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Therefore, pelvic ultrasonography is required before CC is initiated. [207] Pure FSH treatment for ovulation induction is another alternative for patients with PCOS who are clomiphene resistant. Blood test: This can assess hormone levels and whether a woman is ovulating. New Treatment for Infertility Due to Congenital Absence of Vas Deferens. (PDF, 1 MB) The Lancet, 1987.

Infertility caused by DNA defects on the Y chromosome is passed on from father to son. Religious leaders' opinions on fertility treatments; for example, the Roman Catholic Church views infertility as a calling to adopt or to use natural treatments (medication, surgery, or cycle charting) and members must reject assisted reproductive technologies.

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Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975. 18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). In women, both smoking and alcohol use are associated with lower rates of conception and increased rates of spontaneous abortion.

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The findings of the biopsy help determine whether the endometrium is adequately developed to support implantation and growth of a fertilized egg. The woman may be given a low dose of ovary stimulating hormones. Are Sequence Family Variants Useful for Identifying Deletions in the Human Y Chromosome? (PDF, 377 KB) The American Journal of Human Genetics, 2004. The endometrium can be damaged from previous curettages or infections like endometritis. 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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Problems with sperm If a man makes too few sperm or none at all, the woman cannot become pregnant. Infertility and impaired fecundity in the United States, 1982–2010: data from the National Survey of Family Growth. A complete pelvic exam should reveal any uterine hypoplasia, fibroids, adnexal tumors or cervical lesions and should indicate whether dyspareunia may be a problem. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. Factors affecting Fertility Caffeinated beverages: - No evidence on effect of caffeine on fertility. Alcohol - Female patients should be informed that 1 or 2 units of alcohol once or twice per week reduces risk of harming a developing fetus. - Intoxication may affect semen quality.