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Normal seminal fructose concentration is 120-450 mg/dL, with lower levels suggesting ejaculatory duct obstruction or absence of the seminal vesicles. Testosterone is a key hormone for male fertility, so problems with the testes that produce this hormone may lead to infertility. She records this temperature on a sheet of graph paper. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature.

42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse. The rate increases to 10-12% after CC ovulation induction and to 12-15% per cycle after hMG/hCG ovulation induction. Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995.

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This drug is administered in a pulsatile fashion every 60-120 minutes, intravenously or subcutaneously using a delivery pump. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Infertility is more likely in men who have had this condition. The eggs may never be released or they may only be released in some cycles.

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These pyramids are filled with the seminiferous tubules. A high serum estradiol level (greater than 60 to 80 pg per mL [220 to 294 pmol per L]) in conjunction with a normal FSH level has also been associated with lower pregnancy rates. However, there are various scenarios where one may be advised to seek help earlier. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. The pituitary gland controls most other hormonal glands in the human body. These numbers are comparable to those of other industrialized nations.

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6) Surgery – After a thorough history, physical examination, and ultrasound are performed, your doctor may recommend surgery to correct and abnormality. It is a new opportunity, not only for partners with lack of gamets, but also for homosexuals and single people who wants to have offspring. If you and your partner agree, extra embryos can be frozen and saved to use later. Medications, treatments, and drugs Some drugs can affect fertility in a woman. Theoretically, with this therapy, we can get artificial gamets in vitro. Treatment Possibilities: Male Infertility Surgical treatment may be successful in some cases, such as varicocele. Tubal catheterisation or cannulation: - With proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options. The best candidates for tubal reanastomosis are patients who had tubal ligation by the method of fallopian ring, Filshie clip, or Pomeroy. [144] The pregnancy rate following a tubal reanastomosis performed by a skilled surgeon fluctuates from 70-80%. Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. Serum LH determination is more precise, especially when performed in combination with pelvic ultrasonography.