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Consequently, amenorrhea, an anovulatory cycle, and corpus luteum deficiency can develop. Allied and Complementary Medicine Database (AMED), ... They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder. These may cause abortion, neonatal death, fetal resorption, and apparent infertility.

The more fetuses there are, the higher the risk of premature labor. This technique involves an injection of a single healthy sperm directly injected into mature egg. Defects in cilia Immotile cilia syndrome may occur as an isolated disorder or as part of Kartagener syndrome with situs inversus. The farther from the scrotum, and the longer duration that the testicle resides outside the scrotum, the greater the likelihood of infertility. Investigations Infertile couples are usually adviced to start their investigations after 12 months of trying to conceive or after 6 months if the female partner is more than 35 years old or immediately if there is an obvious cause for their infertility or subfertility [16]. Unfortunately, some men have to cope with the reality that nothing can be done about their infertility.

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If the fallopian tubes are beyond repair, bilateral salpingectomy with destruction of the cornual area is recommended in preparation for IVF. Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010. Infertility and Impaired Fecundity in the United States, 1982-2010: Data from the National Survey of Family Growth.

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The Strassman metroplasty consists of performing an incision at the fundus of the uterus between both cornual areas and closing the defect with an anteroposterior suture. Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996. Successful Pregnancy after Microsurgical Transplantation of an Intact Ovary. (PDF, 438 KB) The New England Journal of Medicine, 2008.

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Idiopathic hypogonadotropic hypogonadism A failure of GnRH secretion without any discernible underlying cause may be observed alone (isolated) or as part of Kallmann syndrome, which is associated with midline defects such as anosmia, cleft lip and cleft palate, deafness, cryptorchidism, and color blindness. 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). Although tubal disease was the original indication for IVF, many more indications have developed over the years. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. 0 mm flexible plastic tube is inserted into the uterine cavity through the cervix and a small piece of endometrial tissue is sampled using suction. Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization. A history of sexually transmitted infections could be another cause of infertility in either partner. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination. Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972. These abnormalities can also cause irregular bleeding between menstrual cycles. Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. Women with regular menstrual cycles are likely to be ovulating and should be offered serum progesterone testing at day 21 to confirm ovulation. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981.