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Infertility for Gynaecologist
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One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. Signs of Potential Infertility in Women In women, changes in the menstrual cycle and ovulation may be a symptom of a disease related to infertility. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. This can result from: A medical condition: This could be a testicular infection, cancer, or surgery.
It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse. 7) Endometriosis: Endometriosis is a condition whereby cells very similar to the ones lining the uterine cavity, or endometrium, are found outside the uterine cavity. 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.
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Exposure to chemicals: Pesticides, for example, may increase the risk. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. Coping mentally It is impossible to know how long treatment will go on for and how successful it will be. Treatment of the cause: 24. Ovulation disorders: (Group I) - Weight gain if BMI less than 19. - pulsatile administration of gonadotrophin-releasing hormone or gonadotrophins with luteinising hormone activity to induce ovulation.
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Medical treatments[edit] Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. Congenital blockage of the ductal system An increased rate of duct obstruction is observed in children of mothers who were exposed to DES during pregnancy.
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Problems with sexual intercourse These can include trouble keeping or maintaining an erection sufficient for sex (erectile dysfunction), premature ejaculation, painful intercourse, anatomical abnormalities such as having a urethral opening beneath the penis (hypospadias), or psychological or relationship problems that interfere with sex. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. This averts normal ascension and motility of the sperm. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996.
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See also
Infertility Ectopic Pregnancy
Infertility Vaccines
Ivf After D&c and Infertility