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Medical treatments[edit] Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following. Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995. Three main events necessary for pregnancy to occur are: Ovulation: the process by which the mature egg is released from one of the woman’s ovaries. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes.

Women who experience very heavy, painful periods may be showing signs of endometriosis, a condition where tissues usually found in the womb are present elsewhere in the body. Sperm counts can fluctuate, so that several samples may be necessary.

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44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy. These time intervals would seem to be reversed; this is an area where public policy trumps science. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems.

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Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility. Screening tests include increased plasma 17-hydroxylase and urine 17-ketosteroids. Transplantation of Rat Kidneys with Acute Tubular Necrosis into Salt-loaded and Normal Recipients. (PDF, 2 MB)Surgery, 1975. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998.

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It is important to undergo a thorough fertility evaluation to determine the problem. Furthermore, laparoscopy assists in the differential diagnosis between a septate and a bicornuate uterus. Abnormalities may be a sign of a primary hypothalamic, pituitary, or testicular problem.Causes Causes generally can be divided into pretesticular, testicular, and post-testicular. Chromosomal causes and, in particular, Klinefelter syndrome. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency.