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Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Tests and trials are available, but testing does not always reveal a specific cause. Your physician will discuss these approaches to having a baby if appropriate to your particular case. Choose a single article, issue, or full-access subscription. This process has revolutionized assisted reproductive technology and the way reproductive endocrinologists can help people in having a baby.

It works in the following way: Clomiphene is an anti-estrogen. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. Endometriosis (especially if chronic), uterine fibroids (myomas), or an abnormally-shaped uterus might interfere with conception as well.  Age  As women grow older, it usually becomes more challenging for them to conceive. Unlike female infertility (where irregular periods may hint at a problem), obvious symptoms are not common with male infertility. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility.

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They compete with endogenous GnRH molecules for the pituitary receptors and provoke a massive release of gonadotropins into circulation. The good news is that most cases of male infertility can be resolved either by treating the problem or using fertility treatments. Blood test: This can assess hormone levels and whether a woman is ovulating.

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New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. Female age of 35 years or older: For unclear reasons, egg numbers decrease at a rapid rate as women age. Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. Prior surgeries Certain surgeries may prevent you from having sperm in your ejaculate, including vasectomy, inguinal hernia repairs, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others. The laboratory evaluation begins with a semen analysis. Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea.

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If ovulation does not occur with the 50-mg dose, the CC dose must be increased in subsequent cycles to 100 mg for 5 days. The embryo is then placed in the uterus to begin a pregnancy. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. Premature Ejaculation: Is defined as an inability to control the ejaculatory response for at least thirty seconds following penetration.  Premature ejaculation becomes a fertility problem when ejaculation occurs before a man is able to fully insert his penis into his partner�s vagina.  Premature ejaculation can be overcome by artificial insemination or by using a behavioral modification technique called the �squeeze technique� which desensitizes the penis. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility. It also shows if there are any abnormalities in the uterine cavity, such as polyps or submucous fibroids; or abnormalities of the tubes, such as evidence of salpingitis. Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. Several studies indicate that in some cases, a simple change in lifestyle could help patients suffering from anovulation. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. Growth of Baby Kidneys Transplanted into Adults. (PDF, 1 MB) Archives of Surgery, 1976. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg.