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Pelvic ultrasonography can be used once a week until the dominant follicle is detected; once this occurs, ultrasonography can be used more frequently until ovulation occurs. Similarly, there is no need for testing tubal patency for couples who will require IVF or ICSI procedure. One of such conditions is a varicocele – one of the major causes of male infertility – that occurs when a vein that carries blood out of the scrotum dilates. Diagnosis Most people will visit a physician if there is no pregnancy after 12 months of trying. Those motile and viable sperm are then placed in a very small amount of solution, and then very gently and painlessly injected into the uterine cavity using a very thin, soft, and flexible catheter.

Fertility Evaluation: Obstetric and Gynecological History The obstetric and gynecological history should include: Reproductive history (children, mode of delivery, prematurity, stillbirth, extrauterine pregnancy, spontaneous and induced abortion, fertility and infertility in earlier relationships). Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg.

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It is better for a couple to see the doctor together. Patients present with short stature, precocious puberty, small testis, and occasional bilateral testicular rests. The patient should be prescribed high-dose estradiol (5 mg qd for 21 d) followed by medroxyprogesterone (10 mg for 10 d). Treatment of Female Infertility: Induction of Ovulation Ovulation induction involves the use of medication to stimulate development of one or more mature follicles in the ovaries of women who have anovulation and thus are infertile.

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Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. 41 Treatment of Unexplained Infertility Jump to section + Couples who have no identified cause of infertility should be counseled on timing of intercourse for the most fertile period (i.e., the six days preceding ovulation).

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One of the common causes of infertility is infrequent intercourse. Sterilisation Some women choose to be sterilised if they don't want to have any more children. Corticosteroids are usually used to reduce the production of testosterone. Polycystic ovarian syndrome (PCOS) is one of the most common disorders impacting ovulation. Low weight: Obesity is not the only way in which weight can impact fertility. Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. Chromosomal defects Hereditary disorders, such as Klinefelter’s syndrome (when a male is born with two X chromosomes and one Y chromosome instead of one X and one Y) impacts the normal development of the male reproductive organs. Although tubal disease was the original indication for IVF, many more indications have developed over the years. Out of this group, the following statistics on the cause of infertility generally apply: One-third of couples will discover fertility problems in only the man. One type of ovulation problem, polycystic ovarian syndrome, is effectively treated with medications. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010.