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Seventy-five percent of patients have testicular atrophy and primary testicular failure due to degeneration of the seminiferous tubules. There is no reliable treatment, although microsurgery may be attempted. The treatment of uterine malformations depends on the severity of the problem. 24 Other tests of ovarian reserve, such as the clomiphene (Clomid) challenge test, antral follicle count, and antimüllerian hormone level, are also generally performed to predict response to ovarian stimulation with exogenous gonadotropins and assisted reproductive technology. Defects in cilia Immotile cilia syndrome may occur as an isolated disorder or as part of Kartagener syndrome with situs inversus. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989.

It has been proven useful in overcoming infertility conditions, such as blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count. 6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point. Vause TD, Cheung AP, Sierra S, et al.; Society of Obstetricians and Gynecologists of Canada.

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Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008. Being obese or overweight: This can increase the risk of infertility in women as well as men. Treatment for Infertility 1) Education: We strongly believe that educating our patients about the normal process of fertility, problems that affect fertility, and treatment options will empower our patients to make the best choices. Women who have a body weight 10% to 15% below normal may have reduced fertility. Sterility is an emotional journey for the couple trying to become pregnant, and feelings of anger, guilt, and depression are not uncommon. A decreased testosterone level with an increased FSH level points to primary hypogonadism.

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And as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases as well. Effect of male age on fertility: evidence for the decline in male fertility with increasing age. Overweight or obesity: This may reduce the chance of conceiving.

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Other infectious diseases that may affect fertility include tuberculosis, toxoplasmosis, malaria, schistosomiasis and leprosy. It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. 22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. Having sex near the time of ovulation is the best way to increase the chance of becoming pregnant. Several studies have reported different causes of infertility [7-9]. Judaism and Repoductive Technology. (PDF, 160 KB) 2003. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. Judaism and Reproductive Technology. (PDF, 2 MB) 2010. Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment.