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Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. Clomiphene citrate (Clomid, Serophene) The chemical formula for clomiphene citrate (CC) is 2-[p -(2-chloro-1,2-difhenylvinyl) phenoxy] triethylamine dihydrogen citrate. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. However, early referral of infertile couples to a dedicated specialist infertility clinic may be indicated to increase their chance of pregnancy (Table ). A penile exam should detect atrophy, tumors, epididymal cysts, cryptorchidism (undescended testicles), vas thickening or absence of the vas deferens, hydrocele (fluid accumulation in the testis or along the spermatic cord) or varicocele.

This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. In most cases however, sperm function may not improve and therefore any attempts at pregnancy may require additional treatments or procedures performed by our clinic. Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010.

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Government, the Department of Defense, or the Department of the Air Force. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Ovulation test kits or monitors are available at pharmacies and can help a woman determine her fertile time.   SOURCES How common is male infertility, and what are its causes? The use of CC is contraindicated in cases of ovarian cyst, pregnancy, and liver disease. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe.

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Transplantation of a Human Testis for Anorchia. (PDF, 19 MB) Fertility and Sterility, 1978. 8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004. The Three-kidney Rat Model. (PDF, 2 MB) Investigative Urology, 1974. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests.

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A dye test may be performed to detect any blockage in the reproductive tract, wherein a dark blue dye is passed up through the cervix and is followed with the laparoscope through its passage out into the fallopian tubes to the ovaries.[1] See also[edit] [edit] External links[edit] Feder, Barnaby J.Infertility is the inability of a person, animal or plant to reproduce by natural means. Transsphenoidal resection of a microprolactinoma is 80-90% successful, but as many as 17% recur. 389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980. Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods. Heterologous or therapeutic insemination, formerly called artificial insemination by donor sperm, refers to the use of frozen sperm that has been quarantined for at least 6 months. [108] Thereafter, the specimen is ready to use once the donor has undergone the necessary screening tests required by the tissue bank, the US Food and Drug Administration (FDA), and the American Society for Reproductive Medicine (ASRM). [111] The source of the sperm can be either anonymous or from a donor designated by the couple. Long-term Economic Benefits Attributed to IVF-conceived Children: A Lifetime Tax Calculation. (PDF, 225 KB) The American Journal of Managed Care, 2008. Age plays quite a critical role, as fertility peaks for both men and women in their mid-twenties. Practice Committee of American Society for Reproductive Medicine in collaboration with Society for Reproductive Endocrinology and Infertility. Constant irrigation with Ringer lactate solution and heparin prevents fibrin formation. Society and culture[edit] Perhaps except for infertility in science fiction, films and other fiction depicting emotional struggles of assisted reproductive technology have had an upswing first in the latter part of the 2000s decade, although the techniques have been available for decades.[76] Yet, the number of people that can relate to it by personal experience in one way or another is ever growing, and the variety of trials and struggles is huge.[76] Pixar's Up contains a depiction of infertility in an extended life montage that lasts the first few minutes of the film.[77] Other individual examples are referred to individual subarticles of assisted reproductive technology Ethics[edit] There are several ethical issues associated with infertility and its treatment. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977.