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Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009. Ovarian Hyperstimulation Syndrome (OHSS) The syndrome occurs due to treatment with medicamentous ovulation inductors. These factors may interfere with embryo implantation and a woman’s ability to carry pregnancy to term. 48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. Teratozoospermia is when there are a large number of sperms with abnormal morphology. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006.

By the end of this step, most of healthcare professionals will be able to sketch out their provisional diagnosis. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg.

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Cortical deficiency may be seen in patients with adrenal failure due to infection, infarction, or congenital adrenal hyperplasia (CAH). Treatment of hydrosalpinx (distal tubal obstruction) with salpingostomy can be performed through microsurgery or operative laparoscopy. For men, a visual inspection of sexual characteristics can identify such endocrinopathies as hypogonadism (a condition resulting in atrophy or deficient development of secondary sexual characteristics) or Klinefelter’s syndrome (a genetic anomaly often associated with infertility).

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Isolated LH deficiency (fertile eunuch) In these patients, LH levels are decreased while FSH levels are within the reference range. Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. For this reason, it is less likely to adversely affect the endometrium and cervical mucus. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. The optimum fertile period is around 23 years of age when only 5% of women have issues getting pregnant. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME).

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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. The content of counselling may differ depending on the concerned couple and the existing treatment options. Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. Adhesions with the surrounding tissue can develop as well, and reduce the motility of the tubes. No periods It’s not uncommon for women to have an off month here and there. Some men respond with an increase in testosterone levels; many also recover normal sperm counts.