Infertility

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It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer.

The maximum recommended dosage is 150 mg/day for 5 days. 8 Evaluation of Men Jump to section + Causes of male infertility include infection, injury, toxin exposures, anatomic variances, chromosomal abnormalities, systemic diseases, and sperm antibodies. In patients with low gonadotropins and low estrogen, the treatment of choice is hMG, and the protocol is similar to that for patients with primary amenorrhea. Successful Pregnancy after Microsurgical Transplantation of an Intact Ovary. (PDF, 438 KB) The New England Journal of Medicine, 2008.

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Sofat Infertility Hospital Ludhiana

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The advent of computer chip-based television cameras was a seminal event in the field of laparoscopy. Hystersalpingography (HSG): - usually after failed successive cycles of ovulation induction, and in some centres after failed IUI. - good predictive but requires expertise. An on-line WHO infertility virtual consultation course includes a 5 module WHO evidence-based medicine course, as well as a 16 module ASRM eLearning course which reviews the evidence-base for the basic diagnosis of the infertile male and female, coupled with management and treatment. But for other men, advances in male infertility treatment offer real help. Luteal phase support. (and cryopreservation choice offered if good quality embryos are available) IVF/ICSI 37. Down-regulation: - to avoid premature LH surge and spontenous ovulation. - either GnRH agonist protocol or GnRH antagonist protocol. - always use GnRH antagonist protocol in women with high risk of OHSS.

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Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse. Features include a webbed neck, short stature, low-set ears, ptosis, shield-like chest, lymphedema of hands and feet, cardiovascular abnormalities, and cubitus valgus. Infertility service use in the United States: data from the National Survey of Family Growth, 1982–2010. Some physical effects may also result from treatment.

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Blood test: This can assess hormone levels and whether a woman is ovulating. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap. Grading is as follows: Grade 0 – No movement Grade 1 – Sluggish movement Grade 2 – Slow movement in a poorly defined direction Grade 3 – Slow or curved forward movement Grade 4 – Fast movement straight forward  Patients with abnormal sperm motility should be evaluated for the following: Pyospermia Antisperm antibodies Varicocele Sperm ultrastructural abnormalities Partial ductal obstruction Sperm morphology The head, acrosome, mid piece, and tail of individual spermatozoa are analyzed with phase-contrast microscopy after fixation with Papanicolaou stain. Not getting pregnant The primary sign of infertility is not getting pregnant after trying for a certain length of time. Varicocele A varicocele is a swelling of the veins that drain the testicle, which can impact sperm quality. Unfortunately, tubal cauterization destroys a large amount of tissue, so the amount of fallopian tube remaining is often not long enough to facilitate a successful reanastomosis. Mittelschmerz and premenstrual symptoms tend to be absent or reduced when a woman is anovulatory. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Afterward, the embryo transfer follows with a sterile special catheter into the cavum uteri.


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See also
Infertility Hardship Letter
Nutrition in Infertility
Infertility at 40 Years Old