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Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. Unexplained causes of infertility and sterility Unfortunately, a basic fertility analysis cannot provide an answer for all causes of infertility and some remain unexplained. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature.

It will take time until these studies can be available for clinics and patients as a regularity. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Prolonged diestrus can result from luteal cysts in the ovary.

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The pathophysiology of the disease is not well understood, but a massive extravascular accumulation of fluid occurs that is associated with a severe depletion of the intravascular volume responsible for dehydration, hemoconcentration, and electrolyte imbalance (ie, hyponatremia, hyperkalemia). [193] Ovarian hyperstimulation syndrome can be mild, moderate, or severe. [194] Mild ovarian hyperstimulation syndrome is characterized by ovarian enlargement (up to 5-12 cm in diameter), minimal ascites, and weight gain of less than 10 lb. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. However, if the E2 level is greater than 100 pc/mL and the follicles are 10 mm in diameter, hMG should be continued at the same dose. Thankfully, even when the cause of infertility is not known, various fertility treatments can eventually lead to delivery of a healthy baby. Calcification of the Seminal Vesicles and Vas Deferens in a Uremic Patient. (PDF, 3 MB) The Journal of Urology, 1971. Hjollund NH, Storgaard L, Ernst E, Bonde JP, Olsen J.

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Painful or heavy periods Most women experience cramps with their periods. Come and meet us to find out more about how we can help you. Generally, they occur in 50-100% of all abdominal surgeries,[29] with the risk of developing adhesions being the same for both procedures.[30][31] Complications of adhesions include chronic pelvic pain, bowel obstruction, and female infertility. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Thankfully, even when the cause of infertility is not known, various fertility treatments can eventually lead to delivery of a healthy baby.

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Treatment of Female Infertility: Induction of Ovulation Ovulation induction involves the use of medication to stimulate development of one or more mature follicles in the ovaries of women who have anovulation and thus are infertile. Intrauterine insemination 50% of women will conceive after 6 cycles. Half of the unsuccessful ones, will conceive with further 6 cycles. It is artificial introduction of semen inside the female’s uterus. Success rate varies, lie between 15% to 20% per cycle. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Men with Infertility Caused by AZFc Deletion can Produce Sons by Intracytoplasmic Sperm Injection, but are Likely to Transmit the Deletion and Infertility. (PDF, 102 KB) Human Reproduction, 1999. Analyses of the CFTR Gene in 67 Patients. (PDF, 4 MB) The American Journal of Human Genetics, 1995. Testosterone is secreted in a diurnal pattern, peaking a few hours after the man awakens from sleep. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Heavy, long, or painful periods Heavy periods may indicate an underlying condition affecting fertility. The endometrium can be damaged from previous curettages or infections like endometritis.