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Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. In younger women taking them at lower doses for a short period of time, fewer adverse effects are noted. A treatment plan should be generated according to the diagnosis, duration of infertility, and the woman's age. Men should undergo evaluation with a semen analysis.

Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. Testosterone and estradiol function as feedback inhibitors of gonadotropin release. If too many embryos develop, one or more can be removed. Live Birth Following Day Surgery Reversal of Female Sterilisation in Women Older then 40 Year: A Realistic Option in Australia? (PDF, 156 KB) Medical Journal of Australia, 2007. Not getting pregnant The primary sign of infertility is not getting pregnant after trying for a certain length of time.

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Myth MYTH: If men ejaculate, they are fertile TRUTH: Ejaculation doesn't mean fertility. Unexplained infertility in women or men may be managed with another year of unprotected intercourse, or may proceed to assisted reproductive technologies, such as intrauterine insemination or in vitro fertilization.

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In some women, and especially with age, the membrane becomes harder. Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. IVF treatment may be suggested if IUI is not successful or appropriate, or if female infertility is a contributing problem.

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Your doctor will carry out a series of tests to diagnose what’s causing your fertility difficulties.  There are many reasons why you may have problems conceiving, including:  Your sperm does not have the concentration, motility or shape required to conceive Existing medical conditions that affect your fertility, such as issues with sperm production or duct obstructions  Your sperm may not be strong or healthy enough to fertilise your partner’s egg  As your partner gets older, her fertility quickly declines3 Depending on the cause, your doctor will recommend a treatment path for you. For the past 20 years, hMG and its derivatives have been the first choice for controlled ovarian hyperstimulation in assisted reproductive technologies. Cabergoline is associated with fewer side effects but is more expensive. If endometriosis is found, it can be surgically removed by various methods, and its removal may lead to a decrease in pain as well as improvement in the ability to conceive naturally. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. In patients with low gonadotropins and low estrogen, the treatment of choice is hMG, and the protocol is similar to that for patients with primary amenorrhea. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. Human male infertility, the Y chromosome, and dinosaur extinction. (PDF, 1 MB) Middle East Fertility Society Journal, January 18, 2011.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400.