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The prevalence varies widely, being less in developed countries and more in developing countries where limited resources for investigation and treatment are available [2]. Because of the antiestrogenic effect, CC may thicken the cervical mucus, creating an iatrogenic cervical factor that can be responsible for the lack of pregnancy in a patient who has otherwise ovulated. [165] Other adverse effects associated with CC are hot flashes, scotomas, dryness of the vagina, headache, and ovarian hyperstimulation, which, although rare, has been reported in patients who are sensitive to CC. [166, 167] Whether the use of CC increases the risk of ovarian cancer is unknown, although 2 articles illustrate a potential risk. [168] Other authorities disagree with this assumption.

Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to.

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It is hoped that the standardized approach presented here will go some way towards countering this major problem.LINDSAY, MD, Saint Louis University Family Medicine Residency, Belleville, Illinois KIRSTEN R. Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles. Surgeons who choose this hand-assist technique feel it reduces operative time significantly versus the straight laparoscopic approach. Showell MG, Brown J, Yazdani A, Stankiewicz MT, Hart RJ. Endocrine tests to check concentrations of the hormones testosterone, FSH and LH.

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Renal Transplantation Between Adults and Children. (PDF, 1 MB) Journal of the American Medical Association, 1974. Factors Affecting Fertility (Continued) Various toxic agents, smoking and alcohol may contribute to fertility problems. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995.

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Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. It can also help if a man has severe erectile dysfunction. Maternal age Infertility due to age is one of the most common causes of female infertility. Ascites Petechial bleedings Weight loss Visual disorders Gait pattern in small steps 2.