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Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. Afterward, the embryo transfer follows with a sterile special catheter into the cavum uteri. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME).

Because cyclicity in queens is determined by photoperiod, lighting conditions should be appropriate for several months before congenital anestrus is diagnosed and exogenous hormones are administered. 29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted.

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43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. In men, exposure to lead can reduce both sex drive and sperm count. Men with Infertility Caused by AZFc Deletion can Produce Sons by Intracytoplasmic Sperm Injection, but are Likely to Transmit the Deletion and Infertility. (PDF, 102 KB) Human Reproduction, 1999.

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For an appendectomy, the right shoulder can be particularly painful. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT. However, future pregnancy is possible with the other ovary and tube. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. In some couples who have been unable to reproduce, tests fail to find the cause of infertility.

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The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. 8 However, if your doctor diagnoses you with infertility, then it’s likely that you’ll need some additional help to conceive.  This may be as simple as timing when you have sex, or you may need more advanced fertility treatment.   Discovering that you’re infertile can be overwhelming, but the right support can help you to conceive successfully. Men with elevated prolactin levels present with gynecomastia, diminished libido, erectile dysfunction, and occasionally galactorrhea. Most of the time, basic semen analysis is all that's needed to diagnose male infertility. Abnormal semen may not be able to carry the sperm effectively. Ideally, using strict morphology criteria, a minimum of 5 – 15% normal forms leads to a better ability for sperm to fertilize the egg. Medical management: - Ovarian suppression of minimal and mild endometriosis diagnosed as the cause of infertility in women does not enhance fertility and should not be offered.


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See also
Infertility and Undescended Testes
Diseases of Infertility
Endometriosis and Infertility Medscape