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Women who are at risk, including those on a vegan diet, should ask the doctor about supplements. If the E2 and FSH levels are in the normal range, clomiphene citrate is the drug of choice, as previously described. Intrauterine insemination 50% of women will conceive after 6 cycles. Half of the unsuccessful ones, will conceive with further 6 cycles. It is artificial introduction of semen inside the female’s uterus. Success rate varies, lie between 15% to 20% per cycle.

After one year of having unprotected sex, about 15 percent of couples are unable to get pregnant. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005.

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Review Questions The answers can be found below the references. Infertility: Summary Infertility is a significant social and medical problem affecting couples worldwide.

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Patients with azoospermia or severe oligospermia seeking assisted reproductive techniques should be screened. Kallmann syndrome has been described in both familial (X-linked and autosomal) and sporadic forms, and its incidence is estimated as 1 case per 10,000-60,000 births.

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Our goal is to have each and every patient feel as part of our team, a team that is focused on helping them have a healthy baby. Paternal age > or = 40 years: an important risk factor for infertility. Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003. Most typical are decreased libido, erectile dysfunction, orgasmic dysfunction, and ejaculatory dysfunction. Hypospadias affects about 1 in every 500 newborn boys. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed. This process has revolutionized assisted reproductive technology and the way reproductive endocrinologists can help people in having a baby. Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977.