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Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. This situation can be related to the presence of other endocrine disorders such as hyperprolactinemia, congenital adrenal hyperplasia, adrenal tumors, Cushing syndrome, thyroid dysfunction, and extreme obesity.

The risk of ovarian hyperstimulation syndrome and multiple pregnancy is heightened; therefore, hMG should be started at the minimal dose (75 IU SC qd for 7 days). 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance.

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Signs of Potential Infertility in Men Infertility symptoms in men can be vague. Depending on the therapeutic agent and the duration of treatment, endometriosis can be treated with oral contraceptives, progestins, androgens, or GnRH agonists. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. Microcirugía y fertilición in vitro para la azoospermia obstructiva. (PDF, 5 MB) Chapter 14 from textbook, Avances en reproducción asistida, 1992.

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The NICE guidance has more about unexplained infertility. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. Men should undergo evaluation with a semen analysis. If pregnancy has not been established within a reasonable time, further evaluation and/or an alternative treatment plan should be considered. Retrograde Ejaculation: Is a condition in which semen is ejaculated into the bladder rather than out through the urethra because the bladder sphincter does not close during ejaculation.  If this disorder is present, ejaculate volume is small and urine may be cloudy after ejaculation.  This condition affects 1. Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998.

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Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. Ovulation induction is somewhat different from controlled ovarian hyperstimulation, which involves the use of some of the same medications to stimulate the development of multiple mature follicles and eggs in order to increase pregnancy rates with various infertility treatments. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse. On the other hand, some surgeons continue to use the single clip appliers as they save as much as $200 per case for the patient, detract nothing from the quality of the clip ligation, and add only seconds to case lengths. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Some causes, such as hyperprolactinemia, are reversible with proper treatment. If abundant good sperm are found in the testicle, there's likely a blockage somewhere. However, the presence of fibroids alone doesn’t necessarily cause infertility or predispose a woman to pregnancy loss. It will take time until these studies can be available for clinics and patients as a regularity. Ovarian Hyperstimulation Syndrome (OHSS) The syndrome occurs due to treatment with medicamentous ovulation inductors.