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The main reasons for fertility tourism are legal regulation of the sought procedure in the home country, or lower price. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older.

Hormonal abnormalities can sometimes be treated with medicine or surgery. Klinefelter�s Syndrome: Is a genetic condition in which each cell in the human body has an additional X chromosome--men with Klinefelter�s Syndrome have one Y and two X chromosomes.  Physical symptoms include peanut-sized testicles and enlarged breasts.  A chromosome analysis is used to confirm this analysis.  If this condition is treated in its early stages (with the drug hCG), sperm production may commence and/or improve.  However, Klinefelter�s Syndrome eventually causes all active testicular structures to atrophy.  Once testicular failure has occurred, improving fertility is impossible. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. IVF is Generally Performed in the Following Manner: The woman undergoes gonadotropin injections, which stimulate the ovaries to produce many eggs. The more fetuses there are, the higher the risk of premature labor.

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There are many disorders that may impact the ability for a woman to ovulate normally. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur.

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Previously, metformin was recommended as treatment for anovulation in polycystic ovary syndrome, but in the largest trial to date, comparing clomiphene with metformin, clomiphene was more effective than metformin alone.[21] Following this study, the ESHRE/ASRM-sponsored Consensus workshop do not recommend metformin for ovulation stimulation.[22] Subsequent randomized studies have confirmed the lack of evidence for adding metformin to clomiphene. Castration of the affected testis may allow the other testis to regain its ability to produce sperm, but the prognosis is guarded.

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29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted. The main causes of tubal infertility are pelvic infections caused by bacteria such as chlamydia, previous abdominal disease or surgery and ectopic pregnancy. • Endometriosis is characterised by excessive growth of the lining of the uterus. Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. There are three main types of sperm antibodies: Immunoglobulin G (IgG) Immunoglobulin A (IgA) Immunoglobulin M(IgM). Treatment of Endometriosis Endometriosis treatment may be divided according to the severity of the disease and patient needs. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. The use of surgical humidification therapy, which is the use of heated and humidified CO2 for insufflation, has been shown to reduce this risk.[27] Many patients with existing pulmonary disorders may not tolerate pneumoperitoneum (gas in the abdominal cavity), resulting in a need for conversion to open surgery after the initial attempt at laparoscopic approach.