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Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ. The potentials of these systems enhance the possibilities of the mobile medical care with those lightweight assistance systems.

Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. The patient's electrolyte levels must be checked to consider the need for diuretics.

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3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). 2 This encompasses couples with infertility and impaired ability to get pregnant, but it does not capture those who are not married, so actual numbers may be underestimated. Epidemiology[edit] Prevalence of infertility varies depending on the definition, i.e. on the time span involved in the failure to conceive. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990.

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CC is a nonsteroidal estrogen capable of interacting with estrogen receptor–binding proteins in a manner similar to estrogen but in a more prolonged way. [159, 160] Therefore, CC behaves similar to an antiestrogen. Combined infertility[edit] In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions. 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. The sediment is suspended in a buffer solution, and the recovered sperm is processed using the sperm-wash technique before it can be used for intrauterine insemination. As a woman gets older, the number of her eggs decreases rapidly.

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Previously, metformin was recommended as treatment for anovulation in polycystic ovary syndrome, but in the largest trial to date, comparing clomiphene with metformin, clomiphene was more effective than metformin alone.[21] Following this study, the ESHRE/ASRM-sponsored Consensus workshop do not recommend metformin for ovulation stimulation.[22] Subsequent randomized studies have confirmed the lack of evidence for adding metformin to clomiphene. Not long after, the United States delivered its first IVF baby, and the use of IVF has grown dramatically. This technique is called hand-assist laparoscopy. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Treatment of tubal obstruction generally requires referral for subspecialty care.