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Factors Affecting Fertility: STIs and Other Infections Gonorrhea and chlamidia in women can cause cervicitis and pelvic inflammatory disease (PID); and in men, urethritis, epididymitis, and, possibly, accessory gland infection. The risk of ovarian hyperstimulation syndrome and multiple pregnancy is heightened; therefore, hMG should be started at the minimal dose (75 IU SC qd for 7 days).

Overweight or obesity: This may reduce the chance of conceiving. Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation.

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Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Studies on Testicular Biopsies from Vasectomized Men. (PDF, 18 MB) Chapter 21 from Vasectomy: Immunologic and Pathophysiologic Effects in Animals and Man, 1979. If it stays in there, complications can develop, such as the rupture of the fallopian tube. Usually no more than 1 – 2 embryos are transferred, and therefore additional embryos can be frozen, or cryopreserved, for future use; 3) embryo donation – a process where a fully developed embryo from another person in combination w/donor sperm, or couple who underwent IVF, are donated to another woman, the future intended mother, for transfer into her uterus; and 4) gestational surrogacy – a process where another woman will undergo an embryo transfer and carry the pregnancy for another person.

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Infectious, anatomic, metabolic, and functional problems associated with infertility are seen less frequently. (Also see Infertility.) The only confirmed infectious cause of infertility in the bitch is brucellosis (see Brucellosis in Dogs). Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. Pro-life opposition to the destruction of embryos not transferred in vivo. Injuries include abdominal wall hematoma, umbilical hernias, umbilical wound infection, and penetration of blood vessels or small or large bowel.[24] The risk of such injuries is increased in patients who have a low body mass index[25] or have a history of prior abdominal surgery.

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Endometrial polyps Endometrial polyps are growths found in the uterine cavity. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. In addition, loss of peripheral visual fields bilaterally may be due to compression of the optic chiasm by the growing pituitary tumor. Obesity and increased risk for oligozoospermia and azoospermia. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. What decreases a man’s chance of impregnating a woman? 8 A high serum FSH level (greater than 30 to 40 mIU per mL [30 to 40 IU per L]) with a low estradiol level can distinguish ovarian failure from hypothalamic pituitary failure, which typically reveals a low or normal FSH level (less than 10 mIU per mL [10 IU per L]) and a low estradiol level. There are four parameters analyzed: 1) semen volume – should be at least 1. Genetic karyotyping, if a recurrent miscarriage is a problem. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 2 MB) Human Reproduction, 1996. Some women are infertile because their ovaries do not mature and release eggs. Luteal phase support. (and cryopreservation choice offered if good quality embryos are available) IVF/ICSI 37. Down-regulation: - to avoid premature LH surge and spontenous ovulation. - either GnRH agonist protocol or GnRH antagonist protocol. - always use GnRH antagonist protocol in women with high risk of OHSS. 8 Women in group I typically present with amenorrhea and low gonadotropin levels, most commonly from low body weight or excessive exercise.