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Sign up for the free AFP email table of contents.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400. Between 45 and 50 percent of cases are thought to stem from factors that affect the man.

Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. Electric or vibratory stimulation to achieve ejaculation: Ejaculation is achieved with electric or vibratory stimulation. Diagnosis is based on history, physical examination, biochemical evaluation, ultrasonography, and laparotomy. Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010. The main causes of tubal infertility are pelvic infections caused by bacteria such as chlamydia, previous abdominal disease or surgery and ectopic pregnancy. • Endometriosis is characterised by excessive growth of the lining of the uterus.

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The initial dosage of clomiphene is 50 mg daily for five days starting on day 3 to 5 of the menstrual cycle. 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.

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Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). Afterwards, fertilized eggs are placed directly into a fallopian tube (as with GIFT) and not into the uterine cavity. The likelihood of fertilization improves significantly for men with low sperm concentrations.

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Tests and trials are available, but testing does not always reveal a specific cause. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. Assisted conception The following methods are currently available for assisted conception. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. The new generations of available gonadotropins are produced by genetically engineered mammalian cells (ie, Chinese hamster ovary cells), in which the gene coding for the alpha and beta FSH subunits has been inserted (follitropin alfa [eg, Gonal F] and follitropin beta [eg, Follistim AQ]). [185] Recombinant LH may beaddedtorecombinantFSHprotocolsasanalternative,particularlyuseful in patients with hypothalamic amenorrhea. The doctor or WHNP may also be able to suggest lifestyle changes to increase the chances of conceiving.[65] Women over the age of 35 should see their physician or WHNP after six months as fertility tests can take some time to complete, and age may affect the treatment options that are open in that case. In another 30% of all cases, the cause is in the male partner. Bromocriptine (Parlodel): This drug inhibits prolactin production. Fertility treatments for men Treatment will depend on the underlying cause of the infertility. IVF involves removal of eggs directly from the ovary, fertilization with sperm in the laboratory, followed by transfer of the embryos directly into the uterus, thereby bypassing the tubes. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory.