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Tests and trials are available, but testing does not always reveal a specific cause. This measurement is called the antral follicle count and may correlate with fertility potential. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation.

Abdominal myomectomy is a surgical procedure performed through a very low horizontal abdominal incision allowing access to the uterus for removal of fibroids. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection.

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Ideally, patients respond to replacement with exogenous GnRH or HCG, an LH analogue, although this does not always occur. Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated.

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Problems with any of these steps may lead to infertility.Birth outcomes are compared after elective cryopreservation and delayed transfer versus fresh embryo transfer.Semen analysis The semen analysis is the cornerstone of the male infertility workup. Clomiphene citrate and/or Metformin. - folliculometry via TVUSS should be done to avoid multiple pregnancies and risk of OHSS. - Not for more than 6 months. If a woman has an ovulation disorder, she may ovulate infrequently or not all.

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Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. Septate uterus The hypothesis that a uterine septum can cause infertility is controversial. 4 IU per L]) can help differentiate between primary and secondary disorders. Its use is controversial in patients with a history of breast cancer. If you suspect you are infertile, see your doctor. Because of the antiestrogenic effect, CC may thicken the cervical mucus, creating an iatrogenic cervical factor that can be responsible for the lack of pregnancy in a patient who has otherwise ovulated. [165] Other adverse effects associated with CC are hot flashes, scotomas, dryness of the vagina, headache, and ovarian hyperstimulation, which, although rare, has been reported in patients who are sensitive to CC. [166, 167] Whether the use of CC increases the risk of ovarian cancer is unknown, although 2 articles illustrate a potential risk. [168] Other authorities disagree with this assumption. ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000.