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Many cases are treated with medication or may require surgical procedures. Biopsy reveals maturation arrest or germ cell aplasia. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001.

8 Involvement in group counseling and exercise is more effective than weight loss advice alone. Three modalities are used to treat myomas: medical treatment, surgical treatment, and embolization. The main reasons for fertility tourism are legal regulation of the sought procedure in the home country, or lower price.

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Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. 37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991.

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Religious leaders' opinions on fertility treatments; for example, the Roman Catholic Church views infertility as a calling to adopt or to use natural treatments (medication, surgery, or cycle charting) and members must reject assisted reproductive technologies. London, United Kingdom: National Institute for Health and Clinical Excellence (NICE); February 2013:1–63. (Clinical guideline no. Omitting unnecessary investigations, in particular couples, could reduce total cost of their infertility management without compromising their success rate.

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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. Temperature charting is a useful way of providing early clues about anovulation, and can help gynaecologists in their diagnosis. It is important to tell a doctor if excessive mental and emotional stress develop. ED may be the consequence of the conversion of androgens to estradiol. Successful Pregnancy after Microsurgical Transplantation of an Intact Ovary. (PDF, 438 KB) The New England Journal of Medicine, 2008. Investigations Infertile couples are usually adviced to start their investigations after 12 months of trying to conceive or after 6 months if the female partner is more than 35 years old or immediately if there is an obvious cause for their infertility or subfertility [16]. Requirements for Female Fertility (Continued) Other requirements for female fertility include: Adequate sexual drive and sexual function to permit coitus. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. These rates, of course, readjusted down for the older women with long durations of infertility [42]. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. 5 IU q5d) until follicle development is detectable based on an elevation of the E2 levels and the presence of follicle development on sonograms. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. Advances in assisted reproductive technologies, such as IVF, can offer hope to many couples where treatment is available, although barriers exist in terms of medical coverage and affordability. Lifetime prevalence of infertility and infertility treatment in the UK: results from a population-based survey of reproduction.