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Treatment of tubal obstruction generally requires referral for subspecialty care. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Letrozole has a very short half-life (45 hours) and, therefore, is quickly cleared from the body. Asthenozoospermia refers to reduced sperm motility. Causes in men The following are common causes of infertility in men.

GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. They may benefit from referral to a physician comfortable with prescribing pulsatile administration of gonadotropin-releasing hormone or gonadotropins with luteinizing hormone activity to induce ovulation. The fluid comes from the prostate gland, the seminal vesicle, and other sex glands. The chance of a live birth following treatment is nearly 50% [25].

More Information About Internal Ultrasound Infertility

More Info Around Internal Ultrasound Infertility

The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries. Surgeons who choose this hand-assist technique feel it reduces operative time significantly versus the straight laparoscopic approach.

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There are four parameters analyzed: 1) semen volume – should be at least 1. Fertility may improve after adopting a gluten-free diet.Infertility: Introduction Infertility is a significant social and medical problem affecting couples worldwide. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Lifestyle Factors Jump to section + All couples should be counseled to abstain from tobacco use, limit alcohol consumption, and aim for a body mass index less than 30 kg per m2 to improve their chances of natural conception or using assisted reproductive technology. Men with Infertility Caused by AZFc Deletion can Produce Sons by Intracytoplasmic Sperm Injection, but are Likely to Transmit the Deletion and Infertility. (PDF, 102 KB) Human Reproduction, 1999. Additional information regarding infertility is available at . Thankfully, even when the cause of infertility is not known, various fertility treatments can overcome the unknown road block that was preventing pregnancy and eventually lead to delivery of a healthy baby.

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Hysterosalpingogram (HSG) – This test is essential for evaluating fallopian tubal patency, uterine filling defects such as fibroids and polyps, and scarring of the uterine cavity (Asherman syndrome). Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. Amenorrhea (absence of menstruation) occurs in about 20% of women with ovulatory dysfunction. Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. Syndromes such as Klinefelter’s syndrome, cystic fibrosis, Kallmann’s syndrome, and Kartagener’s syndrome. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. It is better for a couple to see the doctor together.