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With this treatment, the patient experience spermatogenesis, and therefore, it has the chance to have offspring if he wants to. The progestins that can be used and the doses are as follows: Medroxyprogesterone acetate (eg, Depo-SubQ Provera 104; administer 104 mg SC q3mo or q12-14wk) Megestrol acetate (eg, Megace 20-40 mg PO qd for up to 2 months) Norethindrone acetate (eg, Aygestin 15 mg PO qd for 6-9 months) [145, 146, 147, 148, 149, 150] The androgens used are 17-ethinyl testosterone derivatives (eg, danazol 400-800 mg PO divided BID; not to exceed 9 months) [151, 152, 153] The GnRH agonists used are as follows: Leuprolide acetate (eg, Lupron 3. Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help. When it is possible to find the cause, treatments may include medicines, surgery, or assisted reproductive technology. Sterility is the inability to conceive and infertility is the inability to complete a full term pregnancy and give birth to a healthy child. Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1).

75 mg intramuscularly every 4 weeks for a period of up to 6 months. [117, 120, 121, 122] Disadvantages of this treatment include symptoms of menopause, osteoporosis, and recurrence of the myomas after discontinuation of the treatment. Those with isolated right-sided varicoceles should be evaluated for retroperitoneal pathology.

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Many more couples, however, experience involuntary childlessness for at least one year: estimates range from 12% to 28%.[4] Male infertility is responsible for 20–30% of infertility cases, while 20–35% are due to female infertility, and 25–40% are due to combined problems in both parts.[2][5] In 10–20% of cases, no cause is found.[5] The most common cause of female infertility is ovulatory problems, which generally manifest themselves by sparse or absent menstrual periods.[6] Male infertility is most commonly due to deficiencies in the semen, and semen quality is used as a surrogate measure of male fecundity.[7] Women who are fertile experience a natural period of fertility before and during ovulation, and they are naturally infertile for the rest of the menstrual cycle. For a man to be fertile, the testicles must produce enough healthy sperm to be ejaculated effectively into the woman's vagina.

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Ovulation disorders About one quarter of infertility cases are due to ovulation disorders. Intra-uterine insemination for unexplained subfertility. Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI). The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. The epididymis additionally secretes substances for sperm nutrition and protection such as glycerophosphorylcholine, carnitine, and sialic acid.

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The most common disorders impacting ovulation include polycystic ovary syndrome (PCOS), hypogonadotropic hypogonadism (from signaling problems in the brain), and ovarian insufficiency (from problems of the ovary). For a woman to be fertile, the ovaries must release healthy eggs regularly. Of adults with who are infected with mumps, 25% develop orchitis; two thirds of cases are unilateral, and one third are bilateral. 389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980. As the rate of getting spontaneous pregnancy among infertile or subfertile couples is lower than that among normal fertile population, it is recommended to carry out the following diagnostic, evidence-based, work-up to detect any hidden treatable cause. That is why a continuous sonographic control and also lab-medical controls are made. Young syndrome is a condition that leads to inspissation of material and subsequent blockage of the epididymis. I cannot stress enough how amazing this staff is, they make you feel like family! Etiology of Sterility Causes of sterility can be manifold and diverse. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978.