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5 mg PO qd and increased to 5 mg once tolerance is built. 8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. Lack of ovulation Patients with anovulation who did not ovulate after several cycles of CC at different doses of treatment are deemed clomiphene resistant.

Medications, treatments, and drugs Some drugs can affect fertility in a woman. Only an additional 7% of couples will conceive in the second year.

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The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. A doctor injects sperm directly into the egg in a dish and then places it into your uterus.

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In men, cigarette smoking and alcohol use may cause poor sperm quality, and marijuana use can also be implicated in lower sperm motility and count. GnRH analog ([GnRHa], leuprolide acetate, nafarelin acetate, goserelin acetate) causes down-regulation of the pituitary, inducing chemical menopause after injections of 3.

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You take gonadotropins that trigger the development of more than one egg. Maternal age Infertility due to age is one of the most common causes of female infertility. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. In recent years, electronic tools have been developed to aid surgeons. Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. Intra-uterine insemination for unexplained subfertility.