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Some causes, such as hyperprolactinemia, are reversible with proper treatment. Do you have a family history of medical problems? Source : (1).pptx Evaluation of Fertility: A Cornerstone to Improved ... Ovarian hyperstimulation syndrome The ovaries can swell, leak excess fluid into the body, and produce too many follicles, the small fluid sacs in which an egg develops. European Association of Urology guidelines on male infertility: the 2012 update. Uterine surgery: - Women with amenorrhoea who are found to have intrauterine adhesions should be offered hysteroscopic adhesiolysis because this is likely to restore menstruation and improve the chance of pregnancy.

Other risk factors for infertility Other risk factors may also contribute to infertility in both men and women. Antibodies against the sperm in the cervical mucus particularly often occur in sterile marriages. It involves removing eggs from the ovary of a donor who has taken fertility drugs. Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J.

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17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures. These endometrial cells can extend as far as the outside of the fallopian tubes, the ovaries and the bladder. A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen. Following his lecture on laparoscopic appendectomy, the president of the German Surgical Society wrote to the Board of Directors of the German Gynecological Society suggesting suspension of Semm from medical practice. Intrauterine insemination is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis.

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It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods. This measurement is called the antral follicle count and may correlate with fertility potential. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection. Treatment of Female Infertility: Intrauterine Insemination Intrauterine insemination (IUI) is a fertility procedure in which sperm are washed (separated from the semen), concentrated, and injected directly into a woman’s uterus. But the sperm in the semen are either abnormal, very low in number, or not there at all. 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.

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A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. Fimbrioplasty for fimbria agglutination or phimosis without destruction of the cilial epithelium is equally successful. It stimulates the ovaries to mature egg follicles. Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high. In such circumstances, it is recommended not to prescribe any medication until all basic investigations are done and its results received. Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization. Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound. The patient should receive prophylactic antibiotics and uterine relaxants (eg, ibuprofen) during these 7 days to prevent infection and balloon expulsion, respectively. However, the presence of fibroids alone doesn’t necessarily cause infertility or predispose a woman to pregnancy loss. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994.