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The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. Unexplained infertility in women or men may be managed with another year of unprotected intercourse, or may proceed to assisted reproductive technologies, such as intrauterine insemination or in vitro fertilization.

Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. If oligospermia or azoospermia is noted, hypogonadism should be suspected. Causes of Female Infertility The following causes may lead to infertility in women: Pelvic inflammatory disease, which can lead to blocked or damaged fallopian tubes. Those motile and viable sperm are then placed in a very small amount of solution, and then very gently and painlessly injected into the uterine cavity using a very thin, soft, and flexible catheter. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005.

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A blood test done on days 21 or 22 of a normal 28-day menstrual cycle can be used to test whether ovulation has occurred by measuring the progesterone level. Benign prostatic hyperplasia does not affect fertility. The corollary to this is that, by definition, failure to conceive in women under 35 isn't regarded with the same urgency as it is in those over 35. These endometrial cells can extend as far as the outside of the fallopian tubes, the ovaries and the bladder. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point.

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It delivers a constant supply of Gn-RH to the pituitary gland, which alters the production of hormone, allowing the doctor to induce follicle growth with FSH. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. Immunohistochemical stains are performed if more than 5-10 round cells/HPF are present.  Other tests Semen may be analyzed for levels of zinc, citric acid, acid phosphatase, and alpha-glucosidase. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978.

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This results in normal or enhanced follicular recruitment without the risk of multiple ovulation and ovarian hyperstimulation syndrome. Generally, their response to hMG ovulation induction is too brisk or delayed, and predicting whether the patient will respond easily is not possible. Surgical ablation: - In minimal or mild endometriosis; surgical ablation or resection of endometriosis plus laparoscopic adhesiolysis improves the chance of pregnancy. - Laparoscopic resection of endometriomas may be beneficial, however recent RCTs suggest intervention only in endometriomas > 4cm. - In moderate or sever endometriosis; surgical treatment should be offered. (Debatable) - Post-operative medical treatment does not improve pregnancy rates. Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse. Low weight: Obesity is not the only way in which weight can impact fertility. With the fast progression in reproductive medicine and the experiences gained through infertility management, a wider range of treatment options have become available to infertile couples [17-19,21-26,31,36], (Appendix 4). Medical conditions Some medical conditions can affect fertility. ARTICLES FROM THE 2010s Ovarian Function 6 Years after Cryopreservation and Transplantation of Whole Sheep Ovaries. (PDF, 496 KB)Reproductive BioMedicine Online, 2010.


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