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Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems.

Medicines and drugs Certain types of medicines can sometimes cause infertility problems. Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. A mouse study has suggested that ingredients in some household detergents may reduce fertility.

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The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. Generally, they occur in 50-100% of all abdominal surgeries,[29] with the risk of developing adhesions being the same for both procedures.[30][31] Complications of adhesions include chronic pelvic pain, bowel obstruction, and female infertility. Conception and Fertility The chance of conceiving in any given menstrual cycle is less than 20% in a woman of reproductive age. IVF/ICSI 38. Controlled ovarian stimulation: - By urinary or recombinant FSH and/or HMG. - Dose depends on age, BMI, presence of PCO and ovarian reserve. - Monitoring of folliculometry by USS and E2. Triggering of ovulation: - By urinary of recombinant HCG, 36 before oocyte retrieval.

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IVF treatment may be suggested if IUI is not successful or appropriate, or if female infertility is a contributing problem. To prevent further polyp development associated with anovulation, the patient should have withdrawal bleeding at least every 6 weeks. Treatment for Infertility 1) Education: We strongly believe that educating our patients about the normal process of fertility, problems that affect fertility, and treatment options will empower our patients to make the best choices. The procedure is done during the premenstrual phase, approximately 12 days after presumed ovulation to see if the endometrium undergoes expected changes. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection.

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The night before the procedure, the patient must take 2 tablespoons of sodium bicarbonate. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. Such tissue growth and its surgical removal can cause scarring and prevent fertilization.  Uterine and cervical causes  Problems in the uterus or cervix may also affect fertility. It stimulates the ovaries to mature egg follicles. Tumors Cancers and nonmalignant tumors can affect the male reproductive organs directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes. Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. A small number of specimens have acceptable original concentrations of motile sperm but poor recoveries with the gradient system. Without an erection, it is difficult for a man to release sperm inside the vagina—and, therefore, difficult to get a woman pregnant. The entire process of development from spermatogonium to spermatid takes 74 days and is described in 14 steps; as they mature, the developing spermatids progress closer to the lumen of the seminiferous tubule.