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WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). Lifestyle and environmental factors such as smoking, alcohol and drugs, poor eating habits, exposure to increases in testicular temperature (for example, in professions where the worker spends many hours sitting down) and exposure to toxins are factors that compromise semen quality. Practice Committee of American Society for Reproductive Medicine.

Ovulation disorders can be treated with ovulation-inducing drugs. Drugs used for both women and men[67] include clomiphene citrate, human menopausal gonadotropin (hMG), follicle-stimulating hormone (FSH), human chorionic gonadotropin (hCG), gonadotropin-releasing hormone (GnRH) analogues, aromatase inhibitors, and metformin. For this reason, it’s recommended that couples who’ve been trying to get pregnant for over a year without success seek the advice of a doctor. 5 mg PO qd and increased to 5 mg once tolerance is built.

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It is important to establish whether or not the couple really wants to have a child. Source : Infertility and its Treatments - PPT Presentation Summary : Infertility and Its Treatments. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980. If you and your partner agree, extra embryos can be frozen and saved to use later.

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The diagnosis of congenital anestrus is based on the age of the animal and exclusion of all other possible causes (including chromosomal defects, endocrine disorders, and previous oophorectomy). With this treatment, the patient experience spermatogenesis, and therefore, it has the chance to have offspring if he wants to. The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. 29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted.

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The rod-lens based laparoscopes dominate overwhelmingly in practice, due to their fine optical resolution (50 µm typically, dependant on the aperture size used in the objective lens), and the image quality can be better than that of the digital camera if necessary. Ageing ” population ... chronic & degenerative diseases Multiple health problems are common in elderly people THE ... Further investigations 18. Laparoscopy: - Invasive procedure. - to check for pelvic disease; such as endometriosis and to check tubal patency. - therapeutic as in laparoscpic myomectomy and ovarian drilling. Hysteroscopy: - to evaluate uterine cavity. - In case of repeated failed IVF cycles. - therapeutic as in intrauterine septum. A postoperative HSG should be performed 2 months later. Due to the transfer of several embryos, there is the danger of multiple pregnancies. This improves the chances that the embryo will implant at, or attach to, the wall of the uterus. Chemotherapy: Some types may significantly reduce sperm count. IVF/ICSI is a process by which the oocyte is fertilized by a sperm outside the body: in vitro, and then a gamete retransferred intrauterine. For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. A woman of reproductive age who is using artificial insemination to conceive (with either partner or donor sperm) after 6 failed trials. Consider earlier referral to infertility specialists where: - the woman is aged 36 years or over. - there is a known clinical cause of infertility or a history of predisposing factors for infertility. - treatment is planned that may result in infertility (such as treatment for cancer). - People who are concerned about their fertility and who are known to have chronic viral infections such as hepatitis B, hepatitis C or HIV.