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If too many embryos develop, one or more can be removed. Donor semen should be free from any STI-producing organisms, including HIV. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic.

Further investigations may be requested according to the clinical presentation and the results of preliminary tests. 8 Women in group I typically present with amenorrhea and low gonadotropin levels, most commonly from low body weight or excessive exercise. Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility. Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. They may benefit from referral to a physician comfortable with prescribing pulsatile administration of gonadotropin-releasing hormone or gonadotropins with luteinizing hormone activity to induce ovulation.

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Exercise: Both too much and too little exercise can lead to fertility problems. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. However, some have suggested that patients should avoid conception for 6 months to 2 years after completion of radiation therapy because of the possibility of chromosomal aberrations in their sperm caused by the mutagenic properties of radiation therapy. There are three main types of fertility treatment: medical treatment (such as ovulation induction therapy); surgical treatment (such as laparoscopy and hysteroscopy); and the different assisted reproduction techniques [37]. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. Patients present with short stature, precocious puberty, small testis, and occasional bilateral testicular rests.

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The prevalence varies widely, being less in developed countries and more in developing countries where limited resources for investigation and treatment are available [2]. 5 IU q5d) until follicle development is detectable based on an elevation of the E2 levels and the presence of follicle development on sonograms. What’s on the Mind of IVF Consumers? (PDF, 627 KB) Reproductive BioMedicine Online, 2009. The pregnancy test is then performed 2 weeks after the egg retrieval. Blood tests Depending on the individual couple's situation, various blood tests on either the female or the male may be needed. Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL.

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Advances in assisted reproductive technologies, such as IVF, can offer hope to many couples where treatment is available, although barriers exist in terms of medical coverage and affordability. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Zygote Intrafallopian Transfer (ZIFT) Zygote Intrafallopian Transfer (ZIFT) is another variation of IVF. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995.