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Intra-uterine insemination for unexplained subfertility. WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%).

Castration of the affected testis may allow the other testis to regain its ability to produce sperm, but the prognosis is guarded. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Three modalities are used to treat myomas: medical treatment, surgical treatment, and embolization.

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Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. The man is advised not to ejaculate for 2 to 3 days before giving the semen sample for evaluation. Leptin is a hormone associated with numerous effects including appetite control, inflammation, and decreased insulin secretion, according to many studies. There are tests that may tell if you have fertility problems. The production of anti-sperm antibodies by the woman’s immune system can interfere with fertilization.

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Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. Treatment for Infertility 1) Education: We strongly believe that educating our patients about the normal process of fertility, problems that affect fertility, and treatment options will empower our patients to make the best choices. Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse. It can also help if a man has severe erectile dysfunction.

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The acrosome should be 40-70% of the size of the head, and no mid piece or tail abnormalities should be present. Suspect antisperm antibodies when semen analysis reveals abnormal clumping, agglutination, unexplained decreased motility, or an abnormal postcoital test result. Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment. 6,8,23 A high FSH level (10 to 20 mIU per mL [10 to 20 IU per L]) drawn on day 3 of the menstrual cycle is associated with infertility. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. Laparoscopy is an operation performed in the abdomen or pelvis through small incisions, generally no more than a centimeter, with the assistance of a laparoscope attached to a camera which projects to a screen. It's sometimes done while you're taking meds that help trigger the release of an egg. Infertility in women was ranked the 5th highest serious global disability5&6 (among populations under the age of 60). Peritubaric adhesions can be caused by endometriosis. Empirical treatment with controlled ovarian hyperstimulation followed by intrauterine insemination has improved the pregnancy rate in those patients. [214] If pregnancy does not occur during the first 4 intrauterine insemination cycles, other alternatives include IVF or any of the associated assisted reproductive technologies procedures.Background Infertility is a common clinical problem. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. There are numerous conditions that can contribute to infertility in men and women. IVF/ICSI 38. Controlled ovarian stimulation: - By urinary or recombinant FSH and/or HMG. - Dose depends on age, BMI, presence of PCO and ovarian reserve. - Monitoring of folliculometry by USS and E2. Triggering of ovulation: - By urinary of recombinant HCG, 36 before oocyte retrieval. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998.