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The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. 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.

Practice Committee of the American Society for Reproductive Medicine. Judaism and Repoductive Technology. (PDF, 160 KB) 2003. In cats, infectious causes of infertility include toxoplasmosis, feline leukemia virus infection, feline infectious peritonitis, and feline viral rhinotracheitis. 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. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy.

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Recent Advances in Male Reproductive Surgery. (PDF, 10 MB) Chapter 13 from Annual Progress in Reproductive Medicine, 1993. Because ovarian hyperstimulation syndrome does not occur, the patient's response is slow. If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. These risks include: Age (past age 40, men experience more fertility problems).

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6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. Patients are at increased risk of infertility, even if the testicle is brought down into the scrotum, as the testicle itself may be inherently abnormal. Some causes are more common in some countries than others, such as pelvic inflammatory diseases (PID) and sexually transmitted infections (STI) in Africa [10]. Endometriosis may be treated through laparoscopic surgery. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant.

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To assist in the luteal phase, the patient is given beta-HCG or progesterone. No role for: Post-coital testing for cervical mucous. Endometrial Biopsy. Semen that is not initially a coagulum is often an indication of an ejaculatory duct obstruction or the absence of seminal vesicles. A laparoscopy can check the ovaries, fallopian tubes, and uterus for disease. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. Certain medical conditions such as diabetes, thyroid disease and anemia may also affect fertility. The most common disorders impacting ovulation include polycystic ovary syndrome (PCOS), hypogonadotropic hypogonadism (from signaling problems in the brain), and ovarian insufficiency (from problems of the ovary). Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse.