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Treatment Possibilities: Female Infertility Depending on the cause of infertility, there are different possibilities for treatment. Hystersalpingography (HSG): - usually after failed successive cycles of ovulation induction, and in some centres after failed IUI. - good predictive but requires expertise. 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. Ejaculation disorders Some men experience ejaculation problems that can make it difficult for them to release semen during sex (ejaculate).

Duration of Fertility after Fresh and Frozen Ovary Transplantation. (PDF, 606 KB) Fertility and Sterility, 2010. Biopsy reveals maturation arrest or germ cell aplasia. HMG contains equal quantities of FSH and LH and are administered intramuscularly.

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Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. Fertility is not an issue for some patients affected by DES, and they remain undiagnosed until they have an abnormal Papanicolaou test result. Ductal blockage, as a result of an infection or congenital abnormality, may occur in the ducts that carry sperm from the testicles to the penis. One of the requirements for this procedure is that a woman should have at least 1 undamaged fallopian tube.

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The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Medical conditions Some medical conditions can affect fertility. 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.

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Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. In some patients, secondary sex characteristics develop normally, but they are usually completed late. Effect of male age on fertility: evidence for the decline in male fertility with increasing age. Some medications increase the risk of fertility problems in men. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. This improves the chances that the embryo will implant at, or attach to, the wall of the uterus. The more fetuses there are, the higher the risk of premature labor. These include: Infrequent menstrual periods: When a woman has regular menstrual periods, defined as regular cycles occurring every 21 to 35 days, this almost always indicates that she ovulates regularly. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. The likelihood of fertilization improves significantly for men with low sperm concentrations. Consulting a nutritionist, for example, could help a young woman suffering from anorexia to put on some weight, which might restart her menstrual cycle. The treatment approach depends on the cause(s) of the infertility. Undescended testicle may be isolated or may be observed as part of a syndrome such as prune belly syndrome. Whether interventions before conception or early in pregnancy, such as resection of the rudimentary horn and prophylactic cervical cerclage, decidedly improve obstetrical outcomes is uncertain; however, current practice suggests that such interventions may be helpful.