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Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989. The most common of these tests include measurements of blood levels of certain hormones such as estradiol and FSH, which are related to ovarian function and overall egg numbers; TSH, which assesses thyroid function; and prolactin, a hormone that can affect menstrual function if elevated. The results of these tests help determine the best fertility treatment.

6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms. If you and your partner agree, extra embryos can be frozen and saved to use later. However, there are various scenarios where one may be advised to seek help earlier.

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Laparoscopy: A thin, flexible tube with a camera at the end is inserted into the abdomen and pelvis, allowing a doctor to look at the fallopian tubes, uterus, and ovaries. Common symptoms of infertility include the following. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. 6) Male factors affecting sperm function: Male factor infertility has been associated as a contributing factor causing infertility in 40-50% percent of cases, and as the sole cause for infertility in 15-20% percent of cases. Unexplained Even after a full fertility work-up, for one in five couples an exact cause of infertility cannot be determined.

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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. However, its value has been questioned because some studies have found no correlation between the presence or absence of viable sperm in the mucus and subsequent fertility. A doctor may diagnose infertility if a woman has not become pregnant after 1 year of trying.

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Sign up for the free AFP email table of contents.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400. Nonliquefication of the semen can be differentiated from benign hyperviscosity by a normal postcoital test finding. Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. To prevent further polyp development associated with anovulation, the patient should have withdrawal bleeding at least every 6 weeks. Source : Infertility for the Family Doctor - PPT Presentation Summary : unexplained infertility. planning assisted reproduction. ... ICSI can be performed when sperm counts are extremely low or abnormal. Some causes, such as hyperprolactinemia, are reversible with proper treatment. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome).