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Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. Not being able to ovulate because of hormonal imbalance.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400. Testosterone therapy may allow patients to achieve normal height but does not improve spermatogenesis.

The laboratory evaluation begins with a semen analysis. If the cilial epithelium has been destroyed, the outcome of the procedure is poor, and it is better to perform a salpingectomy in preparation for future IVF. The effects of age on fertility are moderate and do not begin to take an effect until the late 30s. Make an appointment with your doctor and go over your concerns.

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Disorders of sexual differentiation result in infertility (eg, hermaphroditism, pseudohermaphroditism). Polycystic ovarian syndrome is the most frequent indication for ovulation induction. 2012;27(8):2396–2404.   Want to use this article elsewhere? If you’re having trouble conceiving, you are certainly not alone. Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010.

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Epidemiology[edit] Prevalence of infertility varies depending on the definition, i.e. on the time span involved in the failure to conceive. World Health Organization reference values for human semen characteristics. Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974.

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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. Transvaginal ultrasound – Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries. When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility. The likelihood of fertilization improves significantly for men with low sperm concentrations. 6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. 6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms.