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3  Sometimes, a couple who’ve already had a child can have trouble conceiving again. Two hormones signal to the testes to make sperm and testosterone: luteinizing hormone and follicle-stimulating hormone. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Intravenous fluids (ie, isotonic sodium chloride solution) must be administered until hemodilution is achieved. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991.

Four alternatives are currently available to treat endometriosis: expectant therapy, surgical intervention, medical treatment, and combined therapy. PDF Articles by Decade: 1970s | 1980s | 1990s | 2000s | 2010s ARTICLES FROM THE 1970s Active Lupus Glomerulitis and Hematoxylin Bodies with Normal Urinalysis. (PDF, 5 MB) The Journal of Urology, 1971. Close Testing for Women Women should track their ovulation by recording their basal body temperature for several months, checking their cervical mucus using a home ovulation test kit.

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For example; a woman who has no history suggestive of previous pelvic inflammatory disease or endometriosis, there is no justification to request a laparoscopy especially after normal hysterosalpingography study [33]. This indicates whether the fallopian tubes are open or blocked.

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However, nowadays, spermatozoa can be extracted by means of a testicular puncture. Each day of abstinence is typically associated with an increase in semen volume of 0.

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The administration on GnRH should be extended throughout the luteal phase, or this should be supplemented with the administration of exogenous hCG. [202] Monitoring folliculogenesis is simpler than using hMG. Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. If the epididymis is blocked, sperm may not be ejaculated properly. Some medications increase the risk of fertility problems in men. Assisted conception The following methods are currently available for assisted conception. Some women have bilateral tubal occlusion, which is when both tubes are blocked. Lack of ovulation Patients with anovulation who did not ovulate after several cycles of CC at different doses of treatment are deemed clomiphene resistant. Gynecological history, including operations and medical treatment. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 7 MB) Nature Genetics, 1995. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995. In the authors' experience, ovulation may occur any time from the menstrual cycle day 10-23 or between day 1 and day 14 after the last tablet of CC is administered. Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974. It usually involves treatment implication counselling, emotional support counselling, and therapeutic counselling [38,39].