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6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology. Treatment of tubal obstruction generally requires referral for subspecialty care.

A mouse study has suggested that ingredients in some household detergents may reduce fertility. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology.

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It does not affect the couples' life only, but it also affects the healthcare services and social environment [4]. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). 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. Ovulatory menstrual periods tend to be regular and predictable in terms of cycle length, duration and heaviness of bleeding, and other symptoms.

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The most common of these procedures are removal of all or part of the colon (colectomy), or removal of the kidney (nephrectomy). Prevalence of Premature Ovarian Failure in Monozygotic and Dizygotic Twins. (PDF, 90 KB) Human Reproduction, 2007. Fertility Evaluation of the Female Partner: Evidence of Ovulation There are a variety of tests to check if and when the woman is ovulating. Consulting a nutritionist, for example, could help a young woman suffering from anorexia to put on some weight, which might restart her menstrual cycle.

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Lead, toxic fumes and exposure to pesticides are suspected contributors to infertility. Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995. 8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year. 0 mm flexible plastic tube is inserted into the uterine cavity through the cervix and a small piece of endometrial tissue is sampled using suction. It is important to tell a doctor if excessive mental and emotional stress develop.