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Mutations in the Cystic Fibrosis Gene in Patients with Congenital Absence of the Vas Deferens. (PDF, 5 MB) New England Journal of Medicine, 1995. Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. 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. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993.

Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. 29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted. Radiopaque dye is instilled into the uterine cavity through the cervix and x-rays are taken. If the correction is not done, it may be harder for the sperm to get to the female's cervix.

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Structural abnormalities in the uterus: these can affect the cervix or the uterine corpus.  Anomalies can be anatomical (septate uterus, T-shaped uterus, etc.) or pathologies that generate embryo implantation issues or issues with how the pregnancy progresses: polyps, endometritis, Asherman's syndrome - synechiae or adherences of the walls of the uterine cavity - or myomas, a benign tumour that generates anatomical distortion and makes getting pregnant complicated (this is one of the most common pathologies but does not necessarily cause fertility issues). Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment. If the urinary output remains low, albumin 25% (50 mL/h IV for 4 h) has been effective in promoting diuresis. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW.

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Graft-versus-host Reactivity and Renal Allograft Survival in Rats Given Allogeneic Spleen Cells or Spleen Allografts.(PDF, 2 MB) Transplantation, 1976. Fertility treatment with donor eggs is usually done using IVF. Patients have with small- to normal-sized testes and azoospermia, but normal secondary sex characteristics. Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network.

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What’s on the Mind of IVF Consumers? (PDF, 627 KB) Reproductive BioMedicine Online, 2009. For hysterosalpingography, water-soluble contrast material is supplied into the cavum uteri. The pregnancy test is then performed 2 weeks after the egg retrieval. Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. Bromocriptine (Parlodel): This drug inhibits prolactin production. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. Epidemiology of infertility For healthy young couples, the probability of getting pregnancy per a reproductive cycle is about 20% to 25%. Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975.