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In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. Treatment of tubal obstruction generally requires referral for subspecialty care. 47 Motivational interviewing techniques for modifiable risk factors, such as obesity, tobacco, illicit drugs, and alcohol, can decrease the targeted risk factor. Other conditions Various other lesions and diseases, such as CNS tumors, temporal lobe seizures, and many drugs (eg, dopamine antagonists) may interrupt the hypothalamic-pituitary axis at the hypothalamus. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980.

Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. As the rate of getting spontaneous pregnancy among infertile or subfertile couples is lower than that among normal fertile population, it is recommended to carry out the following diagnostic, evidence-based, work-up to detect any hidden treatable cause.

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Patients may achieve normal virilization and adult phenotype by the administration of exogenous testosterone, but they are infertile. Embryos transfer is performed in the office under abdominal ultrasound guidance using a small, soft, sterile and flexible catheter.

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Fertility treatment with donor eggs is usually done using IVF. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. Signs of Potential Infertility in Women In women, changes in the menstrual cycle and ovulation may be a symptom of a disease related to infertility.

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Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. The likelihood of fertilization improves significantly for men with low sperm concentrations. 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1. Cervical surgery can sometimes cause scarring or shortening of the cervix. Other factors, such as luteal phase defect or production of anti-sperm antibodies. 8 If a woman has irregular cycles, the testing should be conducted later in the cycle, starting seven days before presumed onset of menses, and repeated weekly until menses.