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However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. Kidney Transplantation in Inbred Rats. (PDF, 6 MB) The American Journal of Surgery, 1973. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977.

Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. 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.

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Overweight or obesity: This may reduce the chance of conceiving. Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. Having sex near the time of ovulation is the best way to increase the chance of becoming pregnant. Understanding the normal reproductive process is essential in knowing when to seek help.

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Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990. Progesterone deficiency can be corrected by the administration of progesterone during the luteal phase, starting 48 hours after ovulation. [204] Patients with hyperprolactinemia need a thorough evaluation to exclude a pituitary microadenoma. Male fertility starts declining in their thirties, while women older than 35 years may experience problems conceiving.

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In such cases, OPKs and those fertility monitors which are based on LH may show false results, with an increased number of false positives or false negatives. Secondary spermatocytes contain smaller nuclei with fine chromatin. It involves removing eggs from the ovary of a donor who has taken fertility drugs. Surgery or embolization for varicoceles in subfertile men. Prolactin stimulates milk production during breastfeeding. This technique involves an injection of a single healthy sperm directly injected into mature egg. Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems. Although tubal disease was the original indication for IVF, many more indications have developed over the years. The main causes of tubal infertility are pelvic infections caused by bacteria such as chlamydia, previous abdominal disease or surgery and ectopic pregnancy. • Endometriosis is characterised by excessive growth of the lining of the uterus. 6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology.