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Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Clinical examination Full clinical examination of both partners usually stands for the underlying physical problem [17-22,24-26], (Appendix 2). Choose a single article, issue, or full-access subscription. Factors Affecting Fertility: Frequency of Intercourse Various factors may adversely affect fertility. Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse.

Theoretically, with this therapy, we can get artificial gamets in vitro. Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. The doctor or WHNP may also be able to suggest lifestyle changes to increase the chances of conceiving.[65] Women over the age of 35 should see their physician or WHNP after six months as fertility tests can take some time to complete, and age may affect the treatment options that are open in that case. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance.

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Uterus Shape and Infertility

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Infertility is more likely in men who have had this condition. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity.

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The facilities available and the skills of personnel are the major determining factors for the success rate. This abnormality is usually surgically corrected in infancy. Obtaining morning levels of total testosterone (normal range = 240 to 950 ng per dL [8. Treatment Possibilities: Male Infertility Surgical treatment may be successful in some cases, such as varicocele. United Kingdom[edit] In the UK, previous NICE guidelines defined infertility as failure to conceive after regular unprotected sexual intercourse for two years in the absence of known reproductive pathology.[11] Updated NICE guidelines do not include a specific definition, but recommend that "A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility, should be offered further clinical assessment and investigation along with her partner, with earlier referral to a specialist if the woman is over 36 years of age."[12] Other definitions[edit] Researchers commonly base demographic studies on infertility prevalence on a five-year period.[13] Practical measurement problems, however, exist for any definition, because it is difficult to measure continuous exposure to the risk of pregnancy over a period of years. Luteal phase support. (and cryopreservation choice offered if good quality embryos are available) IVF/ICSI 37. Down-regulation: - to avoid premature LH surge and spontenous ovulation. - either GnRH agonist protocol or GnRH antagonist protocol. - always use GnRH antagonist protocol in women with high risk of OHSS.

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Varicocele The veins in a man’s scrotum (sac) can become too large. Diagnostic evaluation of the infertile female: a committee opinion. Symptoms include: bloating constipation dark urine diarrhea nausea abdominal pain vomiting They are usually mild and easy to treat. Malformation of the eggs themselves may complicate conception. Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production. If a woman has cycles at intervals of greater than 35 days, it may indicate that she is not ovulating an egg predictably, or even at all.


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Infertility Pharmacologic Management
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