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Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. Some women have bilateral tubal occlusion, which is when both tubes are blocked.

Expectant therapy Expectant therapy should be based on a complete workup with diagnosis of very early stages of the disease (minimal) in patients without clinical symptoms, ie, an incidental finding. [145] A second-look laparoscopy is required for follow-up observation within 6-18 months. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter.

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It is said to be the most reliable way of confirming whether ovulation has occurred.[12] Women may also use ovulation predictor kits (OPKs) which detect the increase in luteinizing hormone (LH) levels that usually indicates imminent ovulation. Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. A sperm count of under 15 million is considered low. Studies have shown that psychological issues contribute to reducing the sperm quality. Paternal age > or = 40 years: an important risk factor for infertility. Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs).

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In cases when the quality of sperm is very poor, or sperm is completely absent in the ejaculate (azoospermia), donor’s sperm can be used (if culturally acceptable). Therefore, pelvic ultrasonography is required before CC is initiated. [207] Pure FSH treatment for ovulation induction is another alternative for patients with PCOS who are clomiphene resistant.

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The results of these tests help determine the best fertility treatment. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Obesity and increased risk for oligozoospermia and azoospermia. Polycystic ovarian syndrome (PCOS) is one of the most common disorders impacting ovulation. A small incision is made in the abdomen, and a thin, flexible microscope with a light at the end, called a laparoscope, is inserted through it. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. If the correction is not done, it may be harder for the sperm to get to the female's cervix. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. The identification of anovulation is not easy; contrary to what is commonly believed, women undergoing anovulation still have (more or less) regular periods. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980. Thus one of the requirements is normal spermatogenesis – normal sperm count, motility and biologic structure and function.