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For example, high cortisol levels are seen in patients with Cushing syndrome, which causes negative feedback on the pituitary to decrease LH release. Unexplained infertility is not the same thing as having no explanation, but rather reflects the fact that the tests performed have been normal. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. Uterine fibroids Fibroids are noncancerous growths in the uterus.

6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. Afterward, laparoscopy gained rapidly acceptance for non-gynecologic applications. Perspectives on infertility consultations in primary care: a qualitative study. A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). Factors affecting Fertility Low body weight - Women with BMI less than 19 and irregular menstruation should be counselled to gain weight. Smoking - Strong association between smoking and fertility in both partners. - Affects success rates of ARTs.

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Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. The principal indications for CC use are oligomenorrhea, especially polycystic ovarian syndrome (PCOS), and for patients with slight menstrual irregularities. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. In GIFT, the sperm and eggs are mixed together before a doctor inserts them. Health problems such as mumps or hormone problems.

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Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. Screening tests include increased plasma 17-hydroxylase and urine 17-ketosteroids. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006. The normal working of the male reproductive system involves first the production of sufficient numbers of functional sperm cells and then the delivery of these sperm to the ejaculate. For example; a woman who has no history suggestive of previous pelvic inflammatory disease or endometriosis, there is no justification to request a laparoscopy especially after normal hysterosalpingography study [33].

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Men should also avoid hot baths and whirlpools, he says, because the high temperatures slow down your sperm factory. The man must be producing healthy sperm in quantities large enough to fertilize an egg cell. Exposure to chemicals: Pesticides, for example, may increase the risk. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. 41 Treatment of Unexplained Infertility Jump to section + Couples who have no identified cause of infertility should be counseled on timing of intercourse for the most fertile period (i.e., the six days preceding ovulation). Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989. Low testosterone (male hypogonadism) and other hormonal problems have a number of possible underlying causes. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973. Production of the First Offspring from Oocytes Derived from Fresh and Cryopreserved Pre-antral Follicles of Adult Mice. (PDF, 2 MB) Reproductive BioMedicine Online, 2007. Just before those eggs would otherwise be ovulated, they are retrieved under mild anesthesia in an operating room. It was broken down into male and female categories. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998.