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Bromocriptine (Parlodel): This drug inhibits prolactin production. Signs of infertility include irregular, excessively heavy, or absent periods as well as sudden weight gain, painful sex, or vaginal infections.

If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. It was broken down into male and female categories. Panhypopituitafism: Complete pituitary gland failure--lowers growth hormone, thyroid-stimulating hormone, and LH and FSH levels.  Symptoms include:  lethargy, impotence, decreased libido, loss of secondary sex characteristics, and normal or undersized testicles.  Supplementing the missing pituitary hormones may restore vigor and a hormone called hCG may stimulate testosterone and sperm production. Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. Graft-versus-host Reactivity and Renal Allograft Survival in Rats Given Allogeneic Spleen Cells or Spleen Allografts.(PDF, 2 MB) Transplantation, 1976.

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WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple. Endometrial polyps Endometrial polyps are growths found in the uterine cavity. Couples will have to consider the ethical and emotional aspects of this procedure. A failure of GnRH neurons to migrate to the proper location in the hypothalamus has been implicated. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. In the 1980s, a pure form of FSH became available.

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A special type of laparoscope called a fertiloscope, which is modified for transvaginal application, can be used. Idiopathic hypogonadotropic hypogonadism A failure of GnRH secretion without any discernible underlying cause may be observed alone (isolated) or as part of Kallmann syndrome, which is associated with midline defects such as anosmia, cleft lip and cleft palate, deafness, cryptorchidism, and color blindness. Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010.

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34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation. Factors effecting normal expectancy of conception. Submucosal fibroids are the type if fibroid that has clearly been demonstrated to reduce pregnancy rate, roughly by 50%, and removal of which will double pregnancy rate. Investigations will be requested to prove the clinical diagnosis and to exclude other close possibilities. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. The patient should start monitoring the urinary LH secretion daily starting on menstrual cycle day 12. 37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone. Although 60% of patients have evidence of antisperm antibodies after vasectomy, the clinical significance has not been completely elucidated.