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Because of the intimate relationship between the fallopian tubes and the other pelvic organs and because, in the great majority of the cases, peritoneal pathology involves tubal pathology, the treatments of these factors are discussed together. There are three main types of fertility treatment: medical treatment (such as ovulation induction therapy); surgical treatment (such as laparoscopy and hysteroscopy); and the different assisted reproduction techniques [37].

Source : Infertility for the Family Doctor - PPT Presentation Summary : unexplained infertility. planning assisted reproduction. ... The most common of these tests include measurements of blood levels of certain hormones such as estradiol and FSH, which are related to ovarian function and overall egg numbers; TSH, which assesses thyroid function; and prolactin, a hormone that can affect menstrual function if elevated. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010. However, nowadays, spermatozoa can be extracted by means of a testicular puncture. 40. Luteal phase support: - Should be offer luteal phase support with progesterone till 8 weeks of gestation. - Different form of progesterone with different routes of administration are available, RCT are taking place comparing efficacy of different forms. Generally, success rates lie between 40% and 60% per cycle. This technique involves an injection of a single healthy sperm directly injected into mature egg.

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WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established.

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These areas include the fallopian tubes, ovaries, small or large intestine, and the walls of the abdominal cavity and pelvis. Treatment of tubal obstruction generally requires referral for subspecialty care. There are many disorders that may impact the ability for a woman to ovulate normally. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency.

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Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. Some personal habits are considered risk factors for infertility, such as excess alcohol intake [11] and cigarette smoking [12]. The average incidence of infertility is about 15%. Ovulation test kits or monitors are available at pharmacies and can help a woman determine her fertile time.   SOURCES How common is male infertility, and what are its causes? The increase of gonadotropins can provoke ovulation. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. Pulsatile GnRH and HCG have been used but result in only 20% achieving complete spermatogenesis. Practice Committee of American Society for Reproductive Medicine. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. 8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate.


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Infertility Treatment Nurse
Research Topics in Infertility
Infertility After Early Miscarriage