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38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. The epididymis is a coil-like structure in the testicles which helps store and transport sperm.

Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. 2. serum progesterone in the mid-luteal phase of their cycle (day 21 of a 28-day cycle) even if they have regular menstrual cycles. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment.

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The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. 6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Sterilisation Some women choose to be sterilised if they don't want to have any more children. The dynamics of stress in fertile and infertile couples.

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Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. 3 Learn more about how age can impact your fertility, and why it’s best to seek advice to conceive as early as possible. Endometriosis Endometriosis is when the tissue of the uterine lining grows outside of the uterus. In women with anovulation, it may be an alternative after 7 - 12 attempted cycles of pituitary feedback regimens (as evidenced by clomifene citrate), since the latter ones are less expensive and more easy to control.[18] In vitro fertilization[edit] The standard procedure of in vitro fertilization includes controlled ovarian hyperstimulation with gonadotropins, but in larger doses, with the intention to induce development of supernumerary follicles.

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Other infectious diseases that may affect fertility include tuberculosis, toxoplasmosis, malaria, schistosomiasis and leprosy. Laparoscopy with hydrotubation - if the clinical situation suggests this is required . The typical indication is the oligoasthenoteratozoospermia here. After 3-6 hours, the sperm is added to the oocytes. For a woman to be fertile, the ovaries must release healthy eggs regularly. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. In-vitro fertilization (IVF.)Sperm are mixed with multiple eggs collected from the woman in a “test tube” (actually just a plastic dish.). However, in our modern era, women are delaying child birth until their thirties and forties, which has lead to the discovery of the adverse effect of advanced maternal age on egg function. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. A decreased testosterone level with an increased FSH level points to primary hypogonadism. Factors Affecting Fertility: Timing of Intercourse Intercourse prior to ovulation is key to maximizing the chance of pregnancy.


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See also
Infertility Emedicine
Infertility Ethical Issues
Infertility Etiology