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Disadvantages of IVF include failure to conceive, OHSS and expensiveness. Cabergoline is associated with fewer side effects but is more expensive. Cervical surgery can sometimes cause scarring or shortening of the cervix. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973.

In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. Physical exam A directed physical exam that may include a pelvic ultrasound should be performed.

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Using these criteria, he reported a clinically significant threshold of 14% normal forms as an excellent predictor of IVF success. Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1).

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A typical infection is particularly the adnexitis from Chlamydia, but also infections from Trepona pallidum (lues) and Neisseria gonorrhoea should be kept in mind. Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high. Also, polymorphisms in folate pathway genes could be one reason for fertility complications in some women with unexplained infertility.[62] However, a growing body of evidence suggests that epigenetic modifications in sperm may be partially responsible.[63][64] Diagnosis[edit] If both partners are young and healthy and have been trying to conceive for one year without success, a visit to a physician or women's health nurse practitioner (WHNP) could help to highlight potential medical problems earlier rather than later.

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Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. Other conditions that affect the quality and quantity of sperm include: Primary testicular failure. IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. She will also undergo a gynecologic examination and a number of tests: Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue. Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse.