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Secondary Infertility and Miscarriage

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Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. Sperm density Normal sperm density is greater than 20 million sperm/mL. Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010. Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. The likelihood of fertilization improves significantly for men with low sperm concentrations.

An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. However, the presence of fibroids alone doesn’t necessarily cause infertility or predispose a woman to pregnancy loss. Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. A rapid slide agglutination test (RSAT) kit to detect serum antibodies is commercially available. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points".

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Endometriosis Infertility Review

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Passive smoking has also been linked to lower fertility. There is no reliable means to predict whether the use of any treatment option will be successful and after how many attempts.

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And as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases as well. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). As sperm move from the head to the tail, they mature and acquire fertilization capacity.

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Irregular periods The average woman’s cycle is 28 days long. Management of ejaculatory failure: - Can be of great value as in retrograde ejaculation. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. Testicular histology typically reveals a decreased number of Leydig cells and decreased spermatogenesis. The majority of men with varicocele present no symptoms. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Chronic anovulation is a common cause of infertility. Psychological/Physical/Behavioral Problems: Several sexual problems exist that can affect male fertility.  These problems are most often both psychological and physical in nature:  it is difficult to separate the physiological and physical components. The main side effects are hot flushes, gastrointestinal events (nausea and vomiting), headache, back pain, and leg cramps. It has been proven useful in overcoming infertility conditions, such as blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count. European Association of Urology guidelines on male infertility: the 2012 update. 38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle.


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Research Topics in Infertility
Infertility Self Help Books
Unexplained Infertility Netmums