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Frequency of intercourse The couple may be advised to have sexual intercourse more often around the time of ovulation. Practice Committee of American Society for Reproductive Medicine. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility.

According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. The woman is instructed to measures her body temperature every morning as soon as she wakes up, before she gets out of bed or before she eats or drinks anything. Successful Pregnancy after Microsurgical Transplantation of an Intact Ovary. (PDF, 438 KB) The New England Journal of Medicine, 2008.

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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. Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history.

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New Treatment for Infertility Due to Congenital Absence of Vas Deferens. (PDF, 1 MB) The Lancet, 1987. Unexplained Even after a full fertility work-up, for one in five couples an exact cause of infertility cannot be determined. The menopause is premature when it occurs before 40 years of age. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems.

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Fertility treatment with donor eggs is usually done using IVF. The basic work-up, or fertility evaluation, includes: Semen analysis of the male partner. M. genitalium infection is associated with increased risk of infertility.[25][26] Genetic[edit] A Robertsonian translocation in either partner may cause recurrent spontaneous abortions or complete infertility.[citation needed] Mutations to NR5A1 gene encoding Steroidogenic Factor-1 (SF-1) have been found in a small subset of men with non-obstructive male factor infertility where the cause is unknown. IVF was a major breakthrough because it allowed for successful pregnancies in women that were previous deemed permanently infertile, such as when the fallopian tubes are both markedly damaged. European Association of Urology guidelines on male infertility: the 2012 update. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. Ovary Transplantation for Fertility Preservation in Cancer Patients: Fresh and Frozen. (PDF, 1 MB) Chapter 42 from textbook Clinial Infertility, 2010. These patients are often tall and severely oligospermic or azoospermic. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. Ovulation occurs about two weeks before a woman’s next period starts. Some women are infertile because their ovaries do not mature and release eggs.