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Surprisingly, most patients have normal libido, erections, and orgasms, so testosterone therapy has only a limited role; exogenous testosterone may also suppress any underlying sperm production. The HSG is usually scheduled between days 6 and 13 of the cycle - after bleeding and before ovulation. 47 Motivational interviewing techniques for modifiable risk factors, such as obesity, tobacco, illicit drugs, and alcohol, can decrease the targeted risk factor. Cervical mucus problems impairing conception may be treated with intrauterine insemination (IUI) or uterine instillation of specially prepared sperm.

Get Permissions Email Alerts Don't miss a single issue. Live Birth Following Day Surgery Reversal of Female Sterilisation in Women Older then 40 Year: A Realistic Option in Australia? (PDF, 156 KB) Medical Journal of Australia, 2007.

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CI or intrauterine insemination is the treatment of choice if more than 2 million sperm are recovered after the sperm wash. (See Treatment of Cervical Factors). [106, 109] Patients whose reproductive tract, FSH, LH, and testosterone levels are determined to be normal or those who have low testosterone in the absence of any other hormonal abnormalities can be treated empirically with cycles of CC (25 mg PO qd for at least 6-12 mo). Several methods are available to detect antisperm antibodies, such as radioimmunoassay and enzyme-linked immunosorbent assay, but the most specific test is the immunobead test. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. They may benefit from referral to a physician comfortable with prescribing pulsatile administration of gonadotropin-releasing hormone or gonadotropins with luteinizing hormone activity to induce ovulation. Investigations Infertile couples are usually adviced to start their investigations after 12 months of trying to conceive or after 6 months if the female partner is more than 35 years old or immediately if there is an obvious cause for their infertility or subfertility [16]. Boost the Chance of Having a Baby (National Institutes of Health) Also in Spanish Diagnosis and Tests Evaluating Infertility (American College of Obstetricians and Gynecologists) How Is Infertility Diagnosed? (National Institute of Child Health and Human Development) Also in Spanish Prerequisite Testing for Infertility Treatment (Society for Assisted Reproductive Technology) Prevention and Risk Factors Protect Your Fertility (American Society for Reproductive Medicine) - PDF Treatments and Therapies Assisted Reproductive Technology: MedlinePlus Health Topic (National Library of Medicine) Also in Spanish Fertility Herbs: Do They Enhance Fertility? (Mayo Foundation for Medical Education and Research) Also in Spanish Intrauterine Insemination (IUI) (Mayo Foundation for Medical Education and Research) Also in Spanish Treating Infertility (American College of Obstetricians and Gynecologists) Also in Spanish What Infertility Treatments Are Available? (National Institute of Child Health and Human Development) Also in Spanish Living With Infertility Counseling and Support: When and Where to Find It (American Society for Reproductive Medicine) - PDF Psychological Component of Infertility (American Society for Reproductive Medicine) Stress and Infertility (American Society for Reproductive Medicine) - PDF Also in Spanish Related Issues Diethylstilbestrol (DES) and Cancer (National Cancer Institute) Also in Spanish Fertility Drugs and the Risk of Multiple Births (American Society for Reproductive Medicine) - PDF Also in Spanish Reproductive Aging in Women (American Society for Reproductive Medicine) - PDF Secondary Infertility: Why Does It Happen? (Mayo Foundation for Medical Education and Research) Also in Spanish Sexual Dysfunction and Infertility (American Society for Reproductive Medicine) Also in Spanish Smoking and Infertility (American Society for Reproductive Medicine) Also in Spanish STDs and Infertility (Centers for Disease Control and Prevention) Weight and Fertility (American Society for Reproductive Medicine) Also in Spanish What Is Fertility Preservation? (National Institute of Child Health and Human Development) Also in Spanish Genetics Genetics Home Reference: androgen insensitivity syndrome (National Library of Medicine) Videos and Tutorials Understanding Infertility - The Basics (American Society for Reproductive Medicine) Statistics and Research High Plasticizer Levels In Males Linked to Delayed Pregnancy for Female Partners (National Institute of Child Health and Human Development) Infertility Research at the NICHD (National Institute of Child Health and Human Development) Clinical Trials ClinicalTrials.gov: Artificial Insemination (National Institutes of Health) ClinicalTrials.gov: Fertility (National Institutes of Health) ClinicalTrials.gov: Fertilization in Vitro (National Institutes of Health) ClinicalTrials.gov: Infertility (National Institutes of Health) Journal Articles References and abstracts from MEDLINE/PubMed (National Library of Medicine) Find an Expert Eunice Kennedy Shriver National Institute of Child Health and Human Development (National Institute of Child Health and Human Development) Also in Spanish Find a Urologist (Urology Care Foundation) womenshealth.Infertility is defined as a failure to conceive within one PPT Presentation Summary : INFERTILITY.

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Unexplained infertility is not the same thing as having no explanation, but rather reflects the fact that the tests performed have been normal. Ejaculatory Incompetence: This rare psychological condition prevents men from ejaculating during sexual intercourse even though they can ejaculate normally through masturbation.  This condition sometimes responds well to behavioral therapy; if this technique does not work, artificial insemination can be employed using an ejaculate from masturbation.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. 42 Urinary luteinizing hormone kits indicate the midcycle luteinizing hormone surge that precedes ovulation by one to two days.

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After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. Further investigations may be requested according to the clinical presentation and the results of preliminary tests. 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. Other considerations include preconception screening and vaccination for preventable diseases such as rubella and varicella, sexually transmitted infections, and cervical cancer, based on appropriate guidelines and risk. Some medications increase the risk of fertility problems in men. They compete with endogenous GnRH molecules for the pituitary receptors and provoke a massive release of gonadotropins into circulation. Sexual history – One of the purposes of obtaining a sexual history is to determine whether the partners have any sexual disturbance or dysfunction.