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If a severe sperm defect is discovered, the testing on the female partner should be modified, and therapy can be immediately directed to the sperm problem. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. Your physician will examine you carefully to determine if you have fibroids and if removal is necessary.

For example, treatment for Hodgkin disease has been estimated to lead to infertility in as many as 80-100% of patients. 42 Urinary luteinizing hormone kits indicate the midcycle luteinizing hormone surge that precedes ovulation by one to two days.

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Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. You can find much more information about your privacy choices in our privacy policy. It is very important that these injuries be recognized as early as possible.[26] Some patients have sustained electrical burns unseen by surgeons who are working with electrodes that leak current into surrounding tissue.

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If the E2 level is below 100 pc/mL and the sonogram shows small follicular development, hMG is increased to 150 IU/day for an additional 5 days. Patients with hyperthyroidism or hypothyroidism must be treated accordingly. [210, 211] Weight reduction should be part of the treatment because it helps the patient's response to ovulation induction. [212] Treatment of Male Factors Asthenospermia associated with varicocele is treated surgically with varicocelectomy or with embolization of the spermatic veins. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. 5) Endometrial polyps: Endometrial polyps are finger-like growths in the uterine cavity arising from the lining of the uterus, called the endometrium, These abnormalities are rarely associated with cancer (<1% in a woman before menopause), but polyps are can decrease fertility by up to 50% according to some studies. Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes.

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For this reason, it’s recommended that couples who’ve been trying to get pregnant for over a year without success seek the advice of a doctor. Low weight: Obesity is not the only way in which weight can impact fertility. Cervical surgery can also sometimes cause scarring or shorten the neck of the womb (the cervix). Sperm density Normal sperm density is greater than 20 million sperm/mL. If ovulation does not occur with the 50-mg dose, the CC dose must be increased in subsequent cycles to 100 mg for 5 days. Treatment The cost of infertility treatment is high [34]. Immotility of the sperm can be caused by antibodies against the sperm.