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Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. You take gonadotropins that trigger the development of more than one egg. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980.

European Association of Urology guidelines on male infertility: the 2012 update. Known uterine fibroids or endometrial polyps: Uterine abnormalities, such as fibroids that indent the endometrial cavity and endometrial polyps, can impair how the endometrium (the lining of the uterus) and embryo interact to lower implantation and pregnancy rates. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1. Coping mentally It is impossible to know how long treatment will go on for and how successful it will be.

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When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility. It also gives them more options in dealing with unexpected adverse events (e.g., uncontrolled bleeding) that may otherwise require creating a much larger incision and converting to a fully open surgical procedure.[5] Conceptually, the laparoscopic approach is intended to minimise post-operative pain and speed up recovery times, while maintaining an enhanced visual field for surgeons. Laparoscopic surgery includes operations within the abdominal or pelvic cavities, whereas keyhole surgery performed on the thoracic or chest cavity is called thoracoscopic surgery.

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Get Permissions Email Alerts Don't miss a single issue. Primary sterility is the complete inability to become pregnant, while secondary sterility refers to the failure to conceive after a previous successful pregnancy. 8 A high serum FSH level (greater than 30 to 40 mIU per mL [30 to 40 IU per L]) with a low estradiol level can distinguish ovarian failure from hypothalamic pituitary failure, which typically reveals a low or normal FSH level (less than 10 mIU per mL [10 IU per L]) and a low estradiol level. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Unexplained Even after a full fertility work-up, for one in five couples an exact cause of infertility cannot be determined. Studies on Testicular Biopsies from Vasectomized Men. (PDF, 18 MB) Chapter 21 from Vasectomy: Immunologic and Pathophysiologic Effects in Animals and Man, 1979.

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Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. About 25% of all infertility is caused by an ovulation disorder. Medicamentous Induction of Ovulation Ovulation inductors are used for dysfunctions in the hypophyseal-hypothalamic area. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 2 MB) Human Reproduction, 1996. Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973. However, these tests have only poor to moderate predictive value despite widespread use.