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The woman is instructed to measures her body temperature every morning as soon as she wakes up, before she gets out of bed or before she eats or drinks anything. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. It was usual practice to talk about infertility in those cases where three or more pregnancy losses had occurred. Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI).

To reach timely ovulations, ovulation triggers are combined with chorionic gonadotropin (beta-HCG). Genetic karyotyping, if a recurrent miscarriage is a problem. As well as generally causing pelvic and menstrual pain, it is estimated that around 40% of women faced with difficulties getting pregnant have endometriosis. In some cases, they may prevent a fertilised egg attaching itself to the womb, or they may block a fallopian tube. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy.

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Infertility is more likely in men who have had this condition. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. Torsion: Is a common problem affecting fertility that is caused by a supportive tissue abnormality which allows the testes to twist inside the scrotum which is characterized by extreme swelling.  Torsion pinches the blood vessels that feed the testes shut which causes testicular damage.  If emergency surgery is not performed to untwist the testes, torsion can seriously impair fertility and cause permanent infertility if both testes twist. Panhypopituitafism: Complete pituitary gland failure--lowers growth hormone, thyroid-stimulating hormone, and LH and FSH levels.  Symptoms include:  lethargy, impotence, decreased libido, loss of secondary sex characteristics, and normal or undersized testicles.  Supplementing the missing pituitary hormones may restore vigor and a hormone called hCG may stimulate testosterone and sperm production. 4) In Vitro Fertilization (IVF): In vitro means “outside the body.” IVF is a process whereby eggs are collected and then fertilized by sperm outside the body, in an embryology laboratory.

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Many health conditions can make it hard to get pregnant. An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999.

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This procedure is performed in the doctor’s office without anesthesia. If the woman is age 35 years or older, she should see a healthcare provider after six months of trying to get pregnant. The laboratory evaluation begins with a semen analysis. Requirements for Female Fertility (Continued) Other requirements for female fertility include: Adequate sexual drive and sexual function to permit coitus. Silent Sorority: A Barren Woman Gets Busy, Angry, Lost and Found.Fertility What is Normal Fertility and When Does it Become Infertility? Alcohol: Any amount of alcohol consumption can affect the chances of conceiving. It could be related to hormone issues, to endometriosis, or to other underlying conditions that could also be contributing to infertility.