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One of the common causes of infertility is infrequent intercourse. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. The optimum fertile period is around 23 years of age when only 5% of women have issues getting pregnant. Testicular Sperm Extraction (TESE) and Intracytoplasmic Sperm Injection (ICSI) for Non-obstructive Azoospermia.(PDF, 1 MB) 10th World Congress on In Vitro Fertilization and Assisted Reproduction, 1997. There are three main types of fertility treatment: medical treatment (such as ovulation induction therapy); surgical treatment (such as laparoscopy and hysteroscopy); and the different assisted reproduction techniques [37].

Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. Being obese or overweight: This can increase the risk of infertility in women as well as men. In OB-GYN residency programs, the average laparoscopy-to-laparotomy quotient (LPQ) is 0.

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Radiation therapy: This can impair sperm production. These time intervals would seem to be reversed; this is an area where public policy trumps science. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. Source : How To Use California’s Department Of Managed Health Care ... Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles. 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.

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Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977. Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. Radiation treatment and/or chemotherapy for cancer. Anatomic causes of infertility include acquired and congenital problems. 8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year.

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Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. It will take time until these studies can be available for clinics and patients as a regularity. The maximum recommended dosage is 150 mg/day for 5 days. These and many other questions will help your physician design a specific evaluation and potential treatment for you. The Strassman metroplasty consists of performing an incision at the fundus of the uterus between both cornual areas and closing the defect with an anteroposterior suture. 8 Women in group I typically present with amenorrhea and low gonadotropin levels, most commonly from low body weight or excessive exercise. LINDSAY, MD, Saint Louis University Family Medicine Residency, Belleville, Illinois KIRSTEN R. 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. Review Questions The answers can be found below the references. Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment. Chronic anovulation is a common cause of infertility. For instance, women with hyper or hypo-thyroidism sometimes have ovulation problems.