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It is an approach to disseminate the recommended medical care of infertile couple to the practicing clinicians. Treatment of the cause: Male Factor: (Liaise with the andrologist) 1. World Health Organization reference values for human semen characteristics.

These include: non-steroidal anti-inflammatory drugs (NSAIDs) – long-term use or a high dosage of NSAIDs, such as ibuprofen or aspirin, can make it more difficult to conceive chemotherapy – medicines used for chemotherapy can sometimes cause ovarian failure, which means your ovaries will no longer be able to function properly neuroleptic medicines – antipsychotic medicines often used to treat psychosis; they can sometimes cause missed periods or infertility spironolactone – a type of medicine used to treat fluid retention (oedema); fertility should recover around 2 months after you stop taking spironolactone Illegal drugs, such as marijuana and cocaine, can seriously affect fertility and make ovulation more difficult. In-Vitro Fertilization (IVF) Image: “Assisted Reproductive Technology” by BruceBlaus. Get Permissions Email Alerts Don't miss a single issue.

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Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. Combined causes of infertility and sterility A person can often have a subfertility issue that may be helped or made worse depending on their partner's circumstances.

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Fertility treatment with donor eggs is usually done using IVF. Passive smoking has also been linked to lower fertility. If the fallopian tubes are beyond repair, bilateral salpingectomy with destruction of the cornual area is recommended in preparation for IVF. Female and male factors are equally responsible for infertility, about 30% to 40% each, and in 20% of the cases, there is a combination of both.

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Medical treatment for minimal to mild disease has not been shown to be of benefit. A history of pelvic infections or sexually transmitted diseases: Sexually transmitted infections, such as chlamydia or gonorrhea, can cause inflammation and permanent scarring of the fallopian tubes. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. In some cases, laparoscopy for infertility will be indicated to look for pelvic scarring or endometriosis As in vitro fertilization success rates have improved dramatically over the past 20 years, laparoscopy for infertility is being done much less than before. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. The fertilized eggs, now embryos, are allowed to grow and develop in culture media for typically 3 to 5 days. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae. For patients wishing to conceive, the medical approach is not indicated, as it delays treatment for infertility. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. The corollary to this is that, by definition, failure to conceive in women under 35 isn't regarded with the same urgency as it is in those over 35. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. Treatment of Female Infertility: Intrauterine Insemination Intrauterine insemination (IUI) is a fertility procedure in which sperm are washed (separated from the semen), concentrated, and injected directly into a woman’s uterus. Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems.