision and updating of the “WHO global Guidelines for infertility diagnosis, management and interventions for treatment” (1992) and the WHO manual for the investigation and diagnosis of the infertile couple” (1993) was initiated in January 2012. In fact, female age-related infertility is the most common cause of infertility today. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977.

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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. Endometrial polyps Endometrial polyps are growths found in the uterine cavity. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. As a woman gets older, the number of her eggs decreases rapidly. Ovulation disorders appear to be the most common cause of infertility in women.

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Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count.

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8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Sterilisation Some women choose to be sterilised if they don't want to have any more children. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. In 1978, the first baby was born as a result of IVF. Chemotherapy: Some types may significantly reduce sperm count. Functional sperm that are present may have a normal karyotype. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993.