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WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel. 16. Investigation of suspected tubal and uterine abnormalities: 1.

2012;27(8):2396–2404.   Want to use this article elsewhere? If the E2 and FSH levels are in the normal range, clomiphene citrate is the drug of choice, as previously described.

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There are different studies, for both women and men.[69] Spermatogonial stem cells trasplant: it takes places in the seminiferous tubule. According to the Office on Women's Health, about a third of issues with infertility comes from women, and another third starts with men. Also possible is increased body mass and facial hair, which is relatively easy to treat, and is often associated with PCOS, or polycystic ovary syndrome.

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Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). The urine specimen must be centrifuged immediately. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube.

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25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. Other factors, such as luteal phase defect or production of anti-sperm antibodies. 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. Some women are infertile because their ovaries do not mature and release eggs. Health problems such as mumps or hormone problems. Intra-uterine insemination for male subfertility. One-third of couples will discover fertility problems in only the woman. Epidemiology[edit] Prevalence of infertility varies depending on the definition, i.e. on the time span involved in the failure to conceive. Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse. As sperm move from the head to the tail, they mature and acquire fertilization capacity.