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Histologic endometrial dating is not considered reliable nor is it predictive of fertility. These medicines are listed below: sulfasalazine – an anti-inflammatory medicine used to treat conditions such as Crohn's disease and rheumatoid arthritis; sulfasalazine can decrease the number of sperm, but its effects are temporary and your sperm count should return to normal when you stop taking it anabolic steroids – are often used illegally to build muscle and improve athletic performance; long-term abuse of anabolic steroids can reduce sperm count and sperm mobility chemotherapy – medicines used in chemotherapy can sometimes severely reduce sperm production herbal remedies – some herbal remedies, such as root extracts of the Chinese herb Tripterygium wilfordii, can affect the production of sperm or reduce the size of your testicles Illegal drugs, such as marijuana and cocaine, can also affect semen quality. Although sperm quality deteriorates as men age, this does not create a problem until after the age of 60. It stimulates the ovaries to mature egg follicles. Analyses of the CFTR Gene in 67 Patients. (PDF, 4 MB) The American Journal of Human Genetics, 1995.

Treatment is with human menopausal gonadotropin (HMG) or exogenous FSH. Abdominal myomectomy is a surgical procedure performed through a very low horizontal abdominal incision allowing access to the uterus for removal of fibroids. If there is a history of recurrent miscarriages (2 or more) a lupus anticoagulant (LAC) and anti-cardiolipin antibody (ACL) are often done, as well as other tests.

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Infertility is due to hypogonadotropic hypogonadism. Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. Other considerations include preconception screening and vaccination for preventable diseases such as rubella and varicella, sexually transmitted infections, and cervical cancer, based on appropriate guidelines and risk. However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained.

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An estimated 34 million women, predominantly from developing countries, have infertility which resulted from maternal sepsis and unsafe abortion (long term maternal morbidity resulting in a disability). Steroids used to build muscles can shrink the testes and may lead to decreased sperm production.

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Any of the following can cause a man to have a low sperm count or abnormal sperm: Varicocele — an abnormal collection of bulging veins above the testicle; they’re the most common cause of correctable male infertility, accounting for 38% of cases Undescended testicle Infections in the testicle (orchitis), the prostate (prostatitis), or elsewhere in the body that causes a fever Chemotherapy for cancer Medicines such as anabolic steroids or anti-seizure medicines Genetic abnormalities Hormone problems In some cases, these problems can be reversed, but other times they can’t. Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Religious leaders' opinions on fertility treatments; for example, the Roman Catholic Church views infertility as a calling to adopt or to use natural treatments (medication, surgery, or cycle charting) and members must reject assisted reproductive technologies. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. 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. Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977. An ultrasound scan can detect an ectopic pregnancy. Drawbacks of ICSI include unknown risks to the egg or embryo and damage to the embryo.


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