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If pregnancy has not been established within a reasonable time, further evaluation and/or an alternative treatment plan should be considered. Around one third of couples have difficulty conceiving due to a low sperm count. Ideally, the cause of the infertility is reversible and then conception can result from natural sex. In current practice, an alternative for patients with more than 5 sizable follicles is to convert the treatment to IVF. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. But the question that should be answered one day is: will the output quality be compromised with such approach?

They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. With the fast progression in reproductive medicine and the experiences gained through infertility management, a wider range of treatment options have become available to infertile couples [17-19,21-26,31,36], (Appendix 4). Transplantation of Rat Kidneys with Acute Tubular Necrosis into Salt-loaded and Normal Recipients. (PDF, 2 MB)Surgery, 1975.

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Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008. IUI treatment, where the sperm is transferred into the uterus via the cervix, is commonly used in cases of low sperm count or quality. The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997.

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Medicines and drugs  The side effects of some types of medicines and drugs can affect your fertility. The interstitium between the seminiferous tubules contains the Leydig cells, fibroblasts, lymphatics, blood vessels, and macrophages. However, if the E2 level is greater than 100 pc/mL and the follicles are 10 mm in diameter, hMG should be continued at the same dose.

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Operative laparoscopy: This technique is indicated for pedunculated and superficial intramural myomas. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Treatment of tubal obstruction generally requires referral for subspecialty care. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. Additionally, transvaginal ultrasound affords the opportunity for your physician to assess the relative number of available eggs. Infertility in Men Below you will find a list of some of the most common causes of infertility in men. Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989.