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About 10% to 15% of couples will not be able to achieve pregnancy after one year of unprotected intercourse. The emotional toll on both partners can affect their relationship. Hystersalpingography (HSG): - usually after failed successive cycles of ovulation induction, and in some centres after failed IUI. - good predictive but requires expertise. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. The abnormalities need to be evaluated from a genetic point of view because any male offspring would inherit the same issue as the father.
Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. A woman who keeps having miscarriages is also considered infertile. Treatment of Cervical Factors Chronic cervicitis may be treated with antibiotics. Couples will have to consider the ethical and emotional aspects of this procedure. Peripheral organ The hypothalamus-pituitary axis may be interrupted by hormonally active peripheral tumors or other exogenous factors, due to cortical excess, cortical deficiency, or estrogen excess.
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As in the case of sterility, the process will get under way right away in those cases where there is a background of reproduction issues. In 30% of all cases, the cause is in both partners: combined sterility. Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998. Those who do have fertility problems are treated according to the following guidelines: [112, 113, 114] Chronic cervical factor of absence of mucus - Intrauterine insemination Cervical incompetence - Cerclage Damage/absence of fallopian tubes (ectopic) - In vitro fertilization Unicornuate uterus A unicornuate uterus remains undetected unless fertility is compromised.
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No role for: Post-coital testing for cervical mucous. Endometrial Biopsy. Some people find that joining a support group helps, as it offers the chance to talk to others in a similar situation. A typical infection is particularly the adnexitis from Chlamydia, but also infections from Trepona pallidum (lues) and Neisseria gonorrhoea should be kept in mind. Medications, treatments, and drugs Some drugs can affect fertility in a woman. Hypogonadism Hypogonadism is an abnormally low level of testosterone, the male sex hormone involved in making sperm.
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Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. Certain medical conditions such as diabetes, thyroid disease and anemia may also affect fertility. The results of these tests help determine the best fertility treatment. Several studies have reported different causes of infertility [7-9]. In some women, and especially with age, the membrane becomes harder. Once patients desire to have children, they proceed with stimulation of the ovaries, oocyte aspiration, and in vitro fertilization, but the embryos are transferred to a gestational carrier (see In Vitro Fertilization). Studies show that the IUI is most successful when it is coupled with fertility drugs to enhance ovulation, with success rates between 5% and 20% per cycle. However, these tests have only poor to moderate predictive value despite widespread use. Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods. Only 5-10% of these couples eventually achieve a pregnancy within 5 years. The problem is getting the sperm where they need to go.
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