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Female and male factors are equally responsible for infertility, about 30% to 40% each, and in 20% of the cases, there is a combination of both. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. Source : Medications Used With Infertility Treatment PPT Presentation Summary : Medications Used with Infertility Treatment. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990.

8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year. And as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases as well. It is also important to increase the frequency of intercourse by having well-timed sex regularly to improve fertility. Eating disorders such as anorexia nervosa are also associated with extremely low BMI. Smoking during pregnancy increases the chance of pregnancy loss.

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6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology. Evaluation of the Female Partner: Evidence of Ovulation (Continued) Progesterone test.

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6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. Group II: hypothalamic-pituitary-ovarian dysfunction (predominately polycystic ovary syndrome). American Urological Association Education and Research, Inc. Although 60% of patients have evidence of antisperm antibodies after vasectomy, the clinical significance has not been completely elucidated. 29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ.

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Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. To have a successful reanastomosis, the final tube should measure at least 4. Not long after, the United States delivered its first IVF baby, and the use of IVF has grown dramatically. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. Although obesity is well known to be associated with insulin resistance, women with PCOS are even more resistant to insulin than other patients who are obese. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. The maximum recommended dosage is 150 mg/day for 5 days. This may reflect an unknown immunological incompatibility or other unknown problem with fertilization or implantation. The views expressed in this material are those of the authors, and do not reflect the official policy or position of the U. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000.