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Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1). Judaism and Repoductive Technology. (PDF, 160 KB) 2003. A systematic review of tests predicting ovarian reserve and IVF outcome.

Drugs used for both women and men[67] include clomiphene citrate, human menopausal gonadotropin (hMG), follicle-stimulating hormone (FSH), human chorionic gonadotropin (hCG), gonadotropin-releasing hormone (GnRH) analogues, aromatase inhibitors, and metformin. Fibroids Non-cancerous growths called fibroids in or around the womb can affect fertility. Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995.

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Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. National Collaborating Centre for Women's and Children's Health. The cause of sterility can also be found in the tubes.

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Causes of infertility include genetic abnormalities, certain acute and chronic diseases, exposure to certain environmental toxins, smoking, and excessive alcohol use (2). Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Lifestyle Factors Jump to section + All couples should be counseled to abstain from tobacco use, limit alcohol consumption, and aim for a body mass index less than 30 kg per m2 to improve their chances of natural conception or using assisted reproductive technology. 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%). 8 A high serum FSH level (greater than 30 to 40 mIU per mL [30 to 40 IU per L]) with a low estradiol level can distinguish ovarian failure from hypothalamic pituitary failure, which typically reveals a low or normal FSH level (less than 10 mIU per mL [10 IU per L]) and a low estradiol level. Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4).

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Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems. Our goal is to have each and every patient feel as part of our team, a team that is focused on helping them have a healthy baby. Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. Its treatment depends on the etiologic factor, but, in many instances, the underlying cause remains unknown.