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When it is possible to find the cause, treatments may include medicines, surgery, or assisted reproductive technology. Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases. Treatment Treatment will depend on many factors, including the age of the person who wishes to conceive, how long the infertility has lasted, personal preferences, and their general state of health.

Ovarian hyperstimulation syndrome The ovaries can swell, leak excess fluid into the body, and produce too many follicles, the small fluid sacs in which an egg develops. Transplantation of Rat Kidneys with Acute Tubular Necrosis into Salt-loaded and Normal Recipients. (PDF, 2 MB)Surgery, 1975.

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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. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. This improves the chances that the embryo will implant at, or attach to, the wall of the uterus. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Sertoli cells are columnar, with irregular basal nuclei that have prominent nucleoli and fine chromatin.

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If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. Advantages[edit] There are a number of advantages to the patient with laparoscopic surgery versus an open procedure. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. Absence of mastodynia (breast pain or tenderness) occurs in about 20% of women with ovulatory problems. 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities.

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Mixed gonadal dysgenesis (45, X/46, XY) Patients usually have ambiguous genitalia, a testis on one side, and a streaked gonad on the other. These areas include the fallopian tubes, ovaries, small or large intestine, and the walls of the abdominal cavity and pelvis. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. Many infertile couples have had some previous assessment for their infertility and this data should be cautiously reviewed. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. As sperm move from the head to the tail, they mature and acquire fertilization capacity. If this becomes a regular occurrence, it may interfere with sexual intercourse or be a sign of an underlying issue. A special type of laparoscope called a fertiloscope, which is modified for transvaginal application, can be used. Restrict the treatment to 4 ovulatory cycles because 85% of patients conceive by the fourth ovulatory cycle. [204] If pregnancy is not achieved, further evaluation is required to exclude other factors that may be associated with infertility and may interfere with the success of CC therapy.