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Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation. Intra-uterine insemination for unexplained subfertility. Although sperm quality deteriorates as men age, this does not create a problem until after the age of 60. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME).

The more fetuses there are, the higher the risk of premature labor. This procedure is performed in the outpatient setting. Epidemiology of Sterility and Infertility Sterility and infertility affect about 10 – 15% of couples. When the big veins heat the testes too much, the heat damages the sperm.

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When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. The anamnesis includes sexual behavior concerning ovulation here. She will also undergo a gynecologic examination and a number of tests: Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue. Ultrasound can detect uterine abnormalities such as fibroids and polyps, distal fallopian tube occlusion, and ovarian abnormalities including ovarian cysts. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989.

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Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. Due to improved patient outcomes, in the last two decades, laparoscopic surgery has been adopted by various surgical sub-specialties, including gastrointestinal surgery (including bariatric procedures for morbid obesity), gynecologic surgery, and urology.

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High-cost treatments are out of financial reach for some couples. In women, both smoking and alcohol use are associated with lower rates of conception and increased rates of spontaneous abortion. Although CASA produces good qualitative data, it is a labor-intensive procedure with a high initial cost and is plagued with inaccuracies when sperm concentrations are very high or very low. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. Cervical insemination has almost been abandoned because of its low success and has been relegated only to cases in which the sperm count is normal, such as in artificial insemination using donor sperm or if the sample has elevated white cells. Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. Prior surgeries Certain surgeries may prevent you from having sperm in your ejaculate, including vasectomy, inguinal hernia repairs, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others. It can either be used to inspect and diagnose certain conditions or to surgically correct an abnormality such as removing scar tissue, endometriosis, or a damaged fallopian tube. Zudem nutzen wir diese Daten, um Ihnen Werbung für ähnliche Filme zu zeigen, die Ihnen vielleicht auch gefallen könnten.