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Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests.

Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010. 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. This can help a man who cannot ejaculate normally, for example, because of a spinal cord injury. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate.

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Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. Hypospadias affects about 1 in every 500 newborn boys. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. Hysteroscopy is the inspection of the uterine cavity through the cervix by a hysteroscope attached to a camera which projects to a screen.

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Determination of serum E2 and LH levels can also be performed. [203] Treatment of Primary Amenorrhea hMG is the treatment of choice for patients with primary amenorrhea due to hypopituitarism. The HSG is usually scheduled between days 6 and 13 of the cycle - after bleeding and before ovulation.

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Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000. There are medications to help increase the chance of getting and keeping an erection. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. This abnormality is usually surgically corrected in infancy. Contents Types[edit] Cholecystectomy as seen through a laparoscope There are two types of laparoscope:[2] a telescopic rod lens system, usually connected to a video camera (single chip or three chip) a digital laparoscope where a miniature digital video camera is placed at the end of the laparoscope, eliminating the rod lens system The mechanism mentioned in the second type is mainly used to improve the image quality of flexible endoscopes, replacing traditional fiberscopes. Etiology of Sterility Causes of sterility can be manifold and diverse.