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Many of these treatment options may have harmful or unpleasant side effects such as nausea, headaches and weight gain. Just before those eggs would otherwise be ovulated, they are retrieved under mild anesthesia in an operating room. Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972.

Paternal age > or = 40 years: an important risk factor for infertility. However, a survey has suggested that the 3 days most likely to offer a fertile window are the 2 days before ovulation plus the 1 day of ovulation.

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37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone. In some cases this can also cause considerable pain when breathing. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter.

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It was usual practice to talk about infertility in those cases where three or more pregnancy losses had occurred. When used in the early follicular phase, letrozole inhibits estrogen synthesis, thereby causing enhanced GnRH pulsatility and consequent FSH and inhibin stimulation. IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause.

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Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Semen analysis – The semen analysis is the main test to evaluate the male partner. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. The following is a list of hormonal disorders which can disrupt male infertility: Hyperprolactinemia: Elevated prolactin--a hormone associated with nursing mothers, is found in 10 to 40 percent of infertile males.  Mild elevation of prolactin levels produces no symptoms, but greater elevations of the hormone reduces sperm production, reduces libido and may cause impotence.  This condition responds well to the drug Parlodel (bromocriptine). The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. Etiologies include cysts (midline and eccentric), ductal calcification and stones, postinfectious, and postoperative. Out of this group, the following statistics on the cause of infertility generally apply: One-third of couples will discover fertility problems in only the man. 10 Data Sources: A PubMed search was completed using the key terms infertility, subfertility, treatment, etiology, and diagnosis. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. If you’re concerned, it’s important to consult with your doctor.