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CI or intrauterine insemination is the treatment of choice if more than 2 million sperm are recovered after the sperm wash. (See Treatment of Cervical Factors). [106, 109] Patients whose reproductive tract, FSH, LH, and testosterone levels are determined to be normal or those who have low testosterone in the absence of any other hormonal abnormalities can be treated empirically with cycles of CC (25 mg PO qd for at least 6-12 mo). In many instances, more than one hysteroscopy is required for total resection. Our miscarriage clinic can help investigate these issues and attempt to help couples with any future pregnancy.

Endometriosis may be treated through laparoscopic surgery. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. Where Dreams are Born. (PDF, 2 MB) Jewish Light, 2010. Disorders of the hypothalamus lead to hypogonadotropic hypogonadism. Other considerations include preconception screening and vaccination for preventable diseases such as rubella and varicella, sexually transmitted infections, and cervical cancer, based on appropriate guidelines and risk.

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Therefore, data estimating the prevalence of infertility cited by various sources differs significantly.[8] A couple that tries unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be subfertile, meaning less fertile than a typical couple. With the fast progression in reproductive medicine and the experiences gained through infertility management, a wider range of treatment options have become available to infertile couples [17-19,21-26,31,36], (Appendix 4).

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Because ovarian hyperstimulation syndrome does not occur, the patient's response is slow. They are very common (approximately 40% of women have them them). In GIFT, the sperm and eggs are mixed together before a doctor inserts them. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. Normal cervical mucus to allow passage of the sperm to the upper genital tract. The types of ART include: In Vitro Fertilization (IVF) Gamete Intrafallopian Transfer (GIFT) Zygote Intrafallopian Transfer (ZIFT) Another ART procedure – Intracytoplasmic Sperm Injection (ICSI) – is used mainly in cases of male infertility to treat couples who cannot achieve fertilization due to the male partner’s extremely low number of normal, viable sperm.

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Clomiphene citrate for unexplained subfertility in women. The pituitary gland produces these hormones, so any problems with this gland may also influence infertility. Patients present with short stature, precocious puberty, small testis, and occasional bilateral testicular rests. If endometriosis is found, it can be surgically removed by various methods, and its removal may lead to a decrease in pain as well as improvement in the ability to conceive naturally.