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Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse. Treatment of Secondary Amenorrhea and Oligo-ovulation Once the diagnosis is established and any other endocrinopathy has been excluded, the ovulation induction agent of choice depends on a functioning hypothalamic-pituitary-ovarian axis.

Fertility Evaluation: Obstetric and Gynecological History The obstetric and gynecological history should include: Reproductive history (children, mode of delivery, prematurity, stillbirth, extrauterine pregnancy, spontaneous and induced abortion, fertility and infertility in earlier relationships). Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Diagnostic evaluation of the infertile female: a committee opinion. ARTs have made conception possible even for men with very low or abnormal sperm. Terra Cotta Ave (Rte 176) Suite 118 Crystal Lake, IL 60014 Phone: (815) 356-1818 Fax: (815) 356-1866 TESTIMONIALS I am so grateful for Advanced Fertility Center.

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Additionally, the quality of her eggs also decreases increases the chance of chromosomal abnormalities. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. Tubal microsurgery and laparoscopic tubal surgery: - May be more effective than no treatment. - No strong evidence. (e.g.: fimbrial end dilatation) 2. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.

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IUI with the partner’s sperm can be used as a potentially effective treatment for infertility in women under age of 45 except for cases with tubal blockage, very poor egg quality, ovarian failure and severe male factor infertility (very low sperm count or very poor sperm shape or mobility). Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975.

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Hypogonadism Hypogonadism is an abnormally low level of testosterone, the male sex hormone involved in making sperm. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. Check out our online medical courses and start now for free! Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. Options for treatment may include: Treatment with antibiotics, in cases of infection Surgical correction, in order to remove a varicocele, reverse a vasectomy, or repair a duct obstruction Medications or fertility drugs to improve sperm production In cases where the above treatments are unsuccessful, or when the cause of male infertility is unknown or untreatable, IUI treatment or IVF treatment may be suggested. Many men with low sperm counts or abnormal semen are still fertile. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. This can help a man who cannot ejaculate normally, for example, because of a spinal cord injury. Effect of male age on fertility: evidence for the decline in male fertility with increasing age. Cervical stenosis (a narrowed cervix) or the lack of cervical mucus often make it harder for sperm to travel through the cervix into the uterus. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006.