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If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. She records this temperature on a sheet of graph paper. Serum LH determination is more precise, especially when performed in combination with pelvic ultrasonography.

Practice Committee of the American Society for Reproductive Medicine. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. A high serum estradiol level (greater than 60 to 80 pg per mL [220 to 294 pmol per L]) in conjunction with a normal FSH level has also been associated with lower pregnancy rates.

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Analyses of the CFTR Gene in 67 Patients. (PDF, 4 MB) The American Journal of Human Genetics, 1995. To analyze tubal causes of sterility, different methods can be considered.

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Clinical examinations start with ovarian causes of sterility. Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist. Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). 40. Luteal phase support: - Should be offer luteal phase support with progesterone till 8 weeks of gestation. - Different form of progesterone with different routes of administration are available, RCT are taking place comparing efficacy of different forms. Generally, success rates lie between 40% and 60% per cycle. Between 45 and 50 percent of cases are thought to stem from factors that affect the man.

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A history and physical examination can help direct the evaluation. In recent years, electronic tools have been developed to aid surgeons. For example; a woman who has no history suggestive of previous pelvic inflammatory disease or endometriosis, there is no justification to request a laparoscopy especially after normal hysterosalpingography study [33]. Seminal vesicle aspiration revealing numerous sperm or a dynamic test such as injection of indigo carmine into the seminal vesicle or ejaculatory duct may be necessary for diagnosis.[31] Ejaculation issues Anejaculation/retrograde ejaculation may be due to an open bladder neck or a lack of rhythmic contractions during ejaculation.Causes of Infertility A problem in any one of a number of key processes can result in infertility. This standardized approach to the management of infertility will lead to more efficient, systematic and economic care for the infertile couple. Antibodies can abnormally attack a man's own sperm on their way to the egg. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. 2012;27(8):2396–2404.   Want to use this article elsewhere?