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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. Empirical treatment with controlled ovarian hyperstimulation followed by intrauterine insemination has improved the pregnancy rate in those patients. [214] If pregnancy does not occur during the first 4 intrauterine insemination cycles, other alternatives include IVF or any of the associated assisted reproductive technologies procedures.Background Infertility is a common clinical problem.

A needle biopsy of the testicle can show whether a man is making healthy sperm. In this condition, semen ejaculates backwards into the bladder instead of out the penis.

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IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. Reduced fecundability in women with prenatal exposure to cigarette smoking.

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Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. Difficulties getting pregnant increase from 35 years of age.

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In some cases, the reproductive urologist can improve semen function by recommending certain lifestyle changes, by hormonal treatments, or by surgery. And about 15% of infertile men have normal semen and plenty of normal sperm. For unknown reasons, as women age, egg numbers decrease at a rapid rate. Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. 33 Use of antioxidants such as zinc, vitamin E, or l-carnitine showed increased live birth rates in three small randomized controlled trials in couples undergoing assisted reproductive technology. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. Ultrasound can detect uterine abnormalities such as fibroids and polyps, distal fallopian tube occlusion, and ovarian abnormalities including ovarian cysts.