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Patients are at increased risk of infertility, even if the testicle is brought down into the scrotum, as the testicle itself may be inherently abnormal. Polyps and submucous fibroids can be removed during this procedure. 3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. The anamnesis includes sexual behavior concerning ovulation here. Semen analysis The semen analysis is a very important test and should be done early in the evaluation process.

25 mg Lupron Depot IM q3mo for up to 6 months) Nafarelin acetate (eg, Synarel 400 mcg intranasal qd; not to exceed 6 months) Goserelin acetate (eg, Zoladex 3. If they are blocked, it indicates the site of the block. Treatment of the cause: 27. Tubal and uterine factors: 1. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. Estrogen causes negative feedback on the pituitary gland, inhibiting LH and FSH release. Advising surgery in cases of primary infertility is difficult.

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At least one open tube is required for IUI, and the sperm abnormality cannot be severe otherwise the sperm will not be able to swim to and fertilize the egg. However, these tests have only poor to moderate predictive value despite widespread use. 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. Conversely, a young overweight woman who manages to lose weight could also relieve the problem of anovulation (losing just 5% of body mass could be enough to restart ovulation).

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The pregnancy rate fluctuates from 20-35%, and the expected ectopic pregnancy rate is as high as 20%. A varicocele is a varicose vein found in the scrotum. The emotional toll on both partners can affect their relationship. Thalassemia Patients with thalassemia have ineffective erythropoiesis and undergo multiple blood transfusions. Do you have a family history of medical problems?

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Paternal age > or = 40 years: an important risk factor for infertility. If he has two X chromosomes and one Y chromosome, as in Klinefelter's syndrome, the testicles will develop abnormally and there will be low testosterone and a low sperm count or no sperm. These injections are taken nightly, typically for 5 – 10 days, and act directly on the cells of the ovary to stimulate egg development. The maximum recommended dosage is 150 mg/day for 5 days.