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Surgery for hydrosalpinges before in-vitro fertilization treatment: Laparoscopic salpingectomy or disconnection of both tubes improve IVF/ICSI success rates. 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. Understanding what’s causing your fertility difficulties can help you find out what treatment is right for you and your partner.Fertility What is Normal Fertility and When Does it Become Infertility?

About half the women with hormonal imbalances do not produce enough follicles to ensure the development of an ovule, possibly due to poor hormonal secretions from the pituitary gland or the hypothalamus. IVF involves removal of eggs directly from the ovary, fertilization with sperm in the laboratory, followed by transfer of the embryos directly into the uterus, thereby bypassing the tubes. The medicalization of infertility has unwittingly led to a disregard for the emotional responses that couples experience, which include distress, loss of control, stigmatization, and a disruption in the developmental trajectory of adulthood.[16] Infertility may have psychological effects. As part of the fertility evaluation, we will perform an HSG, a test designed to evaluate if the fallopian tubes are open.

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Management of the infertile couple: an evidence-based protocol. Have you had any sexually transmitted infections or abnormal pap smears?

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Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave. Contents Definition[edit] "Demographers tend to define infertility as childlessness in a population of women of reproductive age," whereas "the epidemiological definition refers to "trying for" or "time to" a pregnancy, generally in a population of women exposed to" a probability of conception.[8] Currently, female fertility normally peaks at age 24 and diminishes after 30, with pregnancy occurring rarely after age 50.[9] A female is most fertile within 24 hours of ovulation.[9] Male fertility peaks usually at age 25 and declines after age 40.[9] The time needed to pass (during which the couple tries to conceive) for that couple to be diagnosed with infertility differs between different jurisdictions. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body.

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Risk factors for male infertility include obesity, age (over 40 -- yes, men also have biological clocks), current or previous infection of an STD, smoking, or excessive drinking. Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired.