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According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. Known male factor semen abnormalities: If a male partner has a history of infertility with a prior partner, or if there are abnormalities on his semen analysis, then we advise earlier fertility evaluation, ideally within 6 months of attempting pregnancy. A doctor or WHNP takes a medical history and gives a physical examination. The progestins that can be used and the doses are as follows: Medroxyprogesterone acetate (eg, Depo-SubQ Provera 104; administer 104 mg SC q3mo or q12-14wk) Megestrol acetate (eg, Megace 20-40 mg PO qd for up to 2 months) Norethindrone acetate (eg, Aygestin 15 mg PO qd for 6-9 months) [145, 146, 147, 148, 149, 150] The androgens used are 17-ethinyl testosterone derivatives (eg, danazol 400-800 mg PO divided BID; not to exceed 9 months) [151, 152, 153] The GnRH agonists used are as follows: Leuprolide acetate (eg, Lupron 3.

If GnRH is not secreted, the pituitary does not release LH and FSH. A causal therapeutic approach does not exist and an important component is the prevention of hyperstimulation syndrome. Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production.

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CO2 is used because it is common to the human body and can be absorbed by tissue and removed by the respiratory system. Between 45 and 50 percent of cases are thought to stem from factors that affect the man. After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. The farther from the scrotum, and the longer duration that the testicle resides outside the scrotum, the greater the likelihood of infertility. This is an uncommon type of anovulation disorder.

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ARTICLES FROM THE 2010s Ovarian Function 6 Years after Cryopreservation and Transplantation of Whole Sheep Ovaries. (PDF, 496 KB)Reproductive BioMedicine Online, 2010. Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. This abnormality is usually surgically corrected in infancy.

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Leydig cell function is impaired, and most patients are infertile due to primary testicular failure. Reduced fecundability in women with prenatal exposure to cigarette smoking. This technique is called hand-assist laparoscopy. Fertility Evaluation: General and Gynecological Examination For women, a visual evaluation of hair distribution and of body and breast development can indicate endocrinopathy or various development deficiencies. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975. Sign up for the free AFP email table of contents.Infertility definitions and terminology A couple sits at the bank of a lake in Ahmedabad, India. Obesity can increase the risk for other conditions that may impact a man's fertility such as sperm quality and sexual dysfunction. American Urological Association Education and Research, Inc. For example, treatment for Hodgkin disease has been estimated to lead to infertility in as many as 80-100% of patients.