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Consequently, the patient with PCOS becomes responsive to CC ovulation induction. The epididymis is a 3- to 4-cm long structure with a tubular length of 4-5 m. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. Worldwide, 8 to 12 percent of couples experience fertility problems. In most cases however, sperm function may not improve and therefore any attempts at pregnancy may require additional treatments or procedures performed by our clinic. If stem cells remain viable after radiation therapy, patients may regain fertility within several years.

Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. The eggs may never be released or they may only be released in some cycles. If a woman has an ovulation disorder, she may ovulate infrequently or not all. Used by some clinicians to evaluate the motility of the sperm and its ability to travel through the cervical mucus. Once a diagnosis has been made, you and your partner can consider the various treatment options.

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The patient's electrolyte levels must be checked to consider the need for diuretics. Chemotherapy Chemotherapy is toxic to actively dividing cells. 4) In Vitro Fertilization (IVF): In vitro means “outside the body.” IVF is a process whereby eggs are collected and then fertilized by sperm outside the body, in an embryology laboratory.

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48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur.

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No role for: Post-coital testing for cervical mucous. Endometrial Biopsy. These assistance systems meet the demands of true solo surgery assistance systems and are robust, versatile, and easy to use. Clomiphene citrate and/or Metformin. - folliculometry via TVUSS should be done to avoid multiple pregnancies and risk of OHSS. - Not for more than 6 months. Fertility treatment with donor eggs is usually done using IVF. Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea. A subgroup of patients has PCOS with hyperinsulinism, hyperandrogenism associated with acanthosis nigricans, and resistance to CC. [205, 206] This group is amenable to metformin treatment. [207, 208] Metformin improves insulin sensitivity and decreases hepatic gluconeogenesis and, therefore, reduces hyperinsulinism, basal and stimulated LH levels, and free testosterone concentration. Low testosterone (male hypogonadism) and other hormonal problems have a number of possible underlying causes. Female and male factors are equally responsible for infertility, about 30% to 40% each, and in 20% of the cases, there is a combination of both. After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Causes of Infertility A problem in any one of a number of key processes can result in infertility. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility.