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Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. Choice of infertility treatment often related to issues of efficacy, cost, ease of use or administration, and its side effects. However, the optimal dosage and length of administration is under investigation. [170, 171] Aromatase inhibitors are generally well tolerated. Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008.

Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse. The success of the procedure is related to the diameter of the hydrosalpinx and to the damage to the cilial epithelium. A lower concentration may lead to a lower chance for conception without treatment; 3) sperm motility or movement – a normal motility should be at least 50%.

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4 mL and an increase in sperm density by 10-15 million sperm/mL, for up to 7 days. Delayed conception and active and passive smoking.

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Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. Cabergoline is associated with fewer side effects but is more expensive. A low testosterone level with a low FSH level signals a secondary cause. A history of pelvic infections or sexually transmitted diseases: Sexually transmitted infections, such as chlamydia or gonorrhea, can cause inflammation and permanent scarring of the fallopian tubes.

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Usually, one incision is placed near the navel and a second near the pubic hairline. Cholesterol One study has found that high cholesterol levels may have an impact on fertility in women. 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. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed. These include: age smoking tobacco or marijuana drinking alcohol history of sexually transmitted infections stress poor diet When to see a doctor Anyone experiencing signs of infertility and who has been trying to conceive for more than a year (or 6 months if older than 35 years of age) may want to speak to a doctor for a thorough diagnosis. Malformation of the eggs themselves may complicate conception. Luteal phase support. (and cryopreservation choice offered if good quality embryos are available) IVF/ICSI 37. Down-regulation: - to avoid premature LH surge and spontenous ovulation. - either GnRH agonist protocol or GnRH antagonist protocol. - always use GnRH antagonist protocol in women with high risk of OHSS. A rapid slide agglutination test (RSAT) kit to detect serum antibodies is commercially available. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Hyperandrogenemic ovarian insufficiency is characterized by an immoderate production of androgen. Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. Transsphenoidal resection of a microprolactinoma is 80-90% successful, but as many as 17% recur.