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The risk of ovarian hyperstimulation syndrome and multiple pregnancy is heightened; therefore, hMG should be started at the minimal dose (75 IU SC qd for 7 days). Sperm motility Motility is described as the percent of sperm present with flagellar motion viewed on a bright-field or phase-contrast microscope. To prevent further polyp development associated with anovulation, the patient should have withdrawal bleeding at least every 6 weeks.

Ultrasound can detect uterine abnormalities such as fibroids and polyps, distal fallopian tube occlusion, and ovarian abnormalities including ovarian cysts. 2) Ovulation disorders: Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse.

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Around 1/3 of infertility cases are caused by fertility problems in men4 1/3 of infertility cases are caused by fertility problems in women4 1/3 of infertility cases are caused by a mixture of male and female problems, or by problems that cannot be determined4 Infertility doesn’t necessarily mean that you won’t ever have children, but you may need the help of fertility treatment to conceive. Factors effecting normal expectancy of conception. Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. Patients have eunuchoidal body habitus, large testis, and a low ejaculatory volume. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991.

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This applies to the ability to conceive with her eggs, but not with donor eggs. Treatment of the cause: 28. Tubal and uterine factors: 4. Although the sperm count may be slightly decreased by an intercourse frequency of once per day or once every other day, the motility and number of sperm in the healthy male would be sufficient to achieve pregnancy. Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse.

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No periods It’s not uncommon for women to have an off month here and there. Men should also avoid hot baths and whirlpools, he says, because the high temperatures slow down your sperm factory. 37 Clomiphene has also proven effective for ovulation induction in women with polycystic ovary syndrome. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. In some cases, simply removing the polyp solves infertility. In order to conceive, your sperm must be:  Highly concentrated — normally, there should be at least 15 million sperm in every ml of semen5  Moving well (motile) — a lashing tail helps your sperm to swim to your partner’s egg  Normally shaped — healthy sperm should be shaped like a streamlined tadpole  You may find that your semen contains a very low number of sperm (oligozoospermia), or no sperm at all (azoospermia).