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Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. Restrict the treatment to 4 ovulatory cycles because 85% of patients conceive by the fourth ovulatory cycle. [204] If pregnancy is not achieved, further evaluation is required to exclude other factors that may be associated with infertility and may interfere with the success of CC therapy. Having sex near the time of ovulation is the best way to increase the chance of becoming pregnant. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973.

If the woman is over the age of 35 years old, she may be infertile if she has not become pregnant after 6 months of trying. Regardless of the treatment approach, establish a 6- to 12-month interval during which a spontaneous pregnancy is expected to occur.

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PID can damage and scar the fallopian tubes, making it virtually impossible for an egg to travel down into the womb. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Epidemiology of infertility For healthy young couples, the probability of getting pregnancy per a reproductive cycle is about 20% to 25%. 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. Treatment of Secondary Amenorrhea and Oligo-ovulation Once the diagnosis is established and any other endocrinopathy has been excluded, the ovulation induction agent of choice depends on a functioning hypothalamic-pituitary-ovarian axis.

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Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. American Urological Association Education and Research, Inc. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory.

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Both pituitary insufficiency and pituitary excess cause infertility. Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. Overweight or obesity: This may reduce the chance of conceiving. The most common of these tests include measurements of blood levels of certain hormones such as estradiol and FSH, which are related to ovarian function and overall egg numbers; TSH, which assesses thyroid function; and prolactin, a hormone that can affect menstrual function if elevated. It is specially oriented for cancer patients, whose sperm is destroyed due to the gonadotoxic treatment they are submitted to.[70] Ovaric stem cells: it is thought that women have a finite number of follicles from the very beginning. Advising surgery in cases of primary infertility is difficult. Because cortisol is not secreted, a lack of feedback inhibition on the pituitary gland occurs, leading to adrenocorticotropic hormone (ACTH) hypersecretion.


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See also
Infertility Treatments in Chandigarh
Infertility Clinics in Doha Qatar
Infertility Treatment in Malayalam