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Listen to Mr Brook talk about male infertility Find out more about ICSI. Four alternatives are currently available to treat endometriosis: expectant therapy, surgical intervention, medical treatment, and combined therapy. Painful or heavy periods Most women experience cramps with their periods. Once the synechiae have been resected, leaving an intrauterine balloon for 7 days is advisable to prevent a recurrence of adhesions.

Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. 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. 8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995.

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One-third of couples will discover fertility problems in only the woman. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. 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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To prevent thromboembolism, a sufficient intake of fluids is necessary; also, ascites and pleural effusions should not lead to the wrong track and lead to a restriction of fluids. Polycystic ovarian syndrome (PCOS) is one of the most common disorders impacting ovulation.

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For women, being underweight and having extremely low amounts of body fat are associated with ovarian dysfunction and infertility and they have a higher risk for preterm birth. The transit time varies with age and sexual activity but is usually from 1-12 days. Infertility: Female and Male Factors It is very important to note that infertility can occur as a result of one or more male or female factors. On the other hand, excess weight can also create ovarian dysfunctions. If resistant to the above, offer: - laparoscopic ovarian drilling, or, - ovulation induction via gonadotrophins. Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop. To assist in the luteal phase, the patient is given beta-HCG or progesterone. To prevent further polyp development associated with anovulation, the patient should have withdrawal bleeding at least every 6 weeks. These and many other questions will help your physician design a specific evaluation and potential treatment for you. Nonchromosomal testicular failure Testicular failure that is nonchromosomal in origin may be idiopathic or acquired by gonadotoxic drugs, radiation, orchitis, trauma, or torsion. Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy. Many infertile couples have had some previous assessment for their infertility and this data should be cautiously reviewed. Exogenous testosterone should never be administered in an attempt to boost sperm production because it actually decreases intratesticular testosterone levels owing to feedback inhibition of GnRH release. Women attempting pregnancy at age 40 or older have a 50% decreased fertility rate and a two-fold to three-fold increased risk of spontaneous abortion compared with younger women.