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The HSG is usually scheduled between days 6 and 13 of the cycle - after bleeding and before ovulation. The cystic fibrosis transmembrane regulator (CFTR) protein plays a role in mesonephric duct development during early fetal life, so these patients may also have urinary tract abnormalities. Potential causes are unknown, but it may be related to infection, vascular disease, or bilateral testicular torsion. 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. About half the women with hormonal imbalances do not produce enough follicles to ensure the development of an ovule, possibly due to poor hormonal secretions from the pituitary gland or the hypothalamus. A woman of reproductive age who is using artificial insemination to conceive (with either partner or donor sperm) after 6 failed trials. Consider earlier referral to infertility specialists where: - the woman is aged 36 years or over. - there is a known clinical cause of infertility or a history of predisposing factors for infertility. - treatment is planned that may result in infertility (such as treatment for cancer). - People who are concerned about their fertility and who are known to have chronic viral infections such as hepatitis B, hepatitis C or HIV.

Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998. By 2014, over 5 million people had been born after being conceived through IVF. This can damage the ovaries or fallopian tubes and cause fertility problems. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH.

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As the rate of getting spontaneous pregnancy among infertile or subfertile couples is lower than that among normal fertile population, it is recommended to carry out the following diagnostic, evidence-based, work-up to detect any hidden treatable cause. Duration of Fertility after Fresh and Frozen Ovary Transplantation. (PDF, 606 KB) Fertility and Sterility, 2010.

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Infertility service use in the United States: data from the National Survey of Family Growth, 1982–2010. Sperm motility Motility is described as the percent of sperm present with flagellar motion viewed on a bright-field or phase-contrast microscope. Patients with adrenal hyperplasia and other disorders must be treated with prednisone. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed.

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Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. Basic Work-up for Infertility Detailed history and physical examination. Semen analysis. Evidence of ovulation. (Day 2-3 gonadotrophins, Day 21 progesterone) Susceptibility to rubella Cervical smear screening Screening for Chlamydia trachomatis Serum prolactin Thyroid function tests 12. Semen analysis: - semen volume: 1. Heavy, long, or painful periods Heavy periods may indicate an underlying condition affecting fertility. The WHO lower reference limit (5th percentile) is 15 million sperm per mL, or 39 million sperm per ejaculate.