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However, intercourse 3 times a week results in a probability of conception around 50% within 6 months. Treatment of Secondary Amenorrhea and Oligo-ovulation Once the diagnosis is established and any other endocrinopathy has been excluded, the ovulation induction agent of choice depends on a functioning hypothalamic-pituitary-ovarian axis. According to Ross, “anything that improves quality of health, like adequate sleep and nutrition,” should improve fertility.

Grading is as follows: Grade 0 – No movement Grade 1 – Sluggish movement Grade 2 – Slow movement in a poorly defined direction Grade 3 – Slow or curved forward movement Grade 4 – Fast movement straight forward  Patients with abnormal sperm motility should be evaluated for the following: Pyospermia Antisperm antibodies Varicocele Sperm ultrastructural abnormalities Partial ductal obstruction Sperm morphology The head, acrosome, mid piece, and tail of individual spermatozoa are analyzed with phase-contrast microscopy after fixation with Papanicolaou stain. There are three types of fibroids: 1) subserosal, or fibroids that extend more than 50% outside of the uterus; 2) intramural, where the majority of the fibroid is within the muscle of the uterus without any indentation of the uterine cavity; and 3) submucosal, or fibroids the project into the uterine cavity. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. The application of artificial insemination usually is made after previous medicamentous treatment. This can result from: A medical condition: This could be a testicular infection, cancer, or surgery.

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Silent Sorority: A Barren Woman Gets Busy, Angry, Lost and Found.Anovulation is when the ovaries do not release an oocyte during a menstrual cycle. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. After ttc for 4 years and at 41 years of age, we became pregnant after 1 round of IVF, and had our beautiful boy this past October. 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.

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Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996. This process has revolutionized assisted reproductive technology and the way reproductive endocrinologists can help people in having a baby.

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After ruling out female infertility concerns, tests for male infertility may be needed. Hereditary causes: due to chromosome or genetic abnormalities. European Association of Urology guidelines on male infertility: the 2012 update. Changes in sexual desire A man’s fertility is also linked with his hormone health. Radiopaque dye is instilled into the uterine cavity through the cervix and x-rays are taken. Afterward, radiographs are taken and the contrast material can be seen in the abdominal cavity if the tubes are pervious.