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This leads to the final maturation and release of the egg. Practice Committee of American Society for Reproductive Medicine. The normal working of the male reproductive system involves first the production of sufficient numbers of functional sperm cells and then the delivery of these sperm to the ejaculate.

Congenital forms of anestrus may be due to lack of function of the hypothalamic-pituitary axis or ovarian dysgenesis. Linthicum, Md.: American Urological Association, Inc.; 2010.

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Investigations Infertile couples are usually adviced to start their investigations after 12 months of trying to conceive or after 6 months if the female partner is more than 35 years old or immediately if there is an obvious cause for their infertility or subfertility [16]. Low weight: Obesity is not the only way in which weight can impact fertility. An ultrasound scan can detect an ectopic pregnancy. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature. Gonadotrophins for idiopathic male factor subfertility.

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Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998. Other considerations include preconception screening and vaccination for preventable diseases such as rubella and varicella, sexually transmitted infections, and cervical cancer, based on appropriate guidelines and risk.

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Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978. 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. Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. Vause TD, Cheung AP, Sierra S, et al.; Society of Obstetricians and Gynecologists of Canada. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1). Management of the infertile couple: an evidence-based protocol. Intercourse 2 or 3 times per week may be considered average, although the frequency varies. The main causes of tubal infertility are pelvic infections caused by bacteria such as chlamydia, previous abdominal disease or surgery and ectopic pregnancy. • Endometriosis is characterised by excessive growth of the lining of the uterus.


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