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Men with elevated prolactin levels present with gynecomastia, diminished libido, erectile dysfunction, and occasionally galactorrhea. Summary Infertility is a significant medical and social problem affecting couple worldwide. It is a sensitive issue that should be handled with great care with continuous professional counselling. Most young couples will conceive naturally within 2 years. Evaluation of both partners for causes is essential. Treatment depends on the cause, and varies from medical treatment to surgery to ART. Regression of Metastases after Nephrectomy for Renal Cell Carcinoma. (PDF, 1 MB) British Journal of Urology, 1975. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility.

IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women.

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A history of sexually transmitted infections could be another cause of infertility in either partner. Blood test: This can assess hormone levels and whether a woman is ovulating. It varies with the age (the optimal female age is between 23 and 39 years) and with body weight (the ideal body mass index is between 19 and 30). Prolonged anestrus may be congenital or acquired. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996.

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In some cases, the egg may have matured properly, but the follicle may have failed to burst (or the follicle may have burst without releasing the egg). The pregnancy test is then performed 2 weeks after the egg retrieval. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995.

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8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1. Report on optimal evaluation of the infertile male. Radiation therapy: This can impair sperm production. It's sometimes done while you're taking meds that help trigger the release of an egg. FSH stimulates the Sertoli cells to facilitate sperm production, while LH stimulates testosterone release from the Leydig cells. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. Polyps and submucous fibroids can be removed during this procedure. Optimizing natural fertility: a committee opinion. If you suspect you are infertile, see your doctor. Come and meet us to find out more about how we can help you.