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If a weight gain greater than 2 lb occurs, the patient should be evaluated to determine if hospitalization is required. Similarly, there is no need for testing tubal patency for couples who will require IVF or ICSI procedure.

44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. These are agents that support the follicular maturation and the secretion of gonadotropins. If left untreated, infections like chlamydia, gonorrhea, and mycoplasma can eventually lead to infertility.  The reproductive process In order to successfully conceive, certain reproductive steps must occur, and they are as follows: One of the ovaries releases a mature egg. 2) Medications to induce egg development and ovulation: The medications that help stimulate the ovary to develop mature eggs for ovulation come in two forms: pills taken by mouth and injections. Extra Renal Function in Patients with Duplication Anomaly: Obligatory and Compensatory Renal Growth. (PDF, 1 MB) The Journal of Urology, 1974.

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Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Causes of this kind of infertility include: Retrograde ejaculation. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count.

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Epidemiology of Sterility and Infertility Sterility and infertility affect about 10 – 15% of couples. Steroids used to build muscles can shrink the testes and may lead to decreased sperm production.

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48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. 7K This app helped me conceive BeaMcCullough I have PCOS and was told I would never have kids. In patients with obstructive azoospermia and normal gonadotropin levels, sperm can be obtained through microsurgical epididymal sperm aspiration or testicular biopsy. [213] Fertilization of the oocytes is performed using IVF/intracytoplasmic sperm injection. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. Malformation of the eggs themselves may complicate conception. What Forms of Male Infertility are there left to Cure? (PDF, 2 MB) Human Reproduction, 1995. Treatment of Female Infertility: Intrauterine Insemination Intrauterine insemination (IUI) is a fertility procedure in which sperm are washed (separated from the semen), concentrated, and injected directly into a woman’s uterus. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. 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. If you and your partner agree, extra embryos can be frozen and saved to use later.