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Helping our patients develop a deep understanding of their fertility options will make the process smoother. Eating disorders such as anorexia nervosa are also associated with extremely low BMI.

Unhealthy living and poor eating habits, as well as exposure to toxic substances such as alcohol, tobacco and other contaminants, also have a negative impact on fertility. Smoking during pregnancy increases the chance of pregnancy loss. Infertility tests for women A woman will undergo a general physical examination, and the doctor will ask about her medical history, medications, menstruation cycle, and sexual habits. Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). Heavy, long, or painful periods Heavy periods may indicate an underlying condition affecting fertility. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection.

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Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. Start CC at the initial dose of 50 mg/day for 5 days. These injections are taken nightly, typically for 5 – 10 days, and act directly on the cells of the ovary to stimulate egg development. As a woman gets older, the number of her eggs decreases rapidly. Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988.

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Fertility treatment with donor eggs is usually done using IVF. Obesity may also lead to less frequent ovulation or to less frequent intercourse, thereby contributing to fertility problems.

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These and many other questions will help your physician design a specific evaluation and potential treatment for you. Women 35 and older should see their doctor after six months of trying. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Fertility: assessment and treatment for people with fertility problems. High environmental temperature and excessive conditioning resulting in increased body temperature can induce either temporary or permanent azoospermia. A British study found that patients valued primary care physicians who were well informed about infertility and the treatment process. This pattern has been linked with aggressive behavior. In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results.