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Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004.

Women ovulate — send an egg down into the uterus — once a month. Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. 24 Other tests of ovarian reserve, such as the clomiphene (Clomid) challenge test, antral follicle count, and antimüllerian hormone level, are also generally performed to predict response to ovarian stimulation with exogenous gonadotropins and assisted reproductive technology.

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For this reason, a call for low-cost ART protocols have been attempt to reduce the overall current cost of IVF through limiting the rquired laboratory investigations, modifying the stimulation regimen and purchasing low-priced pre-used machines and instruments [35]. Management of the infertile couple: an evidence-based protocol. Perspectives on infertility consultations in primary care: a qualitative study. The doctor may ask about the couple's sexual habits and make recommendations regarding these.

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The majority of men with varicocele present no symptoms. The virus may either directly damage the seminiferous tubules or indirectly cause ischemic damage as the intense swelling leads to compression against the tough tunica albuginea.

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Depending on the therapeutic agent and the duration of treatment, endometriosis can be treated with oral contraceptives, progestins, androgens, or GnRH agonists. In theory, it is possible to conceive on any of these 6 days that occur before and during ovulation. If fertilization occurs, the developing embryos remain in the fallopian tube and then move to the uterus for the natural implantation process to be completed. Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. The opening improves the ability of the embryo to implant into the uterine lining. If sperm does not appear in the ejaculate, but they are being produced, the doctor may be able to take sperm directly from the testicles, or from the bladder (in cases of retrograde ejaculation), and use that sperm to fertilize an egg in the lab. Often, varicoceles or past infections such as mumps orchitis are the cause of sterility. Fimbrioplasty for fimbria agglutination or phimosis without destruction of the cilial epithelium is equally successful.