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Factors affecting Fertility Frequency/Timing of sexual intercourse: - Every 2 to 3 days optimises the chance of pregnancy Obesity: - Women who have BMI of over 30 should be informed that they are likely to take longer to conceive and will affect treatment success rates. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Optimal sperm conditions Although only one sperm is needed to fertilise your partner’s egg, the enzymes from multiple sperm are needed to break down the egg’s protective barrier. Hence the ability to conceive a normal pregnancy decreases from when a woman is in her early 30s into her 40s. Erectile dysfunction Erectile dysfunction is when a man cannot get or keep an erection (get hard) for sex. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter.

Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. This may take the form of miscarriages or extrauterine pregnancies. Minimal Ovarian Stimulation (mini-IVF) for IVF Utilizing Vitrification and Cryopreserved Embryo Transfer. (PDF, 406 KB) Reproductive BioMedicine Online, 2010. This can result from: A medical condition: This could be a testicular infection, cancer, or surgery. Clomiphene citrate for unexplained subfertility in women.

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Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. Known uterine fibroids or endometrial polyps: Uterine abnormalities, such as fibroids that indent the endometrial cavity and endometrial polyps, can impair how the endometrium (the lining of the uterus) and embryo interact to lower implantation and pregnancy rates. Transrectal ultrasonography (TRUS) may reveal enlarged seminal vesicles, but this is not universal. Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995.

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41 Treatment of Unexplained Infertility Jump to section + Couples who have no identified cause of infertility should be counseled on timing of intercourse for the most fertile period (i.e., the six days preceding ovulation). If the RSAT is negative, the bitch is presumed to be Brucella-free; if positive, further confirmatory laboratory testing is indicated (eg, AGID, PCR, 2-mercapto-ethanol RSAT).

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6 mg SC q4wk for 6 months) GnRHa therapy can be administered along with cyclic or continuous progestins or with cyclic or continuous estrogen and progestins in cases of severe hot flashes. [145, 152] Combined therapy Medical and surgical treatments are usually combined for the treatment of severe endometriosis. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility. It stimulates the ovaries to mature egg follicles. Surprisingly, most patients have normal libido, erections, and orgasms, so testosterone therapy has only a limited role; exogenous testosterone may also suppress any underlying sperm production. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). Treatment of hydrosalpinx (distal tubal obstruction) with salpingostomy can be performed through microsurgery or operative laparoscopy. Sperm count often returns to normal after stopping the medication. Patients who are suffering from Stein-Leventhal syndrome (also referred to as polycystic ovary syndrome, or PCOS) can also suffer from anovulation.[3] Up to 90% of cases of anovulation are caused by PCOS; this syndrome is usually hereditary.[4][5] Weight loss or anorexia can also cause hormonal imbalance, leading to irregular ovulation (dysovulation).