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Effectiveness of the postcoital test: randomised controlled trial. Nonfunctional pituitary tumors may compress the pituitary stalk or the gonadotropic cells, interrupting the proper chain of signals leading to pituitary failure. Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. It is more successful in women who have previously been pregnant.

Semen analysis – The semen analysis is the main test to evaluate the male partner. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation.

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Metabolic causes of infertility, other than in severely ill individuals, are rare. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection.

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If a woman has cycles at intervals of greater than 35 days, it may indicate that she is not ovulating an egg predictably, or even at all. Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. The doctor may ask about the couple's sexual habits and make recommendations regarding these.

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Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Embryos transfer is performed in the office under abdominal ultrasound guidance using a small, soft, sterile and flexible catheter. Causes in men The following are common causes of infertility in men. A detailed history and physical examination is necessary for both partners. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. Following his lecture on laparoscopic appendectomy, the president of the German Surgical Society wrote to the Board of Directors of the German Gynecological Society suggesting suspension of Semm from medical practice. These factors may interfere with embryo implantation and a woman’s ability to carry pregnancy to term. Laparoscopy with hydrotubation - if the clinical situation suggests this is required . Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). Treatment options available for any particular infertile couple will depend also on the duration of their infertility, which partner is affected, the age of the female partner and if any has a previous children or not, the underlying pathological cause, and if the treatment will be covered by the National Health System (NHS) or funded by their own.