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Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. Judaism and Reproductive Technology. (PDF, 2 MB) 2010. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). It usually involves treatment implication counselling, emotional support counselling, and therapeutic counselling [38,39].

Because of the intimate relationship between the fallopian tubes and the other pelvic organs and because, in the great majority of the cases, peritoneal pathology involves tubal pathology, the treatments of these factors are discussed together. The opening improves the ability of the embryo to implant into the uterine lining. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Medicines and drugs  The side effects of some types of medicines and drugs can affect your fertility. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. If your cycles are infrequent or irregular, your doctor will examine you and perform the appropriate testing to discover which problem you may have and present the appropriate treatment options.

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There is no reliable treatment, although microsurgery may be attempted. Endometriosis may be treated through laparoscopic surgery.

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At least one open tube is required for IUI, and any sperm abnormality cannot be severe, otherwise the sperm will not be able to swim to and fertilize the egg. Analyses of the CFTR Gene in 67 Patients. (PDF, 4 MB) The American Journal of Human Genetics, 1995. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. After injection of the sperm, the patient remains in the recumbent position for 10-15 minutes.

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Alkalinizing the urine before the procedure is necessary. It is better for a couple to see the doctor together. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. The menopause is premature when it occurs before 40 years of age. Pro-life opposition to the destruction of embryos not transferred in vivo. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel. Depending on the sperm count, the couple is advised to have intercourse near the time of ovulation or to proceed with intrauterine insemination. Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles. Your doctor may ask you many of the following questions: How long have you been trying to get pregnant? For example, 10 to 15 percent of untreated chlamydia cases will lead to pelvic inflammatory disease (PID). After ruling out female infertility concerns, tests for male infertility may be needed. Abnormal head shapes are described as tapered, duplicated, small, large, amorphous, or pyriform.