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Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Preconception lifestyle advice for people with subfertility. Success rates with IVF procedure are approximately 20% per egg retrieval (approximately 20 couples out of every 100 who try one retrieval with IVF are likely to achieve pregnancy and delivery). Tubal catheterisation or cannulation: - With proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options.

Ovulation disorders can be due to: Premature ovarian failure: The ovaries stop working before the age of 40 years. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency.

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Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. Diagnosis is based on history, physical examination, biochemical evaluation, ultrasonography, and laparotomy. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. High-cost treatments are out of financial reach for some couples.

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Cushing disease Increased cortisol levels cause a negative feedback on the hypothalamus, decreasing GnRH release. The severity usually depends on how near to the testicles the radiation was aimed. Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women.

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Congenital disorders and chryptorchidism (undescended testicles). Where Dreams are Born. (PDF, 2 MB) Jewish Light, 2010. Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods. If you’re worried about your fertility, the best thing to do is talk to your doctor. Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter.