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Practice Committee of the American Society for Reproductive Medicine. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. Fibrosis of the oviducts or uterine horns, probably a result of inflammation after infection or trauma, leads to infertility. It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods.

Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Hypothyroidism has no effect on male libido or semen quality. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. 8 However, if your doctor diagnoses you with infertility, then it’s likely that you’ll need some additional help to conceive.  This may be as simple as timing when you have sex, or you may need more advanced fertility treatment.   Discovering that you’re infertile can be overwhelming, but the right support can help you to conceive successfully. Difficulties getting pregnant increase from 35 years of age. Treatment of Female Infertility: Induction of Ovulation Ovulation induction involves the use of medication to stimulate development of one or more mature follicles in the ovaries of women who have anovulation and thus are infertile.

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Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. Thankfully, even when the cause of infertility is not known, various fertility treatments can eventually lead to delivery of a healthy baby.

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Treatment of tubal obstruction generally requires referral for subspecialty care. A bicornuate uterus is characterized by the presence of an indentation at the fundus.

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Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. 16. Investigation of suspected tubal and uterine abnormalities: 1. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. Its mechanism of action is still not well understood, but it competes for the estrogen receptor at the hypothalamus, pituitary, and ovarian levels. Intrauterine insemination is performed during a natural cycle or after ovulation induction with CC or gonadotropins.