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In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Secondary fertility involves one or both partners who have conceived previously, but are now unable to do so because of a possible physical or medical condition impairing fertility. Cabergoline is associated with fewer side effects but is more expensive. Reduced fecundability in women with prenatal exposure to cigarette smoking.

It is an approach to disseminate the recommended medical care of infertile couple to the practicing clinicians. First Fallopian Tube-Ovary Transplant Carried Out. (PDF, 2 MB) Welcome Trends in Ob/Gyn, 1985. 6,8,23 A high FSH level (10 to 20 mIU per mL [10 to 20 IU per L]) drawn on day 3 of the menstrual cycle is associated with infertility. Regression of Metastases after Nephrectomy for Renal Cell Carcinoma. (PDF, 1 MB) British Journal of Urology, 1975. Some physical effects may also result from treatment. Epidemiology[edit] Prevalence of infertility varies depending on the definition, i.e. on the time span involved in the failure to conceive.

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Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. Orchitis The most common cause of acquired testicular failure in adults is viral orchitis, such as that caused by the mumps virus, echovirus, or group B arbovirus. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988.

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It is said to be the most reliable way of confirming whether ovulation has occurred.[12] Women may also use ovulation predictor kits (OPKs) which detect the increase in luteinizing hormone (LH) levels that usually indicates imminent ovulation. The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. Certain medical conditions such as diabetes, thyroid disease and anemia may also affect fertility. This technique involves an injection of a single healthy sperm directly injected into mature egg.

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In addition to a careful history, a physical evaluation may also be performed. Treatment of Endometriosis Endometriosis treatment may be divided according to the severity of the disease and patient needs. Studies show that the IUI is most successful when it is coupled with fertility drugs to enhance ovulation, with success rates between 5% and 20% per cycle. Histological dating of timed endometrial biopsy tissue is not related to fertility status. Their ability to move (> 60%) and forward progression (more than 2 on a 1-to-4 scale). The gonadotropins in these formulations are FSH, and in some cases, a combination of FSH and LH (luteinizing hormone). Pulsatile GnRH and HCG have been used but result in only 20% achieving complete spermatogenesis. Once the follicles (fluid filled sacs containing the eggs) reach a mature size, an HCG injection is administered which leads to final development and maturation of the eggs. Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996.