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Metabolic causes of infertility, other than in severely ill individuals, are rare. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980.

Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974. Patients with hyperthyroidism or hypothyroidism must be treated accordingly. [210, 211] Weight reduction should be part of the treatment because it helps the patient's response to ovulation induction. [212] Treatment of Male Factors Asthenospermia associated with varicocele is treated surgically with varicocelectomy or with embolization of the spermatic veins. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women.

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Suspect antisperm antibodies when semen analysis reveals abnormal clumping, agglutination, unexplained decreased motility, or an abnormal postcoital test result. Advances in assisted reproductive technologies, such as IVF, can offer hope to many couples where treatment is available, although barriers exist in terms of medical coverage and affordability. Disadvantages of IVF include failure to conceive, OHSS and expensiveness. Your physician will examine you carefully to determine if you have fibroids and if removal is necessary.

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Infertility caused by DNA defects on the Y chromosome is passed on from father to son. Ovulation should be documented by serum progesterone level measurement at cycle day 21. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999.

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The severity usually depends on how near to the testicles the radiation was aimed. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. As a result, infertility has come to be defined as the inability to conceive within 12 months. United Kingdom[edit] In the UK, previous NICE guidelines defined infertility as failure to conceive after regular unprotected sexual intercourse for two years in the absence of known reproductive pathology.[11] Updated NICE guidelines do not include a specific definition, but recommend that "A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility, should be offered further clinical assessment and investigation along with her partner, with earlier referral to a specialist if the woman is over 36 years of age."[12] Other definitions[edit] Researchers commonly base demographic studies on infertility prevalence on a five-year period.[13] Practical measurement problems, however, exist for any definition, because it is difficult to measure continuous exposure to the risk of pregnancy over a period of years. If fimbriectomy was performed, no treatment is available other than IVF. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. Unlike IVF, in which actual fertilization is observed and confirmed in the laboratory, GIFT does not allow visual confirmation of fertilization. Get Permissions Email Alerts Don't miss a single issue. 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. Stem cell therapy[edit] Nowadays, there are several treatments (still in experimentation) related with stem cell therapy.