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Your physician will examine you carefully to determine if you have fibroids and if removal is necessary. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired.

Not long after, the United States delivered its first IVF baby, and the use of IVF has grown dramatically. Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972. It is also important to increase the frequency of intercourse by having well-timed sex regularly to improve fertility. In current practice, an alternative for patients with more than 5 sizable follicles is to convert the treatment to IVF. Treatment of the Normal Infertile Couple The prognosis for the normal infertile couple is poor and unpredictable. Bromocriptine (Parlodel): This drug inhibits prolactin production.

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Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body. Perspectives on infertility consultations in primary care: a qualitative study.

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Premature Ejaculation: Is defined as an inability to control the ejaculatory response for at least thirty seconds following penetration.  Premature ejaculation becomes a fertility problem when ejaculation occurs before a man is able to fully insert his penis into his partner�s vagina.  Premature ejaculation can be overcome by artificial insemination or by using a behavioral modification technique called the �squeeze technique� which desensitizes the penis. Symptoms include: bloating constipation dark urine diarrhea nausea abdominal pain vomiting They are usually mild and easy to treat. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 7 MB) Nature Genetics, 1995. The Avon Longitudinal Study of Pregnancy and Childhood Study Team. Chemotherapy: Some types may significantly reduce sperm count.

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3  Sometimes, a couple who’ve already had a child can have trouble conceiving again. Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound. Urofollitropin (eg, Bravelle) contains 75 U of FSH. To ascertain a more precise assessment, a hysteroscopy of the uterus is run. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. The patient should be abstinent for 2-3 days prior to maximize sperm number and quality. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve.