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Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. Treatment of Female Infertility: Intrauterine Insemination Intrauterine insemination (IUI) is a fertility procedure in which sperm are washed (separated from the semen), concentrated, and injected directly into a woman’s uterus.

In the authors' experience, ovulation may occur any time from the menstrual cycle day 10-23 or between day 1 and day 14 after the last tablet of CC is administered. Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs).

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The hypothalamus also produces thyrotropin-releasing hormone (TRH) and vasoactive intestinal peptide (VIP), both of which stimulate prolactin release from the anterior pituitary, and dopamine, which inhibits prolactin release. The sperm moves up the cervix, towards the uterus, and into the fallopian tubes to reach and fertilize the egg. Like many people facing infertility, I was heartbroken by the news.

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It delivers a constant supply of Gn-RH to the pituitary gland, which alters the production of hormone, allowing the doctor to induce follicle growth with FSH. However, if the E2 level is greater than 100 pc/mL and the follicles are 10 mm in diameter, hMG should be continued at the same dose.

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Treatment of Female Infertility: Ovulation Induction Agents The main agents used for the induction of ovulation include: Clomiphene citrate is an orally active, nonsteroidal agent structurally similar to estrogen. It is better for a couple to see the doctor together. But the question that should be answered one day is: will the output quality be compromised with such approach? Epidemiology of infertility For healthy young couples, the probability of getting pregnancy per a reproductive cycle is about 20% to 25%. It binds in a part of the brain called the hypothalamus, which is essential in stimulating the ovary to grow and release an egg. 6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive. The 3 classes of surgical techniques are conventional laparotomy, operative laparoscopy, and operative hysteroscopy, as follows: Laparotomy: This technique is indicated for large myomas, for submucous myomas larger than 3 cm in diameter, or for myomas that, regardless of being submucous, have a portion of the myoma that compromises the myometrium so that a complete resection through the hysteroscopy is not feasible.