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Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. Erectile Disfunction (ED): Also known as impotence, this condition is common and affects 20 million American men.  ED is the result of a single, or more commonly a combination of multiple factors.  In the past, ED was thought to be the result of psychological problems, but new research indicates that 90 percent of cases are organic in nature.  However, most men who suffer from ED have a secondary psychological problem that can worsen the situation like performance anxiety, guilt, and low self-esteem.  Many of the common causes of impotence include:  diabetes, high blood pressure, heart and vascular disease, stress, hormone problems, pelvic surgery, trauma, venous leak, and the side effects of frequently prescribed medications (i.e. It occurs when a woman either doesn’t ovulate regularly or doesn’t ovulate at all. Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000. Requirements for Female Fertility (Continued) Other requirements for female fertility include: Adequate sexual drive and sexual function to permit coitus.

ART: Intracytoplasmic Sperm Injection (ICSI) Another ART procedure  Intracytoplasmic Sperm Injection (ICSI)  involves the injection of a single sperm into the egg. The transit time varies with age and sexual activity but is usually from 1-12 days. 10 Data Sources: A PubMed search was completed using the key terms infertility, subfertility, treatment, etiology, and diagnosis. Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility. IVF was a major breakthrough because it allowed for successful pregnancies in women that were previous deemed permanently infertile, such as when the fallopian tubes are both markedly damaged.

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Urofollitropin (eg, Bravelle) contains 75 U of FSH. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. Often, varicoceles or past infections such as mumps orchitis are the cause of sterility.

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In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries. Clomiphene citrate and/or Metformin. - folliculometry via TVUSS should be done to avoid multiple pregnancies and risk of OHSS. - Not for more than 6 months. Tests and trials are available, but testing does not always reveal a specific cause. An ultrasound scan can detect an ectopic pregnancy. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. Estimating the prevalence of infertility in Canada [published correction appears in Hum Reprod.

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The likelihood of fertilization improves significantly for men with low sperm concentrations. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel. Uterine surgery: - Women with amenorrhoea who are found to have intrauterine adhesions should be offered hysteroscopic adhesiolysis because this is likely to restore menstruation and improve the chance of pregnancy. Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). GnRH analog ([GnRHa], leuprolide acetate, nafarelin acetate, goserelin acetate) causes down-regulation of the pituitary, inducing chemical menopause after injections of 3. Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high. Fertility may improve after adopting a gluten-free diet.Infertility can be caused by many different things. Symptoms can also depend on what is causing the infertility. The only known risk factor for Klinefelter syndrome is advanced maternal age. Fertility may improve after adopting a gluten-free diet.Infertility: Introduction Infertility is a significant social and medical problem affecting couples worldwide.