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37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone. Severe ovarian hyperstimulation syndrome is characterized by easily palpable ovaries, severe ascites, nausea, vomiting, diarrhea, shortness of breath, hydrothorax, peripheral edema, oliguria, hemoconcentration (eg, hematocrit level >48% and hemoglobin level >16 g), and creatinine level greater than 1. Antibodies against the sperm in the cervical mucus particularly often occur in sterile marriages. 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.

The endometrium can be damaged from previous curettages or infections like endometritis. Studies show that the IUI is most successful when it is coupled with fertility drugs to enhance ovulation, with success rates between 5% and 20% per cycle.

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If the egg does not travel, it can be harder to conceive naturally. High-cost treatments are out of financial reach for some couples.

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Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. Obesity and increased risk for oligozoospermia and azoospermia. Some physical effects may also result from treatment.

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Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). Causes of infertility include genetic abnormalities, certain acute and chronic diseases, exposure to certain environmental toxins, smoking, and excessive alcohol use (2). Isolated LH deficiency (fertile eunuch) In these patients, LH levels are decreased while FSH levels are within the reference range. Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. Legal experts said the new definition, which will be sent out to every health minister next year, may force a law change, allowing the introduction of commercial surrogacy. 6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples.