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These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. The 2 techniques are the Strassman metroplasty and the Jones metroplasty. 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1. Sterility can affect both men and women, with the cause involving either one or both parties. Ovulation should be documented by serum progesterone level measurement at cycle day 21.

Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. After injection of the sperm, the patient remains in the recumbent position for 10-15 minutes. Fertility treatment with donor eggs is usually done using IVF. However, for certain very poor specimens with low original concentrations of motile sperm, the use of the gradient system results in such a negligible recovery as to render it useless. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003.

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It is important to undergo a thorough fertility evaluation to determine the problem. 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.

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Secondary spermatocytes contain smaller nuclei with fine chromatin. If the woman is aged over 35 years, the couple may wish to see a doctor earlier, because fertility testing can take time, and female fertility starts to drop when a woman is in her 30s.

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This can make it difficult for the embryo to implant. However, the presence of fibroids alone doesn’t necessarily cause infertility or predispose a woman to pregnancy loss. The laboratory evaluation begins with a semen analysis. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. Some women are infertile because their ovaries do not mature and release eggs. The laboratory evaluation begins with a semen analysis. A luteal phase defect results in low production of the hormone progesterone, which is necessary for maintaining a pregnancy.