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If the E2 and FSH levels are in the normal range, clomiphene citrate is the drug of choice, as previously described. Sex any other time, even the next day after ovulation, will not result in conception. “We generally advise couples to seek fertility evaluations if they are unable to conceive after 12 months of unprotected intercourse,” says Lawrence Ross, MD, president of the American Urological Association.

549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. The epididymis is a coil-like structure in the testicles which helps store and transport sperm.

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It is a new opportunity, not only for partners with lack of gamets, but also for homosexuals and single people who wants to have offspring. WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). These tests are used to determine gland failure or obstruction.

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Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. However, it could be the future for the treatment of multiple diseases, including infertility. 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.

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Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. ART procedures, such as GIFT, IVF, and ICSI, also can be used in cases of male infertility. Fertility is not an issue for some patients affected by DES, and they remain undiagnosed until they have an abnormal Papanicolaou test result. Other considerations include preconception screening and vaccination for preventable diseases such as rubella and varicella, sexually transmitted infections, and cervical cancer, based on appropriate guidelines and risk. Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history. Thus one of the requirements is normal spermatogenesis – normal sperm count, motility and biologic structure and function. Suspect antisperm antibodies when semen analysis reveals abnormal clumping, agglutination, unexplained decreased motility, or an abnormal postcoital test result. These patients are often tall and severely oligospermic or azoospermic. The chance of a live birth following treatment is nearly 50% [25].