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The agents most often associated with infertility are the alkylating agents such as cyclophosphamide. Its treatment depends on the etiologic factor, but, in many instances, the underlying cause remains unknown. Hysteroscopy is the inspection of the uterine cavity through the cervix by a hysteroscope attached to a camera which projects to a screen. Causes of Sterility in Women In women, the classification of possible causes is much more complex. Is there a way to increase a couple’s chance of getting pregnant? WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%).

Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. The surgery is performed during the early follicular phase. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate.

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If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. The progestins that can be used and the doses are as follows: Medroxyprogesterone acetate (eg, Depo-SubQ Provera 104; administer 104 mg SC q3mo or q12-14wk) Megestrol acetate (eg, Megace 20-40 mg PO qd for up to 2 months) Norethindrone acetate (eg, Aygestin 15 mg PO qd for 6-9 months) [145, 146, 147, 148, 149, 150] The androgens used are 17-ethinyl testosterone derivatives (eg, danazol 400-800 mg PO divided BID; not to exceed 9 months) [151, 152, 153] The GnRH agonists used are as follows: Leuprolide acetate (eg, Lupron 3. Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes. Bromocriptine (Parlodel): This drug inhibits prolactin production.

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This procedure is performed in the doctor’s office without anesthesia. After a woman ovulates, her body temperature rises by as much as 0. Alkalinizing the urine before the procedure is necessary. Temperature charting is a useful way of providing early clues about anovulation, and can help gynaecologists in their diagnosis. Preconception lifestyle advice for people with subfertility.

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Management of ejaculatory failure: - Can be of great value as in retrograde ejaculation. There are other hormonal anomalies with no direct link to the ones mentioned above that can affect ovulation. As the rate of getting spontaneous pregnancy among infertile or subfertile couples is lower than that among normal fertile population, it is recommended to carry out the following diagnostic, evidence-based, work-up to detect any hidden treatable cause. Like many people facing infertility, I was heartbroken by the news. 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. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. Studies have shown that approximately 70% of miscarriages are due to chromosomal abnormalities. Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference.