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Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems. This can make it difficult for the embryo to implant. Similarly, there is no need for testing tubal patency for couples who will require IVF or ICSI procedure. Tubal catheterisation or cannulation: - With proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options. Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to.

Cervical surgery can sometimes cause scarring or shortening of the cervix. If you suspect you are infertile, see your doctor. Effect of male age on fertility: evidence for the decline in male fertility with increasing age. Government, the Department of Defense, or the Department of the Air Force.

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Typical drugs are clomifene, cyclofenil, tamoxifen, and epimestrol among others. London, United Kingdom: National Institute for Health and Clinical Excellence (NICE); February 2013:1–63. (Clinical guideline no. Some medications increase the risk of fertility problems in men. These include: Infrequent menstrual periods: When a woman has regular menstrual periods, defined as regular cycles occurring every 21 to 35 days, this almost always indicates that she ovulates regularly. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994.

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Infertility in women was ranked the 5th highest serious global disability5&6 (among populations under the age of 60). As sperm move from the head to the tail, they mature and acquire fertilization capacity.

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Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006. Intracytoplasmic sperm injection is a process by which semen is washed and prepared for direct injection of one sperm into each egg collected during the IVF process. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods. Mannitol Induced Central Nervous System Toxicity in Renal Failure. (PDF, 4 MB) Investigative Urology, 1972. Health problems such as mumps or hormone problems. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981.