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European Association of Urology guidelines on male infertility: the 2012 update. Benign prostatic hyperplasia does not affect fertility. The sperm moves up the cervix, towards the uterus, and into the fallopian tubes to reach and fertilize the egg. 40. Luteal phase support: - Should be offer luteal phase support with progesterone till 8 weeks of gestation. - Different form of progesterone with different routes of administration are available, RCT are taking place comparing efficacy of different forms. Generally, success rates lie between 40% and 60% per cycle.

Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages. Exposure to toxic agents can occur from occupational hazards or contaminated air, water, food supply or other exposures. Tubal catheterisation or cannulation: - With proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology.

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Unfortunately, there are some forms of male infertility that are not treatable. Uterine fibroids Fibroids are noncancerous growths in the uterus. Our goal is to have each and every patient feel as part of our team, a team that is focused on helping them have a healthy baby. Generally, their response to hMG ovulation induction is too brisk or delayed, and predicting whether the patient will respond easily is not possible. American Urological Association Education and Research, Inc.

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Antibodies that are bound to sperm decrease the sperm’s ability to penetrate the cervical mucus and bind to the zona pellucida. Studies on Testicular Biopsies from Vasectomized Men. (PDF, 18 MB) Chapter 21 from Vasectomy: Immunologic and Pathophysiologic Effects in Animals and Man, 1979. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Lifestyle Factors Jump to section + All couples should be counseled to abstain from tobacco use, limit alcohol consumption, and aim for a body mass index less than 30 kg per m2 to improve their chances of natural conception or using assisted reproductive technology. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points".

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The content of counselling may differ depending on the concerned couple and the existing treatment options. High-cost treatments are out of financial reach for some couples. 6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms. It also tests for a luteal phase defect (inadequate level of progesterone). Low progesterone levels may lead to early miscarriage. Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave.


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