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Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. The other cases are caused by a mixture of male and female problems or by unknown problems. The opening improves the ability of the embryo to implant into the uterine lining. Factors Affecting Fertility: STIs and Other Infections Gonorrhea and chlamidia in women can cause cervicitis and pelvic inflammatory disease (PID); and in men, urethritis, epididymitis, and, possibly, accessory gland infection.

IVF/ICSI 38. Controlled ovarian stimulation: - By urinary or recombinant FSH and/or HMG. - Dose depends on age, BMI, presence of PCO and ovarian reserve. - Monitoring of folliculometry by USS and E2. Triggering of ovulation: - By urinary of recombinant HCG, 36 before oocyte retrieval. Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. Patients with azoospermia should have a postejaculatory urine sample analyzed for sperm, should be evaluated for ejaculatory duct obstruction, and should undergo a hormonal evaluation. Theoretically, with this therapy, we can get artificial gamets in vitro. Our miscarriage clinic can help investigate these issues and attempt to help couples with any future pregnancy. Thus it is essential to evaluate both the man and the woman.

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Even more Info About Consensus on Infertility Treatment Related to Polycystic Ovary Syndrome

Ovulation disorders appear to be the most common cause of infertility in women. GnRH analog ([GnRHa], leuprolide acetate, nafarelin acetate, goserelin acetate) causes down-regulation of the pituitary, inducing chemical menopause after injections of 3.

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2012;27(8):2396–2404.   Want to use this article elsewhere? Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989.

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Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility. Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment. There are many disorders that may impact the ability for a woman to ovulate normally. This allows the physician to evaluate the woman for any pelvic disease, particularly endometriosis, which may interfere with conception. 37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone. Prolactin stimulates breast development and lactation; therefore, patients with infertility due to a prolactinoma may have gynecomastia and galactorrhea.