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Understanding the normal reproductive process is essential in knowing when to seek help. The diagnosis of congenital anestrus is based on the age of the animal and exclusion of all other possible causes (including chromosomal defects, endocrine disorders, and previous oophorectomy).

That is why a continuous sonographic control and also lab-medical controls are made. If this is unsuccessful, the dosage may be increased to 100 mg daily. No role for: Post-coital testing for cervical mucous. Endometrial Biopsy. Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it.

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Most couples (about 84%) who have regular sexual intercourse (that is, every two to three days) and who do not use contraception get pregnant within a year. Genetic tests can identify specific obstacles to fertility and problems with sperm. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. 37 Clomiphene has also proven effective for ovulation induction in women with polycystic ovary syndrome.

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London, United Kingdom: National Institute for Health and Clinical Excellence (NICE); February 2013:1–63. (Clinical guideline no. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility.

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16. Investigation of suspected tubal and uterine abnormalities: 1. Assisted hatching: The embryologist opens a small hole in the outer membrane of the embryo, known as the zona pellucid. Management of the infertile couple: an evidence-based protocol. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. For example, high cortisol levels are seen in patients with Cushing syndrome, which causes negative feedback on the pituitary to decrease LH release. Unexplained Even after a full fertility work-up, for one in five couples an exact cause of infertility cannot be determined. This period is shorter when the female is aged between 35 and 40 and treatment should not be put off in those cases where the woman is aged over 40. Some physical effects may also result from treatment. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. If it stays in there, complications can develop, such as the rupture of the fallopian tube. Women attempting pregnancy at age 40 or older have a 50% decreased fertility rate and a two-fold to three-fold increased risk of spontaneous abortion compared with younger women. Tumors Cancers and nonmalignant tumors can affect the male reproductive organs directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes.