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37 Clomiphene has also proven effective for ovulation induction in women with polycystic ovary syndrome. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. A detailed history and physical examination is necessary for both partners. Hystersalpingography (HSG): Further investigations 17. Investigation of suspected tubal and uterine abnormalities: 2.

If the correction is not done, it may be harder for the sperm to get to the female's cervix. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed. If you and your partner agree, extra embryos can be frozen and saved to use later. This can damage the ovaries or fallopian tubes and cause fertility problems.

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In those with azoospermia and a varicocele, sperm may appear after repair in up to one third, but most of these men return to an azoospermic state within a few months. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. Fallopian tube factor: in vivo fertilisation takes place inside the fallopian tubes. Abnormalities may be a sign of a primary hypothalamic, pituitary, or testicular problem.Causes Causes generally can be divided into pretesticular, testicular, and post-testicular. Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages.

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Three modalities are used to treat myomas: medical treatment, surgical treatment, and embolization. 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. They can be blocked due to numerous causes, including infections,  trauma or abnormal development, such as with cystic fibrosis or similar inherited conditions. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. 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. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005.

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The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY STERILITY? In these cases the duration of the infertility is the best parameter by which to judge the chances of future natural conception; the longer the time of infertility then the sooner intervention should be considered.Summary Infertility is a term doctors use if a man hasn't been able to get a woman pregnant after at least one year of trying. 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. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. Luteal phase support. (and cryopreservation choice offered if good quality embryos are available) IVF/ICSI 37. Down-regulation: - to avoid premature LH surge and spontenous ovulation. - either GnRH agonist protocol or GnRH antagonist protocol. - always use GnRH antagonist protocol in women with high risk of OHSS. Three regions have been described, called azoospermic factors a, b, and c (AZFa, AZFb, AZFc).[24] These deletions are observed in 3-19% of patients with idiopathic infertility and 6-14% of patients with oligospermia, although up to 7% of patients with other known causes of infertility may also be found to have a deletion. Analyses of the CFTR Gene in 67 Patients. (PDF, 4 MB) The American Journal of Human Genetics, 1995.