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Radiation therapy: This can impair sperm production. Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20).

8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year. These and many other questions will help your physician design a specific evaluation and potential treatment for you. Psychic causes are possible in women just like they are in men. Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. IVF involves removal of eggs directly from the ovary, fertilization with sperm in the laboratory, followed by transfer of the embryos directly into the uterus, thereby bypassing the tubes.

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If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. In addition, fertility treatments can be associated with health problems for women and resulting children (2), especially those related to the increased risk for multiple gestation.

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Do you have a family history of medical problems? It plays a central role in the multiple imbalances and dysfunctions of polycystic ovary syndrome. In many instances, sterility may be unexplained, but fertility treatments will be able to help. Ideally, using strict morphology criteria, a minimum of 5 – 15% normal forms leads to a better ability for sperm to fertilize the egg. Theoretically, with this therapy, we can get artificial gamets in vitro.

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This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. Hyperandrogenemic ovarian insufficiency is characterized by an immoderate production of androgen. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. Obesity and increased risk for oligozoospermia and azoospermia. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. Practice Committee of American Society for Reproductive Medicine. 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. The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). For an appendectomy, the right shoulder can be particularly painful. This technique should be reserved for myomas with a diameter less than 6 cm. [123] Several cases have been reported of uterine rupture during pregnancy because the reconstruction of the uterus after laparoscopic myomectomy was not as good as a myomectomy performed using laparotomy. [124] Operative hysteroscopy: The removal of a submucous fibroid using hysteroscopy should be limited to small fibroids (≤3 cm) with minimal compromise of the myometrium. [81] This is important to decrease the risk of excessive bleeding and to decrease the risk of electrolyte imbalance, water intoxication, and pulmonary edema from excessive intravasation of Hyskon, glycine, or sorbitol used during the procedure.


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Infertility Allopathic Medicine
Infertility Awareness Logo
Infertility Doctors in Islamabad