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If you and your partner agree, extra embryos can be frozen and saved to use later. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982. 41 Treatment of Unexplained Infertility Jump to section + Couples who have no identified cause of infertility should be counseled on timing of intercourse for the most fertile period (i.e., the six days preceding ovulation). Coital frequency is positively correlated with pregnancy rates.

Specialized semen analysis, including genetic testing of the sperm (looking for the presence of antibodies) and evaluation of immobile sperm (to see if they are dead or alive). 37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone.

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Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory.

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Noonan syndrome (46, XY) Patients with Noonan syndrome, also known as male Turner syndrome, have physical characteristics similar to that of women with Turner syndrome (45, X). Careful monitoring during treatment and pregnancy can help reduce the risk of complications. Fibroids Non-cancerous growths called fibroids in or around the womb can affect fertility. 8–16 One retrospective case-control study of 650 men with infertility and 698 control participants questioned the role of environmental risk; no association could be determined after assessing for multiple factors including shift work, stress, and pesticides.

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A special type of laparoscope called a fertiloscope, which is modified for transvaginal application, can be used. In these methods, fertilization occurs inside the body. Fibroids that distort the uterine cavity have an impact on the ability of an embryo to implant and should be removed surgically. Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. Only active, undamaged sperm are chosen for injections. Also possible is increased body mass and facial hair, which is relatively easy to treat, and is often associated with PCOS, or polycystic ovary syndrome. Common symptoms of infertility include the following. Do you have pain with menstrual periods or intercourse? His first atlas, More Details on Pelviscopy and Hysteroscopy was published in 1976, a slide atlas on pelviscopy, hysteroscopy, and fetoscopy in 1979, and his books on gynecological endoscopic surgery in German, English, and many other languages in 1984, 1987, and 2002. The effects of age on fertility are moderate and do not begin to take an effect until the late 30s.