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Blood tests Depending on the individual couple's situation, various blood tests on either the female or the male may be needed. 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. The initial dosage of clomiphene is 50 mg daily for five days starting on day 3 to 5 of the menstrual cycle. This indicates whether the fallopian tubes are open or blocked.

To examine the sperm motility in the cervical mucus, the postcoital test is made. 35. In women aged under 40 years who have not conceived after 2 years of regular unprotected intercourse or 12 cycles of artificial insemination (where 6 or more are by intrauterine insemination), offer 3 full cycles of IVF, with or without ICSI. We generally recommend seeking the help of a reproductive endocrinologist if conception has not occurred within 12 months. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976. Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009.

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Follicular puncture Embryo transfer Ovarian stimulation Postcoital test In-vitro cultivation 3. Overweight or obesity: This may reduce the chance of conceiving. Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. Adhesions with the surrounding tissue can develop as well, and reduce the motility of the tubes. Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994. Intercourse 2 or 3 times per week may be considered average, although the frequency varies.

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Practice Committee of the American Society for Reproductive Medicine. Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems.

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Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010. A typical adverse effect can be ovarian hyperstimulation. Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973. If both tubes are blocked, then in vitro fertilization (IVF) is required. In some cases, they may prevent a fertilised egg attaching itself to the womb, or they may block a fallopian tube. 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.