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The majority of men with varicocele present no symptoms. It's sometimes done while you're taking meds that help trigger the release of an egg. Additionally, the sperm may be unable to cross the cervical mucus or may have ultrastructural abnormalities. To analyze tubal causes of sterility, different methods can be considered. Use of clomiphene citrate in infertile women: a committee opinion.

Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E. A hypothalamic-hypophyseal ovarian failure can lead to a reduced GnRH production, which, in turn, leads to an insufficient release of LH and FSH.

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A review of records from other fertility doctors that you have seen is also important. Therefore, data estimating the prevalence of infertility cited by various sources differs significantly.[8] A couple that tries unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be subfertile, meaning less fertile than a typical couple.

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To examine the sperm motility in the cervical mucus, the postcoital test is made. Letrozole has a very short half-life (45 hours) and, therefore, is quickly cleared from the body. The predictable pregnancy rate for this group is about 5% after timed intercourse, 10% after superovulation with intrauterine insemination (IUI), and 15% to 25% after assisted reproduction techniques (ART) [41].

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Many health conditions can make it hard to get pregnant. Pro-life opposition to the destruction of embryos not transferred in vivo. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. A history of pelvic infections or sexually transmitted diseases: Sexually transmitted infections, such as chlamydia or gonorrhea, can cause inflammation and permanent scarring of the fallopian tubes. A history and physical examination can help direct the evaluation.