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Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. The impact of small or single polyps is more controversial. A lower concentration may lead to a lower chance for conception without treatment; 3) sperm motility or movement – a normal motility should be at least 50%. For this reason, it is less likely to adversely affect the endometrium and cervical mucus. If the fallopian tubes are beyond repair, bilateral salpingectomy with destruction of the cornual area is recommended in preparation for IVF. Chemotherapy: Some types may significantly reduce sperm count.

Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. Medications, treatments, and drugs Some drugs can affect fertility in a woman. Also, polymorphisms in folate pathway genes could be one reason for fertility complications in some women with unexplained infertility.[62] However, a growing body of evidence suggests that epigenetic modifications in sperm may be partially responsible.[63][64] Diagnosis[edit] If both partners are young and healthy and have been trying to conceive for one year without success, a visit to a physician or women's health nurse practitioner (WHNP) could help to highlight potential medical problems earlier rather than later. Unlike IVF, in which actual fertilization is observed and confirmed in the laboratory, GIFT does not allow visual confirmation of fertilization.

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Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. While BBT is an inexpensive way to monitor ovulation, it is often impractical.

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Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus. Understanding male infertility: Sex Ed 101 To better understand infertility, here's a refresher course on the birds and the bees. (Anyone caught giggling will have to stay after class.) Sperm are made in the testicles. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. Some women have bilateral tubal occlusion, which is when both tubes are blocked. What’s on the Mind of IVF Consumers? (PDF, 627 KB) Reproductive BioMedicine Online, 2009.

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Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. No consensus exists as to whether the medical treatment should precede surgery or vice versa. [154, 155, 156] Those who prefer medical treatment first argue that the size of the endometriosis decreases; therefore, surgery will be easier and shorter. IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. Testosterone and multiple hormones made in the brain control sperm production. The sediment is suspended in a buffer solution, and the recovered sperm is processed using the sperm-wash technique before it can be used for intrauterine insemination. ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. Investigations Infertile couples are usually adviced to start their investigations after 12 months of trying to conceive or after 6 months if the female partner is more than 35 years old or immediately if there is an obvious cause for their infertility or subfertility [16]. Anatomic causes of infertility include acquired and congenital problems. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity.