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If the woman is over the age of 35 years old, she may be infertile if she has not become pregnant after 6 months of trying. Further backup measures are sufficient thrombosis prophylaxis with heparin and the support of the renal function. A postoperative HSG should be performed 2 months later. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse. Chemotherapy: Some types may significantly reduce sperm count.

An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. Some physical effects may also result from treatment. The presence of antibodies in serum or seminal plasma is less prognostic than antibodies bound to sperm.

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Paternal age > or = 40 years: an important risk factor for infertility. Treatment Treatment will depend on many factors, including the age of the person who wishes to conceive, how long the infertility has lasted, personal preferences, and their general state of health. Cervical insemination has almost been abandoned because of its low success and has been relegated only to cases in which the sperm count is normal, such as in artificial insemination using donor sperm or if the sample has elevated white cells.

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Uterine fibroid embolization (UFE) consists of catheterization of the uterine artery and the injection of microbeads of polyvinyl alcohol to selectively occlude the circulation of the fibroid. If a woman gets her period every 28 days, ovulation happens about 14 days after she starts her period. Germ cells interdigitate with the Sertoli cells and undergo ordered maturation, migrating toward the lumen as they mature. For unknown reasons, as women age, egg numbers decrease at a rapid rate.

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Treatment of Tubal and Peritoneal Factors The treatment of tubal-factor infertility underwent major changes, especially during the last quarter of the century when microsurgery became available. [126, 127] Tubal reconstruction was the only hope for those patients before assisted reproductive therapy became available. A specific portion of the androgen receptor gene, exon 1, has been studied in infertile males and a meta-analysis that involved males with idiopathic infertility and fertile controls found that infertility was directly correlated with the length of CAG repeats in this exon.[23] Y chromosome microdeletion syndrome The long arm of the Y chromosome (Yq) is considered critical for fertility, especially Yq11. 6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms. However, the . clinical management . of the infertility in these patients is difficult Source : Infertility And Sterility PPT Presentation Summary : Infertility and Sterility.