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Secondary Infertility Nice Guidelines
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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. Up to 2 percent of men are thought to have suboptimal sperm. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy). The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra.
Clomiphene citrate for unexplained subfertility in women. Many other surgeons feel that since they will have to make a larger incision for specimen removal anyway, they might as well use this incision to have their hand in the operative field during the procedure to aid as a retractor, dissector, and to be able to feel differing tissue densities (palpate), as they would in open surgery. Efficacy of laparoscopy is inferior to open surgery in certain conditions such as pyloromyotomy for Infantile hypertrophic pyloric stenosis. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Because of the antiestrogenic effect, CC may thicken the cervical mucus, creating an iatrogenic cervical factor that can be responsible for the lack of pregnancy in a patient who has otherwise ovulated. [165] Other adverse effects associated with CC are hot flashes, scotomas, dryness of the vagina, headache, and ovarian hyperstimulation, which, although rare, has been reported in patients who are sensitive to CC. [166, 167] Whether the use of CC increases the risk of ovarian cancer is unknown, although 2 articles illustrate a potential risk. [168] Other authorities disagree with this assumption.
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London, United Kingdom: National Institute for Health and Clinical Excellence (NICE); February 2013:1–63. (Clinical guideline no. Chromosomal abnormalities An estimated 6-13% of infertile men have chromosomal abnormalities (compared with 0.
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Basal body temperature (BBT) can be used to observe the thermogenic shift (temperature rises 0. Mannitol Induced Central Nervous System Toxicity in Renal Failure. (PDF, 4 MB) Investigative Urology, 1972.
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Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. Endometriosis can only be confirmed by surgery, usually laparoscopy. Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. Eating disorders such as anorexia nervosa are also associated with extremely low BMI. IVF was a major breakthrough because it allowed for successful pregnancies in women that were previous deemed permanently infertile, such as when the fallopian tubes are both markedly damaged. Fertility treatments for women Fertility drugs might be prescribed to regulate or induce ovulation. The emotional toll on both partners can affect their relationship. S. women, or 6% of the married population 15 to 44 years of age, reported infertility, and 6.
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