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It is better for a couple to see the doctor together. The content of counselling may differ depending on the concerned couple and the existing treatment options. Paternal age > or = 40 years: an important risk factor for infertility. If the woman is over the age of 35 years old, she may be infertile if she has not become pregnant after 6 months of trying.

It delivers a constant supply of Gn-RH to the pituitary gland, which alters the production of hormone, allowing the doctor to induce follicle growth with FSH. Mutations in the Cystic Fibrosis Gene in Patients with Congenital Absence of the Vas Deferens. (PDF, 5 MB) New England Journal of Medicine, 1995. Factors like stress or heavy workouts can cause your period to temporarily disappear.

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Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. This pattern has been linked with aggressive behavior. Thus those who repeatedly spontaneously miscarry or whose pregnancy results in a stillbirth, or following a previous pregnancy or a previous ability to do so, are then not unable to carry a pregnancy to a live birth would present with secondarily infertile. (Trends in prevalence4).WHO manual for the standardized investigation and diagnosis of the infertile couple This concise 1993 volume proposes a standardized approach to the investigation of infertility.

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6,8,23 A high FSH level (10 to 20 mIU per mL [10 to 20 IU per L]) drawn on day 3 of the menstrual cycle is associated with infertility. Its treatment depends on the etiologic factor, but, in many instances, the underlying cause remains unknown.

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In some cases, simply removing the polyp solves infertility. Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction.