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Intra-uterine insemination for unexplained subfertility. Hypospadias: The urethral opening is under the penis, instead of its tip. As there is surplus medical information everyday that can not be cached by healthcare providers, clinical guidelines created to endorse up-to-date evidence-based practice to improve patients' outcome [6].

There are many factors that may be causing your fertility difficulties. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Testing for tubal patency and normalcy of the uterine cavity with a hysterosalpingogram The hysterosalpingogram, or HSG is done in order to assess the anatomy of the endometrial cavity of the uterus and the fallopian tubes.

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The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple. Polycystic ovarian syndrome (PCOS) is one of the most common disorders impacting ovulation.

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European Association of Urology guidelines on male infertility: the 2012 update. 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. Infertility tests for women A woman will undergo a general physical examination, and the doctor will ask about her medical history, medications, menstruation cycle, and sexual habits.

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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. This page covers the possible causes of infertility in men and women. Apparently there are only 0,014% of them (this could be an explanation of why they were not discovered until now). Obtaining morning levels of total testosterone (normal range = 240 to 950 ng per dL [8. Assessment of ovarian reserve This is a very important assessment of a woman's remaining egg supply It is done with blood testing and ultrasound: Blood - day 3 FSH, LH and estradiol hormone testing and AMH hormone levels Ultrasound - assessment of ovarian volume and antral follicle counts Assessment of adequate ovulation This can be done in a variety of ways. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. At least one open tube is required for IUI, and the sperm abnormality cannot be severe otherwise the sperm will not be able to swim to and fertilize the egg. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. The man is advised not to ejaculate for 2 to 3 days before giving the semen sample for evaluation. The elevation in the temperature is indicative of ovulation. Infertility tests for men The doctor will ask the man about his medical history, medications, and sexual habits and carry out a physical examination. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility.