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Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. That is why a continuous sonographic control and also lab-medical controls are made.

8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. Some causes are more common in some countries than others, such as pelvic inflammatory diseases (PID) and sexually transmitted infections (STI) in Africa [10]. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. The chance of a multiple birth is lower with an oral fertility drug. With this treatment, the patient experience spermatogenesis, and therefore, it has the chance to have offspring if he wants to.

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In addition to a careful history, a physical evaluation may also be performed. In women with anovulation, it may be an alternative after 7 - 12 attempted cycles of pituitary feedback regimens (as evidenced by clomifene citrate), since the latter ones are less expensive and more easy to control.[18] In vitro fertilization[edit] The standard procedure of in vitro fertilization includes controlled ovarian hyperstimulation with gonadotropins, but in larger doses, with the intention to induce development of supernumerary follicles. History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. PPT Presentation Summary : Evaluation of Fertility: A Cornerstone to Improved Reproductive Health for Women Overview.

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0 This concept is a form of artificial insemination. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973.

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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. A low testosterone level with a low FSH level signals a secondary cause. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. Patients may be candidates for assisted reproduction techniques after appropriate genetic screening in the partner.[29] Acquired blockage of the ductal system Genital ducts may become obstructed secondary to infections, such as chlamydia, gonorrhea, tuberculosis, and smallpox. Previous pelvic surgeries involving the fallopian tubes can also increase your chances of infertility.