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8 Women in group I typically present with amenorrhea and low gonadotropin levels, most commonly from low body weight or excessive exercise. If the egg does not travel, it can be harder to conceive naturally. Continued First, sperm are collected either from ejaculated semen or by a needle from the testicle. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL.

If pregnancy has not been established within a reasonable time, further evaluation and/or an alternative treatment plan should be considered. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs.

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Happily, many couples treated for infertility go on to have babies. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. Treatment of Endometriosis Endometriosis treatment may be divided according to the severity of the disease and patient needs.

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Unlike female infertility (where irregular periods may hint at a problem), obvious symptoms are not common with male infertility. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. These include reduced pain due to smaller incisions, reduced hemorrhaging and shorter recovery time. Counseling Fertility clinics should address the psycho-social and emotional needs of infertile couples as well as their medical needs. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. High-cost treatments are out of financial reach for some couples.

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Prolactinomas or the intakes of dopamine antagonists (typical antipsychotics for example) cause hyperprolactinemia. Intracytoplasmatic Sperm Injection (ICSI) An intracytoplasmatic sperm injection is also a form of artificial insemination. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. This means it’s more difficult to become pregnant and the chance of miscarriage is higher.  Unexplained infertility  Sometimes, doctors are unable to find the reason for infertility, despite running the required fertility tests. Judaism and Repoductive Technology. (PDF, 160 KB) 2003.