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Symptoms of hormonal imbalance: Sudden weight gain, hair loss, constant fatigue, edema, headaches, nipple discharge, facial hair, or severe acne are all signs of possible hormonal disorders. Known uterine fibroids or endometrial polyps: Uterine abnormalities, such as fibroids that indent the endometrial cavity and endometrial polyps, can impair how the endometrium (the lining of the uterus) and embryo interact to lower implantation and pregnancy rates. Have you had any sexually transmitted infections or abnormal pap smears?

Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. However, in our modern era, women are delaying child birth until their thirties and forties, which has lead to the discovery of the adverse effect of advanced maternal age on egg function. Spermiogenic defects may also be a cause of sterility. A bicornuate uterus is characterized by the presence of an indentation at the fundus. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. In the authors' experience, ovulation may occur any time from the menstrual cycle day 10-23 or between day 1 and day 14 after the last tablet of CC is administered.

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A postcoital test to determine if sperm are able to move through the cervical mucus is still performed by some clinicians. Laboratory testing – Depending on the results of the evaluation discussed above, your physician may request specific blood tests. These time intervals would seem to be reversed; this is an area where public policy trumps science. Effect of metformin on ovulation and reproductive outcomes in women with polycystic ovary syndrome: a meta-analysis of randomized controlled trials.

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According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978.

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More than 60% of sperm should be normal, and less than 2-3% should be immature. The embryos are placed within the tip of the transfer catheter and then injected within the uterine cavity once the catheter is placed through the cervical canal to the ideal spot within the uterus. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). With the fast progression in reproductive medicine and the experiences gained through infertility management, a wider range of treatment options have become available to infertile couples [17-19,21-26,31,36], (Appendix 4). Chemotherapy: Some chemotherapy drugs can result in ovarian failure. There are treatments that are specifically for men or for women. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility.


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