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Do you have a family history of medical problems? 1,2 However, if your partner is 35 years old or over, you or your partner may be considered infertile if you haven’t conceived after 6 months of unprotected sex. High-cost treatments are out of financial reach for some couples. Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy.

Evaluation should be pursued by 6 months of attempted pregnancy in women with a known history of these abnormalities or a history of bleeding between menstrual cycles. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. El Uso de las Espermátides en la Azoospermia. (PDF, 12 MB) Chapter 42 from Reproducción Humana, 2002.

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Clinical Asst Professor, Obstetrics and Gynecology. One type of ovulation problem, polycystic ovarian syndrome, is effectively treated with medications.

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The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Infection An increased number of white blood cells in the semen may be observed in patients with infectious or inflammatory processes of the genital tract. About 25% of all infertility is caused by an ovulation disorder. The cervical mucus changes consistency during the ovulatory cycle, being most hospitable and easily penetrated at mid cycle. Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK.

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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. Varicocele The veins in a man’s scrotum (sac) can become too large. Your doctor will analyze your semen analysis carefully and help you decide if ICSI is an appropriate treatment for you. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. CC is a nonsteroidal estrogen capable of interacting with estrogen receptor–binding proteins in a manner similar to estrogen but in a more prolonged way. [159, 160] Therefore, CC behaves similar to an antiestrogen. Predominantly anovulation is caused by hormonal imbalances such as Polycystic Ovarian Syndrome (PCOS) but ovarian scarring and premature menopause can also result in failure to ovulate. • Tubal disease, comprising anything from mild adhesions to complete blockage of the fallopian tubes, prevents fertilised eggs from travelling from the site of fertilisation to the uterus. ART: Intracytoplasmic Sperm Injection (ICSI) Another ART procedure  Intracytoplasmic Sperm Injection (ICSI)  involves the injection of a single sperm into the egg. It stimulates the ovaries to mature egg follicles.


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