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Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. The content of counselling may differ depending on the concerned couple and the existing treatment options. Chemotherapy: Some types may significantly reduce sperm count. Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility.

We recommend immediate evaluation for a couple attempting pregnancy when the woman has a prior history of pelvic infection. Secondary spermatocytes contain smaller nuclei with fine chromatin. The fertilized egg attaches itself to the uterus (implantation) and begins to grow.  Predict your cycle with Flo! Source : Infertility for the Family Doctor - PPT Presentation Summary : unexplained infertility. planning assisted reproduction. ...

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Expression of HBD1 is reduced in individuals with asthenozoospermia and leukocytospermia. Today, many patients do not receive the recommended medical care that based on the best available evidence [5]. Medical treatments[edit] Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following. Small calculi may block the ejaculatory ducts, or prostatic cysts may extrinsically block the ducts. Treatment of hydrosalpinx (distal tubal obstruction) with salpingostomy can be performed through microsurgery or operative laparoscopy.

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IUI increases the number of the sperm in the fallopian tubes, where fertilization takes place. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe.

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Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. Effect of male age on fertility: evidence for the decline in male fertility with increasing age. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. With the fast progression in reproductive medicine and the experiences gained through infertility management, a wider range of treatment options have become available to infertile couples [17-19,21-26,31,36], (Appendix 4). If the epididymis is blocked, sperm may not be ejaculated properly. Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974. It varies with the age (the optimal female age is between 23 and 39 years) and with body weight (the ideal body mass index is between 19 and 30). This technological innovation provided the means to project a magnified view of the operative field onto a monitor and, at the same time, freed both the operating surgeon's hands, thereby facilitating performance of complex laparoscopic procedures. The problem is getting the sperm where they need to go. A woman of reproductive age who is using artificial insemination to conceive (with either partner or donor sperm) after 6 failed trials. Consider earlier referral to infertility specialists where: - the woman is aged 36 years or over. - there is a known clinical cause of infertility or a history of predisposing factors for infertility. - treatment is planned that may result in infertility (such as treatment for cancer). - People who are concerned about their fertility and who are known to have chronic viral infections such as hepatitis B, hepatitis C or HIV.